[An evidence-based healthcare system and the role of the healthcare professions].
An evidence-based healthcare system necessitates a new role allocation and new role definitions of the players. By means of professional delegation, physician-nurse substitution and adoption of new professional functions, which so far have not been part of their professional profiles, nurses, midwives and allied health professionals will adopt a broad spectrum of new responsibilities. At present, nurses, midwives and allied health professionals lack basic scientific competencies and opportunities to acquire skills in evidence-based practice. A reliable link between evidence-generating sciences in nursing, midwifery and allied health professions and clinical practice is missing. In the future, an increase of academically qualified health professionals and a new skills mix within each profession might promote active and effective participation in an evidence-based healthcare system. (As supplied by author).
Medizinische Fakultät, Institut für Gesundheits- und Pflegewissenschaft, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland. Electronic address: Gabriele.Meyer@medizin.uni-halle.de.
Gabriele
G
Meyer
D000488:Allied Health Personnel / Q000458:organization & administration; D002983:Clinical Competence; D003299:Cooperative Behavior; D032022:Delegation, Professional / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005858:Germany; D006282:Health Personnel / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D008880:Midwifery / Q000458:organization & administration; D009313:National Health Programs / Q000458:organization & administration*; D019555:Physician-Nurse Relations
Arzt/Ärztin-Pflege Substitution; Evidenzbasierte Praxis; Hebammenkunde; Nursing; Pflege; Therapieberufe; allied health professionals; doctor-nurse substitution; evidence-based practice; midwife; professional delegation; professionelle Delegation