Characteristics of Implementing Practice Development in Germany: A National Scoping Review

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL Health Science Reports Pub Date : 2025-03-18 DOI:10.1002/hsr2.70546

Anne Fahsold, Theresa Siegler, Anna Louisa Hoffmann-Hoffrichter, Sibylle Reick, Rebecca Palm

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Abstract

Background and Aims

Practice development is a clearly defined concept internationally. In Germany, however, the concept is understood differently. For this reason, it is unknown how the concept is implemented in patient care and whether it corresponds to the international concept. The aim was to create an overview of practice development projects in Germany and to examine whether the practice development projects included meet the internationally defined criteria for practice development.

Methods

A scoping review was performed. For this purpose, a literature search was conducted in MEDLINE, CINAHL, CareLit, and GeroLit as well as by hand search in nonindexed German-language journals. Articles were included in the evidence synthesis regardless of their methodological quality.

Results

Eleven articles from 2012 to 2021 were included in the scoping review. The goals pursued by the projects focus on the implementation of evidence-based nursing and advanced practice nursing, the integration of university-trained nurses, the improvement of clinical care, and the competence development of nurses and leaders in the acute hospital setting. The review showed that few practice development projects incorporate the internationally recognized criteria of practice development and are based on the current international definition of practice development.

Conclusion

It would appear beneficial and necessary to achieve a uniform understanding in Germany to undertake a process of concept clarification and to develop a definition of practice development for implementation.

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德国实施实践发展的特点：国家范围审查

背景与目的实践发展在国际上是一个明确的概念。然而，在德国，人们对这个概念的理解不同。因此，尚不清楚该概念如何在患者护理中实施，是否符合国际概念。其目的是概述德国的实践发展项目，并审查所包括的实践发展项目是否符合国际上确定的实践发展标准。方法进行范围回顾。为此，在MEDLINE、CINAHL、CareLit和GeroLit中进行了文献检索，并在未索引的德语期刊中进行了手工检索。文章不论其方法学质量如何都被纳入证据综合。结果2012 - 2021年共纳入11篇文献。项目的目标是实施循证护理和高级护理实践，整合大学培训的护士，改善临床护理，以及在急症医院环境中护士和领导的能力发展。回顾显示，很少有实务发展项目纳入国际公认的实务发展准则，并以现行的国际实务发展定义为基础。在德国进行概念澄清过程并制定实践发展的定义以实现统一的理解似乎是有益和必要的。

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