The English-language term of the Evidence based only-sing (SMOOTH) describes evidence-based procedures for the objective evaluation of krankenpflegerischer achievements.

In the pflegerischen everyday life the question about the best suitable intervention often arises. Pflegeri actions are analyzed regarding their effectiveness ever more, because by the present law situation and the demands for quality assurance maintaining are requested to justify the effectiveness and efficiency from care interventions to. In this connection the question arises, as maintaining arrive at realizations, which can be included on the one hand into the pflegerische decision and which on the other hand objective and founded knowledge to represent. One needs a concept, in order to arrive and scientific realizations into pflegerische acting to include be able from pflegerischen questions to occupied answers.

Definition

Evidence based only-sing is the meaningful integration of at present best scientific proofs into daily care practice under installation course

• the best scientific vouchers and
• available the knowledge and the experiences of the maintaining,
• the needs and conceptions of the patient and
• existing resources and structures of the mechanism.

Abb.1 components of a pflegerischen decision

Understood by best scientific vouchers research results, which were compiled with application of objective, valider and reliabler a methods as possible, thus a high internal validity to exhibit. These vouchers can be considered by maintaining in the context of their pflegerischen measures or be found for the production of standards, guidelines or curricula on the Meso and macro level of the health system application

The priority goal of Evidence based only-sing is it to create a basis in order to give to in need of care ones the best and most effective care. The pflegerische action is not alone on traditions, excessive quantities or on experience, but also on scientific vouchers {see Schloemer are based, 2000}. With a pflegerischen decision the already existing knowledge and the practical experiences, thus the expert's assessment of the tending are to consider in connection with their intuitive understanding of the situation, the Tacit Knowledge, beside the scientific vouchers, to which special weight comes.

Care interventions can besides are in and/or are accomplished only if the patient agrees the interventions which can be used and their execution supported and necessary resources are present: This covers the necessary devices or expendables material just like the necessary personnel structures and organizational conditions.

Fig. 2 external ones and internal evidence with pflegerischen decisions

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