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[Paradigm shift of German medicine by introduction of nurse practicioners. Does it make sense in view of experience in the United Kingdom?].

Germany wants to introduce some models to allow nurses to work in medical roles. Although hospital nurses worked hard during the last couple of years to concentrate on pure patient care and to detach themselves from medicine, a short additional training of 6-12 months duration is planned to allow them to work independently in well defined areas of medicine (high blood pressure, wound care, dementia, diabetes). However, success of such models has only been tested in a few studies. Study results and experience with such models in the UK - where these developments are much more advanced - are not only positive. Generally, work of nurses in medical roles does not make patient care less expensive and doctor´s work less onerous. The benefit lies more in an add-on effect to doctor´s care. Therefore, a close scientific surveillance of such models must be guaranteed and results must be considered without any kind of ideology.

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