Next Article in Journal
Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players
Next Article in Special Issue
Use of the Barthel Index to Assess Activities of Daily Living before and after SARS-COVID 19 Infection of Institutionalized Nursing Home Patients
Previous Article in Journal
Awareness and Knowledge about Human Papilloma Virus Infection among Students at Secondary Occupational Health School in China
Previous Article in Special Issue
Friendship and Consumption Networks in Adolescents and Their Relationship to Stress and Cannabis Use Intention
Article

Implementing a Care Pathway for Complex Chronic Patients from a Nursing Perspective: A Qualitative Study

1
Faculty of Nursing, University of Cantabria, 39008 Santander, Spain
2
IDIVAL Nursing Research Group, 39011 Santander, Spain
3
SALBIS Research Group, University of León, 24400 León, Spain
4
CualSoft-Qualitative Research Consulting Services, 03803 Alcoy, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(12), 6324; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126324
Received: 6 May 2021 / Revised: 31 May 2021 / Accepted: 1 June 2021 / Published: 11 June 2021
(This article belongs to the Special Issue Nursing and Society)
A care pathway constitutes a complex care strategy for decision-making and the organization of processes in the care of complex chronic patients, avoiding the fragmentation of care. Health professionals play a decisive role in the implementation, development, and evaluation of care pathways. This study sought to explore nurses’ opinions on the care pathway for complex chronic patients three years after its implementation. The study participants were thirteen nurses with different roles who were involved in the care pathway. Thematic content analysis of the semi-structured interviews resulted in four major themes: (a) the strengths of the route; (b) the impact of the route on caregivers; (c) the weaknesses of the route; and (d) the future of the route. Overall, the pathway was positively valued for the benefits it provides to patients, the caregiver, and the administration of professional health care. Participants voiced their concerns regarding: communication and coordination difficulties among professionals across the different levels of care, the need for improved teamwork and consensus among professionals at the same center, and human and material resources. The ongoing evaluation and monitoring of facilitators and barriers is necessary throughout the implementation process, to ensure continuity and quality of care in the health system. View Full-Text
Keywords: care pathway; integrated health care; long-term care; quality of health care; Spain; qualitative research care pathway; integrated health care; long-term care; quality of health care; Spain; qualitative research
MDPI and ACS Style

Fernández-Peña, R.; Ortego-Maté, C.; Amo-Setién, F.J.; Silió-García, T.; Casasempere-Satorres, A.; Sarabia-Cobo, C. Implementing a Care Pathway for Complex Chronic Patients from a Nursing Perspective: A Qualitative Study. Int. J. Environ. Res. Public Health 2021, 18, 6324. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126324

AMA Style

Fernández-Peña R, Ortego-Maté C, Amo-Setién FJ, Silió-García T, Casasempere-Satorres A, Sarabia-Cobo C. Implementing a Care Pathway for Complex Chronic Patients from a Nursing Perspective: A Qualitative Study. International Journal of Environmental Research and Public Health. 2021; 18(12):6324. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126324

Chicago/Turabian Style

Fernández-Peña, Rosario, Carmen Ortego-Maté, Francisco J. Amo-Setién, Tamara Silió-García, Antoni Casasempere-Satorres, and Carmen Sarabia-Cobo. 2021. "Implementing a Care Pathway for Complex Chronic Patients from a Nursing Perspective: A Qualitative Study" International Journal of Environmental Research and Public Health 18, no. 12: 6324. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126324

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop