Critical pathway for patients undergoing aortic-surgery: impact on postoperativecare at an intensive care unit in Sweden
2010 (English)In: International Journal of Care Pathways, Vol. 14, no 1, 10-14 p.Article in journal (Refereed) Published
The aim of the present study was to identify and describe intensive care nurses’different conceptions of a critical pathway in caring for patients that have undergone aorticsurgery.Individual semi-structured interviews with eight specialist registered nurses at aSwedish intensive care unit were conducted and phenomenographically analysed. Three descriptivecategories, with a total of five sub-categories, constituted the outcome-space of how thepathway was conceived of in caring: as a guide open to individual patients needs (clinical judgementgoverns caring and patient autonomy governs caring), as an instrument to promote patientsafety (a source of knowledge, a planning tool and a reference standard) and as a source ofsupport for professional confidence.In accordance with current literature, the nurses in the present study identified a number ofadvantages in applying the pathway in caring even if they were also conscious that the use of apathway can give rise to unreflective standardisation. The nurses’ conceptions indicate that thepathway prescribed for managing patients who have undergone aortic surgery is supportive andfacilitates patient safety without jeopardising respect for the patient’s individual care needs.This insight may be used to influence a thoughtful dialogue about the practice of pathways inintensive care.
Place, publisher, year, edition, pages
2010. Vol. 14, no 1, 10-14 p.
Critical pathways, clinical pathway, caring, aotic surgery, intensive care, standardized care plans
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-207950DOI: 10.1258/jicp.2009.009018OAI: oai:DiVA.org:uu-207950DiVA: diva2:650480