What is protocol-based care? A concept analysis.

Autor: Ilott I, Rick J, Patterson M, Turgoose C, Lacey A
Předmět:
Zdroj: Journal of Nursing Management; Oct2006, Vol. 14 Issue 7, p544-552, 9p
Abstrakt: AIM: To define protocol-based care to make this way of delivering health care amenable to theoretical and empirical studies. BACKGROUND: Although protocol-based care is associated with the evidence-based practice and standardization movements, it is an ill-defined and understood concept. METHOD: A multiphase concept analysis, inspired by an evolutionary view was used to clarify 'what is protocol-based care'. The inductive, five-phase process drew upon content analysis of policy documents and the literature, plus interviews with a purposive sample of 35 opinion leaders. RESULTS: The term was used interchangeably with protocols, pathways and guidelines in policy and guidance documents. A search of seven databases produced only 57 references to protocol-based care. The concept analysis revealed a continuum of scope and specificity and also distinguished specialist and generic applications of protocol-based care. CONCLUSIONS: Managers need to take cognizance of the significance and complexity of protocol-based care when introducing this way of working. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index