Implementation of hospital care pathways for patients with schizophrenia

Journal of Nursing Management
A Jones

Abstract

This paper aims to discuss some of the issues for the implementation of care pathways for inpatients suffering from schizophrenia. This paper builds upon a previously published paper describing the development of the care pathway. The use of a care pathway may enable care to be delivered in a more efficient and effective way. Very little is known about the development or implementation of care pathways for mental health conditions. Action research guided the process of implementation and led to 29 in-depth interviews. Participant observation and records of 15 working group meetings rounded the data analysis. The nature of the study site changed dramatically over the course of the research programme with many staff leaving the ward. This led to many problems in implementing the care pathway including poor levels of morale and engagement; how the patients were admitted and managed on the care pathway; poor levels of documentation. The findings are particular to this research environment, although some wider issues could be applicable to other sites such as the nature of representing psychiatric work on the care pathway; the evidence-based practice movement and the role of the user and individualized care.

Citations

Feb 26, 2011·World Journal of Urology·Sara Jane MaclennanUNKNOWN UCAN Care Pathway Development Group
Aug 14, 2008·The British Journal of Psychiatry : the Journal of Mental Science·Sara E Evans-LackoGraham Thornicroft
Dec 5, 2008·Issues in Mental Health Nursing·Julie Hall, Patrick Callaghan
May 26, 2007·International Journal of Nursing Studies·Billie Hunter, Jeremy Segrott
Nov 17, 2004·Journal of Psychiatric and Mental Health Nursing·A Jones
Jul 14, 2005·Journal of Psychiatric and Mental Health Nursing·A Jones
Feb 19, 2005·Health & Social Care in the Community·Gwyneth ReesL McKechnie
Jan 19, 2007·International Journal of Mental Health Nursing·Henrika JormfeldtBarbro Arvidsson
Oct 30, 2015·Administration and Policy in Mental Health·Sheng ChenSean A Kidd

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