Clinical care pathway strenghens interprofessional collaboration and quauit of health service: a literature review

Objective: To review the effectiveness of a clinical care pathway on interprofessionat collaboration and quality of health service. Method: A review was performed of literature published from 2000 to 2015, with the following keywords: clinical pathway, care pathway, and interprofessionat collaboration. Results: Evidence depicted the positive results of nursing care for clients, health care professionals and facilities. The research results were implemented at different facilities using several research designs, from descriptive to experimental. A clinical pathway was used as a tool in various clinical situations including in emergency, elective surgery, and pre-post-surgery, as well as in common clinical cases. It was administered by the health care professionals in providing care, encompassing the comprehensive process from diagnosis to clinical audit. Health care professionals should engage in active collaboration during the implementation of a clinical care pathway. In implementing the standard of input, process, and outcome of care to clients, health care professionals should emphasize the process and outcome of care and eliminate unnecessary or inefficient treatments. Conclusions: A clinical care pathway could reduce the average length of stay for patients, increase cost effectiveness, and, consequently, improve the quality of service. To optimize the care process, the pathway should be implemented of multidisciplinary health care team. (C) 2018 Elsevier Espana, S.L.U. Todos los derechos reservados.