[Nursing outcomes and the reform of care processes (IV). Clinical pathways and reflexive training of nurses].

This article states the danger that exists if human activities are substituted by a standardized instrument; it insists that standardized treatment plans or clinical trajectories should be a tool which facilitates a nurse's labor and allows a nurse to dedicate more time at a patient's bedside. In terms of professional development, this implies a focus directed at the acquisition of procedures as well as social and intellectual aptitudes. This also assumes that the directors, who occupy a post that is key to setting treatment policy, adopt a position which favors the development of an autonomous role in professional practice.