Furåker C, Hellström-Muhli U, Walldal E
Institute of Health Care Pedagogics, Göteborg University, SE 405 30 Göteborg, Sweden.
J Nurs Manag. 2004 Sep;12(5):309-16. doi: 10.1111/j.1365-2834.2004.00443.x.
Specific groups with complex nursing requirements, such as patients suffering from stroke, are in greatest need of a critical pathway.
To study how the critical pathway is reflected in caring work from the staff's perspective.
Personnel (n = 16): physicians, care developers, speech therapists, physiotherapists, occupational therapists, nurses, assistant nurses. Content analysis has been used. Two main categories were formed: function of the critical pathway and effects of the critical pathway.
The nurse in the stroke ward is seen as the "spider in the web". There is a need for more collaboration, both in and between hospitals and primary health care. Many of the staff members feel that they are working in a learning organization. Others say that they have low job satisfaction caused by low manning and, consequently, less time to spend with the patients.
The critical care chain has not been fully developed in accordance with the care model. It emerges that patients spend a lot of time waiting while the staff have too little time to spend with patients.
有复杂护理需求的特定群体，如中风患者，最需要关键路径。
从工作人员的角度研究关键路径在护理工作中是如何体现的。
人员（n = 16）：医生、护理发展人员、言语治疗师、物理治疗师、职业治疗师、护士、助理护士。采用了内容分析法。形成了两个主要类别：关键路径的功能和关键路径的效果。
中风病房的护士被视为“蜘蛛网中的蜘蛛”。医院内部以及医院与初级卫生保健之间都需要更多的协作。许多工作人员觉得他们在一个学习型组织中工作。其他人则表示，人员配备不足导致他们工作满意度低，因此与患者相处的时间较少。
重症护理链尚未完全按照护理模式发展。结果显示，患者要花很多时间等待，而工作人员与患者相处的时间却很少。
