Resistance to Computerized Care Planning Systems by Qualified Nurses Working in the UK NHS

2003 ◽  
Vol 42 (04) ◽  
pp. 471-476 ◽  
Author(s):  
S. Timmons
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Nursing Care ◽  
Care Planning ◽  
Planning Systems ◽  
Structured Interviews ◽  
Design And Implementation ◽  
Uk National Health Service ◽  
The Uk

Summary Objective: This study investigated whether computerized systems, designed to produce detailed plans for the nursing care of inpatients, were resisted by the nurses who were expected to use them. Methods: Qualitative study, using semi-structured interviews with nurses working in the UK National Health Service. Results and Conclusions: Resistance took the form of ‘resistive compliance,’ and this resistance is analyzed and explained. Resistance can best be understood in terms of the culture of nursing. This implies that the design and implementation of computerized systems in health care should take these factors into account.

An Evaluation of the Quality of Integrated Care Pathway Development in the UK National Health Service

2005 ◽  
Vol 9 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Michelle Croucher
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Integrated Care ◽  
Care Pathway ◽  
Evidence Based ◽  
Integrated Care Pathway ◽  
Uk National Health Service ◽  
The Uk

An integrated care pathway (ICP) is an outline of planned care for a specific patient group. It highlights usual practice that is evidence-based, from which variations occur as health-care professionals use their professional judgement. The objectives of the study were to identify the key elements within an ICP, to formulate a checklist utilizing the ICP key elements, and to evaluate ICPs available from the UK National electronic Library for Health (NeLH) against the checklist. An ICP key elements checklist was produced from a review of ICP literature. In all, 90% of the ICPs evaluated contained a plan of anticipated care along some form of timeline, including processes and outcomes. Also, 70% of the ICPs evaluated did not contain a variance-recording framework. In addition, 70% of the ICPs evaluated did not contain any evidence of evidence-based best practice. This study shows that there is wide variability in the quality of the ICPs being developed in the UK National Health Service (NHS), and that the development of ICPs in many health-care organizations is inadequate. Variability of the ICPs being developed will have a direct impact on the quality of patient care, and improvements in care and service delivery may not be identified, implemented or reviewed. It is recommended that a tool be produced, which would provide a standard framework for NHS staff to follow when developing ICPs.

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