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Related Experiment Videos

What is protocol-based care? A concept analysis.

Irene Ilott1, Jo Rick, Malcolm Patterson

  • 1Institute of Work Psychology, University of Sheffield, Sheffield, UK. irene.ilott@sheffield.ac.uk

Journal of Nursing Management
|September 29, 2006
PubMed
Summary

Protocol-based care is an ill-defined concept in healthcare, often confused with similar terms. This study clarifies its definition and applications for better theoretical and empirical research.

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Area of Science:

  • Healthcare Management
  • Clinical Practice Guidelines
  • Health Services Research

Background:

  • Protocol-based care is linked to evidence-based practice and standardization but remains poorly understood.
  • Existing literature and policy documents reveal ambiguity in the definition and application of protocol-based care.

Purpose of the Study:

  • To define protocol-based care to facilitate its study in theoretical and empirical research.
  • To clarify the concept of protocol-based care for improved understanding and implementation in healthcare settings.

Main Methods:

  • A multiphase concept analysis, guided by an evolutionary perspective, was employed.
  • Inductive, five-phase process involved content analysis of policy documents and literature.
  • Interviews with 35 opinion leaders provided further insights into the concept.

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Main Results:

  • The term 'protocol-based care' is frequently used interchangeably with protocols, pathways, and guidelines.
  • A limited number of studies (57 references) specifically address protocol-based care.
  • Concept analysis revealed a spectrum of scope and specificity, differentiating specialist and generic applications.

Conclusions:

  • Healthcare managers must recognize the complexity and significance of protocol-based care.
  • A clear understanding of protocol-based care is essential for effective implementation and management.