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Development of a scientifically valid coordinated care path

R L Anders1, J S Tomai, R M Clute

  • 1University of Hawaii, School of Nursing, Honolulu, USA. anders@hawaii.edu

The Journal of Nursing Administration
|May 1, 1997
PubMed
Summary

A validated method for creating coordinated care paths was developed and scientifically validated. This approach ensures effective clinical guidelines for hospitals, improving patient care and potentially reducing costs.

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Area of Science:

  • Healthcare Management
  • Clinical Pathway Development
  • Health Services Research

Background:

  • High costs and lengths of stay in hospitals necessitate innovative patient management strategies.
  • Coordinated care paths offer a structured approach to managing clinical care for specific patient groups.
  • Scientific validation of care path efficacy remains an under-researched area.

Purpose of the Study:

  • To develop and scientifically validate a robust methodology for creating coordinated care paths applicable across diverse hospital settings.
  • To establish a standardized process for the scientific development and validation of clinical guidelines.

Main Methods:

  • A content validity methodology was employed for the validation process.
  • A transdisciplinary team synthesized current research and best practices to formulate guidelines.

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  • Expert review using a four-point rating scale and Lynn's proportion of experts table determined path validity.

    • Main Results:

    • The developed care path achieved a high instrument validation rate of 0.94 (151 out of 161 items validated).
    • The instrument was validated as a whole by both local and national experts.
    • No further modifications were recommended by the expert panel, indicating strong initial validity.

    Conclusions:

    • The presented content validity method provides a scientifically sound approach for developing and validating coordinated care paths.
    • This validated methodology can be adapted for the creation of care paths for various diagnostic groups.
    • The study successfully established a reliable instrument for clinical care management in hospitals.