PERCEPTIONS AND BARRIERS OF MEDICAL PERSONNEL IN THE APPLICATION OF CLINICAL PATHWAYS: LITERATURE REVIEW Hana Muhammad(a*), Ariyanti Saleh(b), Rini Rachmawaty(b)
a) Master of Nursing Program, Faculty of Nursing, Hasanuddin University, South Sulawesi, Indonesia
b) Department of Nursing, Faculty of Nursing, Hasanuddin University, South Sulawesi, Indonesia
Abstract
Background: Clinical Pathway can provide consistent, safe, efficient, effective, and timely care that will result in positive outcomes for patients and reduce the inappropriate use of unnecessary resources. Purpose: to identify staff perceptions and barriers of medical personnel in the application of clinical pathways. Method: literature review with search for articles through PubMED, Willey, ProQUEST, and Google Scholar databases. Screening is carried out using the last 10 years from 2010 to 2020, relevant to the title of the study and in full text form and in accordance with the research objectives. Result: The application of clinical pathways is perceived as a process that is directed at realizing benefits, creating habits and requiring enthusiasm, support, and time. Clinical pathways are important to control actions for quality control and cost control so as to provide optimal results for patients. while the barriers for medical personnel that often arise in the application of clinical pathways include not having sufficient time, lack of direction and guidance related to clinical pathways, lack of staff awareness of the importance of clinical pathways, lack of compliance in documentation and lack of staff commitment in implementing clinical pathways. Conclusion: the implementation of an Integrated clinical pathway that involves multidisciplinary health service providers requires good commitment and cooperation to produce quality health services.
