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Standardized care plans in Swedish health care: their quality and the extent to which they are used.
Responsible organisation
2009 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, no 4, 820-825 p.Article in journal (Refereed) PublishedAlternative title
Standardvårdplaner i svensk hälso- och sjukvård : kvalite och förekomst (Swedish)
Abstract [en]

The objective was to investigate the quality of standardized care plans and the extent to which they are used within Swedish in-hospital somatic care. Further, to examine the quality of the knowledge summaries on which existing standardized care plans were supposed to be based. Submitted documents were reviewed with studyspecific protocols. The setting was a national survey, based on a structured selection of Swedish hospitals. A total of 25 Swedish hospitals participated, and were asked to submit all documents in use that were labelled standardized care plans. Only 4% (34 out of 782) of the reviewed documents fulfilled the criteria for being a standardized care plan. None of the 34 knowledge summaries (an accompanying document with a compilation of scientif facts and reliable experience) was evidence-based. the conclusion is that there is a lack of knowledge regarding what a standardized care plan is, and how such a document should emanate from evidence-based knowledge. Our results raise the question of how recent developments in research are used to create standardized care plans for the best possible care. In the process of developing standardized care plans it is important to acknowledge that staff who develop these plans need scientific training end experience. Standardized care plans are in the early stages of development, and at this stage it seems appropriate to initiate a discussion regarding possible cooperation at national level when developing standardized care plans for certain groups of patients suffering from specific diseases, or undergoing the same treatment.

Abstract [sv]

Syftet var att undersöka kvaliten på standardvårdplaner (SVP) och undersöka i vilken utsträckning de används inom svensk sjukhusvård. Syftet var också att granska kvaliteten på de kunskapsunderlag som existerande SVP vilar på. Totalt deltog 25 sjukhus, spridda över hela Sverige. De tillfrågades om att skicka in alla dokumnt som benämns SVP med tillhörande kunskapsunderlag. Endast 4% av dokumenten uppfyllde förutbestämda krav på att vara en SVP. Inte något av kunskapsunderlagen till dessa var evidensbaserat. Det finns alltså en bristande kunskap om vad som är en SVP och om vilket kunskapsunderlag som behövs. man kan fråga sig hur forskningsresultat används vid utarbetande av SVP. Det är viktigt att lyfta fram att den vårdpersonal som utarbetar SVP ska ha vetenskaplig metodskolning och viss erfarenhet. Det behövs ett samarbete på nationell nivå för att utarbeta SVP grupper av patienter med samma medicinska diagnos och likartade behandlingar.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2009. Vol. 23, no 4, 820-825 p.
Keyword [en]
documentation, patient care planning, standardized care plan, quality assurance, health care, safety
National Category
Nursing
Identifiers
URN: urn:nbn:se:bth-7962DOI: 10.1111/j.1471-6712.2009.00687.xISI: 000271714200025Local ID: oai:bth.se:forskinfoD556CD60F9C81830C1257624006615A8OAI: oai:DiVA.org:bth-7962DiVA: diva2:835643
Available from: 2012-09-18 Created: 2009-09-01 Last updated: 2015-06-30Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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