title: [Nursing outcomes and the reform of care processes (IV). Clinical pathways and reflexive training of nurses].
abstract: This article states the danger that exists if human activities are substituted by a standardized instrument; it insists that standardized treatment plans or clinical trajectories should be a tool which facilitates a nurse's labor and allows a nurse to dedicate more time at a patient's bedside. In terms of professional development, this implies a focus directed at the acquisition of procedures as well as social and intellectual aptitudes. This also assumes that the directors, who occupy a post that is key to setting treatment policy, adopt a position which favors the development of an autonomous role in professional practice.
mesh_terms: D019091:Critical Pathways; D004506:Education, Nursing / Q000379:methods*; D006801:Humans; D009736:Nursing Process / Q000592:standards*; D017063:Outcome Assessment, Health Care; D013030:Spain
vernacular_title: El producto enfermero y la reforma de los procesos asistenciales (IV). Las trayectorias clínicas y la formación reflexiva de las enfermeras.