title: Provider perceptions of implementation of integrated care pathways for patients with chronic heart conditions.
abstract: Integrated care pathways (ICPs) for atrial fibrillation and congestive heart failure have been examined in the literature. Systematic study, however, of provider experiences with implementation of pathways for these conditions is lacking. Given the pivotal role of nurses in the care of these chronic heart conditions, this information may be valuable for cardiovascular nurses who use pathways for these chronic heart conditions. In this study, qualitative methods were used to systematically examine providers' experiences with the implementation of integrated care pathways for these conditions. Nurses, physicians, and pharmacists provided feedback on their experiences. Analyses revealed that pathways were perceived by providers to have strengths (e.g., improved communication, knowledge, transition, patient involvement and review), but also multiple challenges (e.g., education, timelines, complexity, interest, ownership, coordination, and documentation) when implemented for these complex chronic medical conditions. Provider recommendations for pathway implementation with these conditions are shared in this study. This information may facilitate cardiovascular nurses in implementing ICPs in other centres.
authors.affiliation: Department of Psychology, 3737 Wascana Parkway, University of Regina, Regina, SK S45 0A2. hadjista@uregina.ca
authors.forename: Heather D
authors.initials: HD
authors.lastname: Hadjistavropoulos
authors.forename: Tanya
authors.initials: T
authors.lastname: Dunn-Pierce
authors.forename: H Jay
authors.initials: HJ
authors.lastname: Biem
mesh_terms: D001281:Atrial Fibrillation / Q000451:nursing / Q000628:therapy*; D001291:Attitude of Health Personnel; D002170:Canada; D002908:Chronic Disease; D019091:Critical Pathways; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D017144:Focus Groups; D006284:Health Plan Implementation; D006333:Heart Failure / Q000451:nursing / Q000628:therapy*; D006801:Humans