The development and implementation of an integrated care pathway for 24-hour postural management: a study of the views of staff and carers

Objectives

Children and young adults with moderate or severe motor impairment are at risk of developing contractures and deformities. In North Devon, an integrated care pathway (ICP) was written by a multidisciplinary group from within the paediatric and adult learning disability services to improve the provision of 24-hour postural management for this client group. Staff and carers’ views were sought to investigate the effects of being involved in developing an ICP, and to explore perceptions of the difference that the ICP has made to practice.

Design

A qualitative methodology using focus groups.

Results

There has been significant learning, closer team working and an increase in clinical reasoning skills and staff confidence. The rich data collected revealed the extent of the feelings of ownership, sense of achievement and pride in the project. Producing a written ICP has been more helpful than simply meeting to discuss how to improve service delivery. The changes in practice are thought to be beneficial and may improve outcomes.

Conclusions

The process of developing an ICP has had a positive effect on staff in terms of their clinical practice and team working. The perception of staff and carers is that the service to this client group has been improved.