A care pathway constitutes a complex care strategy for decision-making and the organization of processes in the care of complex chronic patients, avoiding the fragmentation of care. Health professionals play a decisive role in the implementation, development, and evaluation of care pathways. This study sought to explore nurses’ opinions on the care pathway for complex chronic patients three years after its implementation. The study participants were thirteen nurses with different roles who were involved in the care pathway. Thematic content analysis of the semi-structured interviews resulted in four major themes: (a) the strengths of the route; (b) the impact of the route on caregivers; (c) the weaknesses of the route; and (d) the future of the route. Overall, the pathway was positively valued for the benefits it provides to patients, the caregiver, and the administration of professional health care. Participants voiced their concerns regarding: communication and coordination difficulties among professionals across the different levels of care, the need for improved teamwork and consensus among professionals at the same center, and human and material resources. The ongoing evaluation and monitoring of facilitators and barriers is necessary throughout the implementation process, to ensure continuity and quality of care in the health system.

中文翻译：

---

从护理角度为复杂慢性患者实施护理途径：一项定性研究

护理路径构成了复杂的慢性病患者护理决策和流程组织的复杂护理策略，避免了护理的碎片化。卫生专业人员在护理途径的实施、开发和评估中发挥着决定性作用。本研究旨在探讨护士对复杂慢性病患者护理路径实施三年后的意见。研究参与者是参与护理路径的 13 名不同角色的护士。半结构化访谈的主题内容分析产生了四个主要主题：(a) 路线的优势；(b) 路线对护理人员的影响；(c) 路线的弱点；(d) 路线的未来。总体而言，该途径因其为患者提供的益处而受到积极评价，护理人员，以及专业医疗保健的管理。与会者表达了他们的担忧：不同护理级别的专业人员之间的沟通和协调困难，同一中心专业人员之间需要加强团队合作和共识，以及人力和物力资源。在整个实施过程中，有必要对促进者和障碍进行持续评估和监测，以确保卫生系统的连续性和护理质量。