Objective. The purpose of this integrative literature review was to summari
ze and analyze the methods used to develop critical pathways.
Method. Relevant articles published in occupational therapy physical therap
y, nursing, and medical journals between 1992 and 1997 were reviewed to ext
ract various methods and the steps or criteria used for each method.
Results. Nine approaches to critical pathway development and the steps or c
riteria involved in each method are presented in tabular format. The most d
etailed approach was rued as a gold standard, and the other approaches were
compared to it.
Conclusion This review should assist occupational therapy practitioners wor
king with various diagnostic populations to understand the methods wed, and
steps involved, in the development of critical pathways, It should also se
rve as a resource for practitioners who have the opportunity to participate
in critical pathway development.