Effect of Clinical Pathway Implementation on Outcomes of Patients with Chronic Obstructive Pulmonary Disease
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
Chronic obstructive pulmonary disease (COPD) is a chief reason of morbidity, mortality, and resource utilize worldwide. Clinical Pathways (CPs) encourage the implementation of evidence based practice, improve clinical processes by reducing risk and variation in health service delivery and reduce duplication by using a standardized approach to clinical management. The study aimed to evaluate the effect of clinical pathway implementation on outcomes of patients with chronic obstructive pulmonary disease. Patients and Methods: A quasi experimental research design was utilized. 60 adult patients with COPD of both sexes were included; they were sequentially recruited equally into 2 groups (control and study groups 30 for each). A study was performed in the Chest Department at Assiut University Hospitals. Two tools were utilized for data collection: COPD assessment sheet and Clinical Pathway Protocol. Results: There were highly significant statistical differences among the two groups concerning hospital stay and psychological problems and dyspnea scale on discharge. Conclusion and Recommendations: implementation of CP in managing COPD patients decreased the hospital stay, medications administration, investigations and improving dyspnea and anxiety levels thereby yielding cost savings. CP should be implemented for COPD patients to replace the traditional nursing care plan.
Authors and Affiliations
Mona Mohammad Abo El-Ella Mohammad, Prof. Zienab Abd El-Lateef Mohammad, Prof. Olfat Mostafa El-Shinnawy
Keywords
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- EP ID EP436438
- DOI 10.9790/1959-0704057583.
- Views 112
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