Effect of Clinical Pathway on Nursing Performance, Patient Outcomes and Length of Stay for Patients with Unstable Angina
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
Clinical pathway is a popular tool to outline the sequence and timing of actions necessary to a desired outcome with optimal efficiency.Aim:to investigate effect of using clinical pathway on nursing performance, patient outcomes and patient length of stay with unstable angina at coronary care unit,Assuit University Hospital. Study subjects: included all nurses working in coronary care unit, (n=25) and all patients admitted to the coronary care unit with unstable angina within a period of nine months. Study tools: included four tools namelyI-personal data sheet for nurses, II- observation checklist to assess performance of nurses, IIIpersonal data sheet for patients and IV- patient's outcomes tool. Result: there were statistical significant differences between control and study groups of patients in hospital length of stay and patient's complications itemsand there was statistical significant difference between nurses’ performance pre and post application of clinical pathwayduring study periods. Conclusion: nurses’ performance level improved and the undesired patient’s outcomes decreased after clinical pathway application at study group compared to other groups. Recommendation:Apply the clinical pathway for unstable angina patients rather than the hospital routine care and organize training workshops and courses for nurses about implementation of clinical pathway according to patient’s diagnosis in all intensive care units.
Authors and Affiliations
Reda H. Hussein, Harisa A. Elshimy, Doaa A. Foaud, Soad A. Gallab, Nahed S. Abo Elmaged
Keywords
Related Articles
- EP ID EP436342
- DOI 10.9790/1959-0703105159.
- Views 98
- Downloads 0
Effect of Payton's Four Step Approach on Skill Acquisition, SelfConfidence and Self-Satisfaction among Critical Care Nursing Students.
Background: A variety of instructional approaches were used in the skill laboratory such as “see one, do one” method. Although thismethod still extensivelyused, Rodney Peyton has suggested an alternative approach, the “F...
Effectiveness of planned teaching programme on prevention of post operative pulmonary complications among pre-operative cardio thoracic patients at tertiary care center of Andhrapradesh.
AIM: A study to evaluate the effectiveness of planned teaching programme on prevention of post-operative pulmonary complications among pre-operative cardiothoracic patients.Materials and methods: A preexperimental resear...
The Influence of Time Management Strategies on Acute Care Nurses' Job Stress
Background: Effective stress management strategies as life style, self-regulation, problem solving abilities, accept responsibilities, and time management are crucial to improve work environment and reduce stress among n...
Inflatable Colon: A Tool to Raise Awareness of the Importance Of colorectal Cancer Screening
The percentage of people with Colorectal Cancer (CRC) is on the increase, concurrently with an increase in the campaigns towards raising awareness of preventive medicine. Though the number of victims is still high, but w...
Factors Affecting Implementation of Accreditation Program at Oncology center, Mansoura University.
Background:In developing countries, accreditation is increasingly being used as a tool for government regulation to ensure achievement of quality of care.So, the study aimed to identify factors affecting implementation o...