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
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- EP ID EP436342
- DOI 10.9790/1959-0703105159.
- Views 140
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