Effect of Clinical Pathway Application on Stroke Patients' Outcomes

2021 International Journal of Nursing Education  
A clinical pathway is a process for managing patient by states the goal and main elements of care based on Evidence Based guidelines, best intervention to enhance quality of care; outcomes and reduce length of patient's hospitalization. Aim of the Study: To evaluate the effect of clinical pathway applications on stroke patients' outcomes. Design: Quasi-experimental design was used to test the research hypothesis. Subjects: A purposive sample of 78 patients, they divided randomly and
more » ... mly and alternatively into two equal groups 38 patients in each as follows: (1)The study group (I): received their care by application of clinical pathway (2) The control group (II): received routine hospital care. Setting: The current study was conducted at Emergency, Intensive Care Unit and Medical ward at Menoufia University Hospital; Menoufia Governorate; Egypt. Tools for data collection: four tools were utilized by the researchers to achieve the aim of the study and to collect the necessary data. Tool (I): Semi structured questionnaire (demographic and medical data Sheet); Tool (II): bio-physiological measurements (indicators of improved patients' outcomes); Tool (III): National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS); and Tool (IV): Multidisciplinary planned sheet team. Results: There was improvement in values of vital signs, oxygen saturation, central venous pressure, arterial blood gases interpretation, central venous pressure, blood glucose level during the last measurements after applying clinical pathway in study group compared to control group, also there was a highly statistical significant difference between two groups regarding to post stroke complications. Additionally there was highly statistical significance difference between them stroke severity. Shorten length of stay in hospital in study group compared to control due to improvement in study group outcomes. Conclusion: clinical pathway has a positive effect on reducing length of patient's hospitalization stay, and early improvement in patients' outcomes with apparent positive effect on quality of patient care. Recommendation: The researchers recommended that; application of clinical pathway on large samples and variable measurements are in need to generalization of the results. Clinical pathway should be carried out routinely for managing stroke patients in intensive care unit. Aim of the Study: To evaluate the effect of clinical pathway applications on stroke patients' outcomes. Research Hypothesis: 1. There will be improvement in patients' Outcomes in study group compared to control group after applying clinical pathway. 2. The length of hospitalization will decrease in study group after applying clinical pathway compared to control group.
doi:10.37506/ijone.v13i1.13305 fatcat:urhon2oyafc2borh2ijf4dbod4