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295309

The Effect of Clinical Pathway Implementation on Nurses' Performance and Maternal Outcome among Postnatal Mothers with Vaginal Delivery

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Last updated: 03 Jan 2025

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Abstract

 Background: A clinical pathway is an integrated care plan designed with the required and time-bound care by the multidisciplinary team to shorten the period of hospitalization, for example, enhance cost-effectiveness, patient outcome, and degree of satisfaction. Aim: To assess the effect of clinical pathway implementation on nurses' performance and maternal outcome among postnatal mothers with vaginal delivery. Design: The study was conducted using a quasi-experimental prepost-test and post-test design with one group. Settings: This study was applied in the postnatal department affiliated with Zagazig University Hospital. Sample: This study involved a purposive sample of 100 postnatal mothers and 50 maternity nurses. Data collection tools: Demographicdata assessment sheet for the nurses, Assessment knowledge questionnaire of nurses regarding clinical pathway and clinical pathway checklist, complication assessment rating scale, satisfaction rating scale. Results: Maternal nurses' knowledge of all components of the postpartum clinical pathway improved after the intervention, as evidenced by higher knowledge and performance scores for nurses' improvement than pre-intervention. This difference between pre and post-implementation of the clinical pathway was statistically significant. In addition, the postnatal mothers with vaginal delivery satisfaction have improved in the clinical pathway group compared to the control group. Conclusion: itwas concluded that using clinical pathways had a positive impact on maternity nurses' performance and the satisfaction of postpartum mothers who had vaginal deliveries post-implementation compared to pre-implementation. Recommendations: To enhance nurses' performance, a postpartum care training program for maternity nurses should be implemented, based on the clinical pathway. 

DOI

10.21608/ejhc.2023.295309

Keywords

Clinical pathway implementation, maternal outcome, Nurses' Performance, Postnatal mothers, vaginal delivery

Authors

First Name

Salwa

Last Name

El Saied Mahmoud Dawoud

MiddleName

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Affiliation

Nursing Fellow (Woman's Health and Midwifery Nursing), Students Hospital Mansoura University

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Orcid

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First Name

Heba

Last Name

Ahmed Osman Mohamed

MiddleName

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Affiliation

Obstetric and Gynecological Department, Faculty of Nursing, Assuit University and Assistant professor of Maternal and Child Health Nursing, College of Nursing, Northern Border, KSA

Email

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City

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Orcid

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First Name

Naeima

Last Name

Mohamed Elsayed Ahmed

MiddleName

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Affiliation

Assistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University

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Volume

14

Article Issue

2

Related Issue

40375

Issue Date

2023-06-01

Receive Date

2023-04-15

Publish Date

2023-06-01

Page Start

334

Page End

351

Print ISSN

1687-9546

Online ISSN

3009-6766

Article File

EJHC_Volume 14_Issue 2_Pages 334-351.pdf

PDF . 419.3kB

Link

https://ejhc.journals.ekb.eg/article_295309.html

Detail API

https://ejhc.journals.ekb.eg/service?article_code=295309

Order

27

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

The Effect of Clinical Pathway Implementation on Nurses' Performance and Maternal Outcome among Postnatal Mothers with Vaginal Delivery

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Article

Created At

24 Dec 2024