Clinical pathways: a direction forward in health care

Choo, Janet; Cheah, Jason

doi:10.1071/ah000077a

Cited by 10 publications

(5 citation statements)

References 2 publications

(2 reference statements)

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“…CNP provides the most accurate and active nursing to attain the best clinical effect. [ 21 , 22 ] We assume that compared with the traditional nursing mode, the operation of CNP in emergency PCI can enhance the quality of nursing, including dramatically shortening the time from door to balloon, reducing the length of hospital stay, reducing the total cost of hospitalization, reducing postoperative complications and increasing patients’ satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a clinical nursing pathway for percutaneous coronary intervention

Zhang¹,

Bai²,

Huang³

et al. 2020

Medicine

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Background: Acute myocardial infarction is a very common disease in the emergency room. Emergency percutaneous coronary intervention (PCI) is the first choice to open infarct-related artery in time to regain the active blood flow of myocardial tissue. Clinical nursing pathway (CNP), namely clinical project, is an original nursing mode with good quality, outstanding efficiency, and low treatment spending, so it has attracted more and more attention. However, few studies have reported the implementation of a CNP in PCIs. The purpose of the protocol is to assess the impact of CNP on the clinical efficacy of transradial emergency PCI. Methods: This is a randomized controlled, single center trial which will be implemented from January 2021 to June 2021. Hundred samples diagnosed with acute myocardial infarction will be included in this study. It was authorized via the Ethics Committee of Changshan County People's Hospital (CCPH002348). Patients are assigned to the following groups: control group, given normal routine care; CNP group, treated with CNP plan. The time from door to balloon, hospitalization expenses, length of stay, postoperative complications, patients’ satisfaction with treatment are compared and analyzed. All data are collected and analyzed by Social Sciences software version 21.0 (SPSS, Inc., Chicago, IL) program. Results: Differences of clinical outcomes between groups (Table 1 ). Conclusion: This original evidence-based nursing model can be used as the foundation for further research. Trial registration number: researchregistry6030

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Section: Discussionmentioning

confidence: 99%

Implementation of a clinical nursing pathway for percutaneous coronary intervention

Zhang¹,

Bai²,

Huang³

et al. 2020

Medicine

View full text Add to dashboard Cite

show abstract

“…CNP is an interdisciplinary, deeply integrated and progressive modern nursing model that emphasizes pre-admission hierarchy and comprehensive hospital nursing courses to improve nursing services for patients. [ 18 ] This method is designed to greatly improve the quality of care, with patient-centered roles, while nursing and medical personnel focus on their best efforts to meet the needs of patients. The model can be presented as a table to help patients understand the content of self-care plan and the implication of active participation in disease rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Clinical nursing pathway improves the nursing satisfaction in patients with acute cerebral hemorrhage

Fu¹,

Han²,

Fan³

et al. 2020

Medicine

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Background: Cerebral hemorrhage (CH) is a very common cerebrovascular disorder in clinical practice. More and more studies reported that proper nursing care could promote the rate of treatment, and improve the prognosis after treatment. Clinical nursing pathway (CNP) refers to original nursing mode with good quality, outstanding efficiency, and low treatment spending. Few articles have reported the effect of CNP in patients with acute CH. The program is in urgent need of convinced evidence to prove the reliability. Thus, we perform this randomized controlled trial protocol and hypothesize that CNP is associated with improved outcomes and nursing satisfaction, reduced adverse reactions in patients with acute CH. Method: It is a single-center randomized controlled study to be conducted from October 2020 to October 2021. It was admitted via the Ethics Committee of the West China Hospital of Sichuan University (0038842/121). Eighty patients meet diagnostic standards for CH are included. The study group receives the clinical nursing path model. In the control group, patients receive the routine care before and after taking to the hospital. The main outcome contains the Barthel index score, the patient's degree of satisfaction about care, the length of hospital stay, and the risk of complications such as infection, bedsores and gastrointestinal function between the 2 groups. Six months after admission, the functional independence measure and Fugl Meyer score are recorded. All data are analyzed by the IBM SPSS Statistics, version 20 (IBM Corp., Armonk, NY edition). Results: Table 1 shows the clinical outcomes between groups. Conclusion: CNP may improve the clinical outcomes for patients with acute CH and have a significant value in actual applications. Trial registration number: researchregistry6061

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“…Providing the staff information about the cpath will them understand the cpath process and may generate enthusiasm for the process 10 . The lack of staff knowledge was identified as one of the difficulties faced in the initial planning, development and implementation of cpaths at Changi General Hospital in Singapore 11 . There is a need to consider further training and education of staff to enhance their understanding and perception of cpaths.…”

Section: Discussionmentioning

confidence: 99%

“…Dental nurses with more positive perception of cpaths were seen to be more willing to continue using cpaths in contrast to the public dentists. The resistance to the use of pathway was partly overcome with the appointment of a clinician champion for each pathway 11 . It was stressed that the involvement of clinicians was crucial to the success of cpath programme and therefore the programme should be clinician-driven.…”

Section: Discussionmentioning

confidence: 99%

“…It was continuously shown that the appointment of a clinician champion for each pathway and the support of top management leadership are crucial to the success of the pathway programme 11,13 . The formulation of state committees comprising multidisciplinary team members to plan, organise, give strategic support and make periodic evaluation on the implementation of cpath in the state is essential.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Pathways in Primary Dental Care in Malaysia: Clinicians' Knowledge, Perceptions and Barriers Faced

Tay

Latifah

Razak

2006

Asia Pac J Public Health

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The Oral Health Division, Ministry of Health in Malaysia piloted clinical pathways (cpath) in primary care in early 2003. This study investigated the knowledge, perception of cpaths and barriers faced by the clinicians involved in the pilot project. Self-administered questionnaires were sent to the clinicians (n=191). Dentists (67.9%) and dental nurses (70.6%) had good overall knowledge of cpaths. The majority of the clinicians (67.9% to 95.6%) perceived cpath positively in all areas. Only 9.2% of dentists encountered difficulties in using cpath forms compared to 28.4% of dental nurses. A higher proportion of dental nurses (73.5%) compared to dentists (64.8%) were willing to continue using cpath. The majority of dentists (76.7%) and dental nurses (73.1%) were willing to participate in future development of cpaths. Overall, there was evidence of managerial support for the pilot project. A follow-up of the pilot project was somewhat lacking as less than half (43.3%) of the clinicians reported that the state coordinator obtained feedback from them. The findings auger well for the future implementation of cpath should the Oral Health Division decide to adopt cpath routinely in the public oral health care service.

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Clinical pathways: a direction forward in health care

Cited by 10 publications

References 2 publications

Implementation of a clinical nursing pathway for percutaneous coronary intervention

Implementation of a clinical nursing pathway for percutaneous coronary intervention

Clinical nursing pathway improves the nursing satisfaction in patients with acute cerebral hemorrhage

Clinical Pathways in Primary Dental Care in Malaysia: Clinicians' Knowledge, Perceptions and Barriers Faced

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