Effect of Intrapartum Clinical Pathway Application on Maternity Nurses' Performance and Women Satisfaction | ||
| Egyptian Journal of Health Care | ||
| Article 32, Volume 11, Issue 1, March 2020, Pages 455-476 PDF (761.23 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2020.187234 | ||
| Authors | ||
| Mona Abd Elhaleem Ebraheem Elagamy1; Fatma Saber Nady Mohammed2; Marwa A. Shahin3 | ||
| 1Maternal and Neonatal Health Nursing Department, Faculty of Nursing, Tanta University | ||
| 2Maternity and Newborn Health Nursing Department, Faculty of Nursing, Beni-Suef University | ||
| 3Maternal and Newborn Health Nursing Department, Faculty of Nursing, Menoufia University | ||
| Abstract | ||
| A clinical pathway is a multidisciplinary management tool based on evidence-based practice in which the different tasks "interventions" by the professionals involved in the patient care are defined, optimized. It can be utilized in education and facilitate access to care and providing improved outcomes for patients and increasing women and staff satisfaction. Aim: The study aimed to evaluate the effect of clinical pathway application on maternity nurses' performance of intrapartum care and women's satisfaction. Design: A quasi-experimental design was used. Settings: This study was applied in gynecology and obstetrics departments affiliated with Tanta University Hospital. Sample: A purposive sample of 60 maternity nurses and 120 intrapartum women were recruited in this study. Six tools were used for Data Collection: a structured interviewing questionnaire for the nurses, a structured interviewing questionnaire for the intrapartum women and clinical pathway checklist for maternity nurses, an observational checklist for women, a Numeric Pain Intensity Scale, and maternal satisfaction with hospital based intrapartum care scale. Results: Statistically significant differences were found between pre and post-implementation of the clinical pathway reflected by higher knowledge and performance score for nurses' improvement in the maternity nurses' knowledge regarding all items of the postpartum clinical pathway after the intervention than before the intervention. The majority of nurses adequately done all items of newborn care; assessment of newborn, suctioning, Apgar score, cord care, eye care, measurements, body temperature, vitamin K administration , and identification. Also, only (8%) of the intrapartum women suffered from severe pain in a clinical pathway group compared to 38% routine care group. In addition, intrapartum women's satisfaction in the study group has improved. Conclusion: using of clinical pathway had a positive effect in improving the maternity nurses' performance and women satisfaction of intrapartum care post clinical pathway application than pre-intervention. Recommendations: Training programs should be implemented for maternity nurses about intrapartum care based on the clinical pathway to improve nurses' performance. | ||
| Keywords | ||
| Clinical pathway application; nurses' performance; intrapartum care; women satisfaction | ||
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