Effect of Clinical Pathway on Nurses' Performance and Neonates Outcomes regarding Noninvasive Continous Positive Airway Pressure | ||||
| Journal of Nursing Science Benha University | ||||
| Volume 4, Issue 1, January 2023, Page 1011-1029 PDF (610.15 K) | ||||
| Document Type: Scientific peer reviewed journal | ||||
| DOI: 10.21608/jnsbu.2023.280539 | ||||
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| Authors | ||||
| Nessma Mohamed Attia* 1; Hanan Tharwat Elbahnasawy2; Basma Rabie Abd El- SadeIk3; Seham Mohammed Abd. ElAziz4 | ||||
| 1Assistant lecturer of Pediatric Nursing, Faculty of Nursing, Dammieta University, Egypt | ||||
| 2Professor of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt | ||||
| 3Professor of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt | ||||
| 4Assistant Professor of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt | ||||
| Abstract | ||||
| Background: Noninvasive continuous positive airway pressure is a means of providing respiratory support to neonates vulnerable to respiratory problem and complications. Clinical pathway provide detailed guidance for each stage in the management of neonates with a specific condition over a given time period and include progress and outcomes details. Aim of the study Was to evaluate the effect of clinical pathway on nurses' performance and neonates outcomes regarding noninvasive continuous positive airway pressure. Design: A quasi- experimental design was used in the current study. Setting: The study was carried out at Neonatal Intensive Care Units at Benha University Hospital and Benha Specialized pediatric Hospital at Benha city. Subjects: All available nurses (60) nurses who are working at previously mentioned settings and a purposive sample of (60) neonates on noninvasive continuous positive airway pressure. Tools of data collection: Tool (1): A structured interviewing questionnaire format including subjects' characteristics and nurses' knowledge regarding care of neonates undergoing noninvasive continuous positive airway pressure. Tool (II): Assessment sheet of medical outcome for neonates. Tool (III): Clinical pathway checklists. Results: The majority of studied nurses had a poor level of knowledge at pre-clinical pathway intervention compared with most of them had a good level of knowledge post clinical pathway intervention map for care of neonates, most of studied nurses had incompetent practice level pre clinical pathway intervention compared with more than three quarters had competent practice level regarding post clinical pathway intervention, there was a decrease in length of hospital stay after clinical pathway intervention, this may be due to improvement of health status of neonates due to effect of clinical pathway. Conclusion: Implementation of clinical pathway improved nurses' knowledge and practice that reflecting obvious improvement in clinical outcomes of neonates undergoing noninvasive continuous positive airway pressure. Recommendations: Provision of continuous education by using clinical pathway to update nurses' knowledge and enhance their practices regarding care of neonates on noninvasive continuous positive airway pressure. | ||||
| Keywords | ||||
| Neonates; Noninvasive Continuous Positive Airway Pressure; Clinical Pathway; Nurse performance | ||||
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