The Effect of Clinical Pathway Implementation on Nurses' Performance and Maternal Outcome among Postnatal Mothers with Vaginal Delivery
El Saied Mahmoud Dawoud, S., Ahmed Osman Mohamed, H., Mohamed Elsayed Ahmed, N. (2023). The Effect of Clinical Pathway Implementation on Nurses' Performance and Maternal Outcome among Postnatal Mothers with Vaginal Delivery. EKB Journal Management System, 14(2), 334-351. doi: 10.21608/ejhc.2023.295309
Salwa El Saied Mahmoud Dawoud; Heba Ahmed Osman Mohamed; Naeima Mohamed Elsayed Ahmed. "The Effect of Clinical Pathway Implementation on Nurses' Performance and Maternal Outcome among Postnatal Mothers with Vaginal Delivery". EKB Journal Management System, 14, 2, 2023, 334-351. doi: 10.21608/ejhc.2023.295309
El Saied Mahmoud Dawoud, S., Ahmed Osman Mohamed, H., Mohamed Elsayed Ahmed, N. (2023). 'The Effect of Clinical Pathway Implementation on Nurses' Performance and Maternal Outcome among Postnatal Mothers with Vaginal Delivery', EKB Journal Management System, 14(2), pp. 334-351. doi: 10.21608/ejhc.2023.295309
El Saied Mahmoud Dawoud, S., Ahmed Osman Mohamed, H., Mohamed Elsayed Ahmed, N. The Effect of Clinical Pathway Implementation on Nurses' Performance and Maternal Outcome among Postnatal Mothers with Vaginal Delivery. EKB Journal Management System, 2023; 14(2): 334-351. doi: 10.21608/ejhc.2023.295309

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

Egyptian Journal of Health Care
Article 27, Volume 14, Issue 2, June 2023, Page 334-351  XML PDF (409.49 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2023.295309
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Authors
Salwa El Saied Mahmoud Dawoud1; Heba Ahmed Osman Mohamed2; Naeima Mohamed Elsayed Ahmed3
1Nursing Fellow (Woman's Health and Midwifery Nursing), Students Hospital Mansoura University
2Obstetric and Gynecological Department, Faculty of Nursing, Assuit University and Assistant professor of Maternal and Child Health Nursing, College of Nursing, Northern Border, KSA
3Assistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University
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. 
Keywords
Clinical pathway implementation; Maternal outcome; Nurses' performance; Postnatal mothers; Vaginal delivery
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