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

El Saied Mahmoud Dawoud, Salwa; Ahmed Osman Mohamed, Heba; Mohamed Elsayed Ahmed, Naeima

doi:10.21608/ejhc.2023.295309

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

Document Type : Original Article

Authors

¹ Nursing Fellow (Woman's Health and Midwifery Nursing), Students Hospital Mansoura University

² Obstetric and Gynecological Department, Faculty of Nursing, Assuit University and Assistant professor of Maternal and Child Health Nursing, College of Nursing, Northern Border, KSA

³ Assistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University

10.21608/ejhc.2023.295309

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.

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