Effect of Clinical Pathway on Nurses' Performance and Neonates Outcomes regarding Noninvasive Continous Positive Airway Pressure

Mohamed Attia, Nessma; Tharwat Elbahnasawy, Hanan; Rabie Abd El- SadeIk, Basma; Mohammed Abd. ElAziz, Seham

doi:10.21608/jnsbu.2023.280539

Effect of Clinical Pathway on Nurses' Performance and Neonates Outcomes regarding Noninvasive Continous Positive Airway Pressure

Document Type : Scientific peer reviewed journal

Authors

¹ Assistant lecturer of Pediatric Nursing, Faculty of Nursing, Dammieta University, Egypt

² Professor of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt

³ Professor of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt

⁴ Assistant Professor of Pediatric Nursing, Faculty of Nursing, Benha University, Egypt

10.21608/jnsbu.2023.280539

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.

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