2.50
Hdl Handle:
http://hdl.handle.net/10755/166295
Category:
Abstract
Type:
Presentation
Title:
Critical pathways: Effectiveness in achieving patient outcomes
Author(s):
Ireson, Carol
Author Details:
Carol Ireson, PhD, University of Kentucky Center for Health Services Management and Research, Lexington, Kentucky, USA, email: iresonky@uky.campus.mci.net
Abstract:
While nurses are expected to develop written care plans on all hospitalized patients, there are few studies of the relationship of this process to patient outcomes. The purpose of this research was to examine the effect of structuring the evaluation of subgoals, inherent in the critical pathway process, on outcomes achieved by patients with total hip or knee replacements. A critical pathway is a structured patient care plan that provides optimal sequencing and timing of interventions for a particular diagnosis or procedure, and the expected patient responses to those interventions. The framework for this study was a conceptualization of the link between process and outcome in evaluating quality of care. The hypothesis was that patients whose care is planned and evaluated using a critical pathway will achieve better clinical outcomes; including greater self-care ability, ambulation, and lower psychological distress; a shorter hospital stay; and lower hospital charges than patients having care planned and evaluated according to the standard procedure. The experimental group included 64 subjects recruited from the orthopedic unit at a 450-bed community hospital for comparison with data from a control group of 64 subjects recruited from the same site. A repeated measures, pre-test, post-test, quasi-experimental design was used. Data from the experimental group were collected on the first post-operative day and one day prior to discharge from the hospital as were the data from the control group. Post discharge data on the same patient outcomes were collected from a random sample from the experimental and control groups. Data analysis included bivariate analyses of group for similarities in sex, age, type of procedure, and mutivariate analyses of each patient outcome variable. Those participants with a critical pathway achieved better quality outcomes on the first post-operative evening and at discharge than did those with the traditional care planning process. The critical pathway group also experienced a shorter hospitalization. The charges for the critical pathway group were not significantly lower. The results of this study may provide valuable information regarding the design of the process for planning, evaluating, and documenting patient care, and directions for structuring the care planning and documentation process in on-line nursing information systems.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
Feb 29 - Mar 2, 1996
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCritical pathways: Effectiveness in achieving patient outcomesen_GB
dc.contributor.authorIreson, Carolen_US
dc.author.detailsCarol Ireson, PhD, University of Kentucky Center for Health Services Management and Research, Lexington, Kentucky, USA, email: iresonky@uky.campus.mci.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/166295-
dc.description.abstractWhile nurses are expected to develop written care plans on all hospitalized patients, there are few studies of the relationship of this process to patient outcomes. The purpose of this research was to examine the effect of structuring the evaluation of subgoals, inherent in the critical pathway process, on outcomes achieved by patients with total hip or knee replacements. A critical pathway is a structured patient care plan that provides optimal sequencing and timing of interventions for a particular diagnosis or procedure, and the expected patient responses to those interventions. The framework for this study was a conceptualization of the link between process and outcome in evaluating quality of care. The hypothesis was that patients whose care is planned and evaluated using a critical pathway will achieve better clinical outcomes; including greater self-care ability, ambulation, and lower psychological distress; a shorter hospital stay; and lower hospital charges than patients having care planned and evaluated according to the standard procedure. The experimental group included 64 subjects recruited from the orthopedic unit at a 450-bed community hospital for comparison with data from a control group of 64 subjects recruited from the same site. A repeated measures, pre-test, post-test, quasi-experimental design was used. Data from the experimental group were collected on the first post-operative day and one day prior to discharge from the hospital as were the data from the control group. Post discharge data on the same patient outcomes were collected from a random sample from the experimental and control groups. Data analysis included bivariate analyses of group for similarities in sex, age, type of procedure, and mutivariate analyses of each patient outcome variable. Those participants with a critical pathway achieved better quality outcomes on the first post-operative evening and at discharge than did those with the traditional care planning process. The critical pathway group also experienced a shorter hospitalization. The charges for the critical pathway group were not significantly lower. The results of this study may provide valuable information regarding the design of the process for planning, evaluating, and documenting patient care, and directions for structuring the care planning and documentation process in on-line nursing information systems.en_GB
dc.date.available2011-10-27T14:44:14Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:44:14Z-
dc.conference.dateFeb 29 - Mar 2, 1996en_US
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.