A Strategy for the Renovation of a Clinical Pathways Program

Pugh-Bernard, Aimee; Nickels, Sarah; Melendez, Jessieca; Shawkat, Jehan; Rolison, Elise; Swanson, Angela; Bajaj, Lalit; Hyman, Daniel; Bakel, Leigh Anne

doi:10.1097/pq9.0000000000000178

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…This process should include team implementation and "local champions," identify barriers to change or local evidence-practice gaps, team readiness to change in CP development, adaptation of evidence to the local circumstances, staff education sessions, incorporation of reminder system, and audit and feedback on the CP compliance [54], [55], [56], [57], [58]. Prioritization of CP development in certain areas is necessary to consider, given the constraints of the resource capacity of the organization [59].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Healthcare Professional’s Knowledge, Skills, Motivation, and Commitment to Clinical Pathways Implementation

Alona

Harahap

Aribi

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Healthcare providers are facing challenges to deliver qualified and efficient health services in response to the current health system. Clinical pathways (CPs) are a tool to achieve the best clinical outcomes at the lowest cost. The implementation should be supported by healthcare professional’s capacity involved in the process. AIM: The aim of the study was to assess healthcare professionals’ knowledge, skills, motivation, and commitment to clinical pathways (CPs) implementation in Universitas Sumatera Utara (USU) Hospital. METHODS: This cross-sectional study was conducted at USU Hospital with 65 healthcare professionals as participants who consist of 10 specialist doctors, 50 nurses, and 5 pharmacists. These participants were selected using quota sampling and interviewed using a developed and structured questionnaire. This questionnaire was tested for its validity and reliability with r > 0.5 and Cronbach’s Alpha > 0.6. Pearson correlation test with p < 0.05 was used for analyzing the relationship among variables on CPs implementation. RESULTS: The healthcare professionals in USU Hospital had high knowledge, motivation, and commitment, but moderate skills in CPs implementation. There were positive correlations between knowledge and skill (p = 0.039), motivation and skill (p = 0.001), commitment and skill (p = 0.001), and motivation and commitment (p = 0.001) on CPs implementation. CONCLUSION: USU Hospital healthcare professional’s knowledge, motivation, and commitment to CPs implementation were adequate, but their skills were moderate. The motivation is substantially related to the healthcare professional’s commitment to CPs implementation. This study recommended the hospital explore and grow skills in communication, coordination, and affective commitment among individuals, teamwork, and leaders for the sake of willingness to achieve the values or goals of the CP implementation in their organization.

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Section: Discussionmentioning

confidence: 99%

Assessment of Healthcare Professional’s Knowledge, Skills, Motivation, and Commitment to Clinical Pathways Implementation

Alona

Harahap

Aribi

et al. 2021

Open Access Maced J Med Sci

View full text Add to dashboard Cite

show abstract

“…Considering that the diagnose page was the second most popular starting page with the lowest bounce rate, this suggests that clinicians had access to the pathway at the point of care and were engaging with the Web site. Although few studies have used embedded laboratory prompts to improve awareness and access to clinical pathway tools, 29 it appears that the prompt was a suitable way to reach our target audience.…”

Section: Key Findingsmentioning

confidence: 99%

Use of Google Analytics to Explore Dissemination Activities for an Online CKD Clinical Pathway: A Retrospective Study

Chong

Smekal

Hemmelgarn

et al. 2022

Can J Kidney Health Dis

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Background: Data on dissemination strategies that generate awareness of clinical pathways for kidney care are limited. Objective: This study reports the application of Google Analytics to describe the reach and use of the Chronic Kidney Disease Pathway (CKD-P) using a multi-faceted dissemination strategy. Design: The design of this study is a retrospective descriptive study. Setting: This study was conducted in Alberta, Canada. Patients: Individuals who accessed the CKD-P Web site between November 5, 2014, and May 31, 2019. Measurements: Dissemination activities included print, electronic, in-person meetings, and a laboratory prompt. We used Google Analytics over a 5-year period to evaluate the following CKD-P Web site user metrics: number of sessions, pageviews, visit duration, user path, and bounce rate (when an individual visits a single page of the Web site and leaves the Web site without interacting with additional pages). Methods: We plotted dissemination activities alongside Web site metrics using control charts and described the data using means and percentages. We performed chi-square test for trends to evaluate year-over-year usage. Results: There were 83 294 users, 90 805 sessions, and 231 684 pageviews. The overall bounce rate was 45.7%. Each user had an average of 1.5 sessions and a session duration of 2 minutes and 8 seconds. There was a significant positive trend for total annual users ( P = .008), new users ( P = .009), number of sessions ( P = .006), and pageviews per day ( P = .016). Limitations: We were unable to confirm if users were primary care providers and if word-of-mouth dissemination among providers/researchers drove people to use the CKD-P. Conclusions: Google Analytics was a useful and accessible tool for evaluating CKD-P reach and use trends. It was challenging to identify how individual dissemination activities contributed to CKD-P reach; however, repeated dissemination appeared to play a role in increasing CKD-P use. Trial registration: Not applicable—observational study design.

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Clinical Pathway Adherence and Missed Diagnostic Opportunities Among Children with Musculoskeletal Infections

Grubenhoff¹,

Bakel

Dominguez

et al. 2023

The Joint Commission Journal on Quality and Patient Safety

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A Strategy for the Renovation of a Clinical Pathways Program

Abstract: Supplemental Digital Content is available in the text.

Cited by 6 publications

References 13 publications

Assessment of Healthcare Professional’s Knowledge, Skills, Motivation, and Commitment to Clinical Pathways Implementation

Assessment of Healthcare Professional’s Knowledge, Skills, Motivation, and Commitment to Clinical Pathways Implementation

Use of Google Analytics to Explore Dissemination Activities for an Online CKD Clinical Pathway: A Retrospective Study

Clinical Pathway Adherence and Missed Diagnostic Opportunities Among Children with Musculoskeletal Infections

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