Interprofessional clinical pathway program effects on patient outcomes in the setting of neutropenic fever: An integrative review

Dunnack, Hayley J.; Montano, Anna‐Rae

doi:10.1016/j.ejon.2021.101974

Cited by 6 publications

(2 citation statements)

References 34 publications

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“…However, this ethonursing study found that this antibiotic would not be prescribed for the patients if the infection has not to occur. A recent integrative review by Dunnack and Montano revealed that multiple health professional who works together towards standardize implementation for neutropenic fever will improve the patient's outcomes, including reducing antibiotic duration, deaths, cost, and length of stay (Dunnack and Montano, 2021).…”

Section: Discussionmentioning

confidence: 99%

Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an Ethnonursing study

Naviati,

Afiyanti,

Allenidekania

et al. 2024

J. Ners

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Introduction: Neutropenic fever is commonly found in children with leukemia after chemotherapy. Fever occurs when children's immunity decreases after chemotherapy, and they are prone to infection. This study aims to describe the cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever among hospitalized children with leukemia after chemotherapy. Methods: An ethnonursing study was conducted at a cancer referral hospital in Central Java, Indonesia. Data were collected through observation in two Pediatric ward and chemotherapy unit for three months and FGDs and in-depth interviews with health workers who provided care services to leukemia patients post-chemotherapy. Data were collected from 14 informants: six nurses, four doctors, two clinical pharmacists, and two nutritionists. This study employed four phases of Leininger analysis for qualitative data to develop its thematic structures. Results: The analysis of the entire data has revealed five themes: (1) performing antiseptic and aseptic techniques consistently, (2) nurse and dietician collaboration in handling eating difficulties post-chemotherapy, (3) collaborative interactions interdisciplinary in handling medication, (4) patient placement in an isolation room adjusted to patients' conditions, and (5) nurse’s challenge to educate patients and their families. Conclusions: Health workers from multiple disciplines play essential roles in preventing neutropenic fever by involving patients, parents, and other family members. It is necessary for the nurses to collaborate with other healthcare professionals and educate patients, and families to participate in the care interventions for these patients in minimizing the occurrence of infection among leukemia patients.

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Section: Discussionmentioning

confidence: 99%

Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an Ethnonursing study

Naviati,

Afiyanti,

Allenidekania

et al. 2024

J. Ners

View full text Add to dashboard Cite

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“…After the implementation of the clinical pathway, it was found that the cost of hospitalization, surgery, treatment, treatment, and medical consumables even patients had a shorter length of hospital stay and a signi cant reduction in the duration of antibiotic use, thus positively impacting patient clinical outcomes. 10,11 Research in China found the introduction of clinical pathways can shorten patient care days by an average difference of two days. 12 In hospitalized patients with a diagnosis of Community Acquired Pneumonia (CAP), the average LOS in the pre-clinical pathway period is 5 days (range 3-16) and in the post-clinical pathway period of 4 days (range 2-14).…”

Section: Discussionmentioning

confidence: 99%

Exploring Patient’s Clinical Outcomes, Hospital Costs, and Satisfaction After the Implementation of Integrated Clinical Pathway-Based Nursing Practice Model

Rachmawaty,

Wahyudin,

Bukhari

2023

Preprint

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Introduction: The prevalence of non-communicable diseases in Indonesia tends to increase accompanied by an increase in the National Health Insurance claim costs by 18%-25% every year leading to the Indonesian government encouraging the use of clinical pathways to achieve optimal quality of health services. Methods: The method used in this study was action research by developing, implementing, and evaluating the clinical guidelines and integrated clinical pathways (ICPs) for 10 diseases that were categorized as high volume, high risk, and high cost. Data was collected through observation and interviews and was analyzed using IBM SPSS Statistics version 28. Results:A total of 40 patients from Haji Hospital (n= 20) and from Labuang Baji Hospital (n= 20) with diagnoses of pulmonary tuberculosis, pneumonia, dyspepsia, typhoid fever, normal delivery, and COPD were included and analyzed. Compliance with the ICPs in both hospitals is quite low, 50.02% in Haji Hospital and 44.46% in Labuang Baji Hospital. However, the length of patients’ stay (LOS) was found to be compliant and some exceeded the ICP standards. The patients’ hospital costs were found to be different in earning profit for all disease diagnoses. Patient satisfaction also improved with each diagnosis. Conclusion: The implementation of ICP at both hospitals showed that all indicators of patient clinical outcomes improved according to the time specified in ICP, resulting in patients’ LOS being shorter than stipulated in ICP and an increase in patient satisfaction. ICP implementation has also led to hospitals earning different profits in almost all diagnoses.

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A scoping review of pharmacists' clinical activities and impact on the care of patients with multiple myeloma

Park,

Pereira,

Rotta

et al. 2024

Int J Clin Pharm

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Interprofessional clinical pathway program effects on patient outcomes in the setting of neutropenic fever: An integrative review

Cited by 6 publications

References 34 publications

Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an Ethnonursing study

Cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever in children with leukemia after chemotherapy: an Ethnonursing study

Exploring Patient’s Clinical Outcomes, Hospital Costs, and Satisfaction After the Implementation of Integrated Clinical Pathway-Based Nursing Practice Model

A scoping review of pharmacists' clinical activities and impact on the care of patients with multiple myeloma

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