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Dr. Faten Shafik Mahmoud Nasaar :: Publications:

Title:
Effect of Clinical Pathway Regarding Promoting Quality Nursing Care of Children with Meningitis Exposed to Invasive Procedures
Authors: Faten Shafik Mahmoud and Basma rabie Abd-ElSadik
Year: 2013
Keywords: Meningitis, invasive procedures, Clinical pathways.
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Faten Shafik Mahmoud Nasaar _faten shafek.pdf
Supplementary materials Not Available
Abstract:

Acute bacterial meningitis (ABM) is an uncommon but potentially fatal neurologic emergency that requires prompt recognition, diagnostic evaluation, and initiation of parenteral antibiotics. Meningitis results from inflammation of the pia-arachnoid meninges as well as cerebrospinal fluid (CSF). Thus, patients with meningitis often present with signs of meningeal irritation Overturf, (2005). Therefore, the aim of this study was to assess the effect of clinical pathway regarding promoting quality nursing care of children with meningitis exposed to invasive procedures through designing, implementing, and evaluating the effect of clinical pathway intervention. A quasi experimental (intervention) study design was utilized to achieve the aim of this study. With a sample of 42 nurses, regardless of their educational level, years of experience, and attainment of training courses. The study was conducted at Benha Fever Hospital and Tookh Fever Hospital in meningitis units. The tools of data collection were 1) Interviewing questionnaire was constructed by the researcher, to assess their knowledge about invasive procedures and meningitis 2) Observational checklist to evaluate quality of nursing care during invasive procedures by using a clinical pathway, 3) Behavioral Pain Assessment Scales for Young Children FLACC Scale to assess level and intensity of pain before, during and after invasive procedures, 4) Observational child assessments sheet It was designed to observe children's level of anxiety during and after invasive procedures.. The results revealed that, there was that the total means score of nurses' performance regarding invasive procedure pre and post clinical pathway guidelines implementation, had a highly significant difference, and there was no significant correlation between total knowledge and total performance pre the clinical pathway guidelines implementation. While post implementation there was a significant correlation between total knowledge and total performance. It was concluded from the study that, implementation of the nursing clinical pathway can improve quality of nursing care of children with meningitis undergoing invasive procedure through improving their knowledge, enhancing their performance regarding invasive procedures, reduces the child's level of anxiety. The study recommended that clinical pathway approach of care can be generalized for utilization by health team members in the different health agencies. [Faten Shafik Mahmoud and Basma rabie Abd-ElSadik. Effect of Clinical Pathway Regarding Promoting Quality Nursing Care of Children with Meningitis Exposed to

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