Typhoid fever remains a global health problem for Salmonella typhoid in pediatric population. The aim of this study was to assess the effect of integrated clinical pathway regarding care of children with typhoid fever through, assessing nurses' knowledge regarding integrated clinical pathway, designing and implementing integrated clinical pathway regarding care of children with typhoid fever and evaluating the effect of integrated clinical pathway on nurses' regarding care of children with typhoid fever. Research design: A quasi-experimental design was used to conduct the study. Settings: This study was carried out at Benha Fever Hospital and Toukh Fever Hospital affiliated to Ministry of Health and Population. The sample: All available nurses (62) who are working in the previously mentioned study settings and all available children (130) diagnosed with typhoid fever and hospitalized in the previously mentioned study settings. Tools of data collection: Four tools were used; Tool I. A structured interviewing questionnaire sheet: Consists of six parts: Part 1: personal data of the studied nurses Part 2: Nurses' knowledge regarding integrated clinical pathway. Part 3: Nurses' knowledge regarding typhoid fever. Part 4: Nurses' knowledge regarding care of children with typhoid fever. Part 5: Nurses' knowledge regarding role of multidisciplinary health team management and Part Nurses' knowledge regarding activities of integrated clinical pathway care map. Tool II. Child Medical Assessment Sheet: it include medical data regarding children with typhoid fever such as; characteristics of children. Tool III. An observational checklist: it used to assess the actual nurses' practice, it include; admission care, hand hygiene, sampling collection, dietary management, medication administration Tool IV. The integrated Clinical pathway Care Map. Results of this study revealed that, the total scores of nurses' knowledge were unsatisfactory before intervention. Whereas, their knowledge were satisfactory post intervention. Also, there were highly statistical significance differences before and after intervention and there are correlation between studied nurses' knowledge regarding integrated pathway and implementation of integrated pathway regarding care of children with typhoid fever pre and post intervention, it was revealed that there were a positive correlation between them pre and post intervention. This study concluded that: applying of the nursing clinical pathway on children with typhoid fever will enhancing nurses' knowledge, and practice. The study recommended that: The approach of care of integrated clinical pathway can be utilized by all health team members in the different health agencies as a routine care. |
