Development of a Critical Pathway for Patients with Uterine Artery Embolization.
- Author:
Kyung Hee CHUNG
1
;
Young Sook KO
;
Jeong Ah LIM
Author Information
1. Department of Nursing, Science, Nambu University, Korea.
- Publication Type:Original Article
- Keywords:
Critical pathway;
Uterine artery embolization
- MeSH:
Critical Pathways*;
Diagnosis;
Diet;
Humans;
Length of Stay;
Medical Records;
Specialization;
Uterine Artery Embolization*;
Uterine Artery*
- From:Korean Journal of Women Health Nursing
2006;12(4):316-325
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to develop a Critical Pathway for Uterine Artery Embolization patients. METHOD: There were 6 steps that were taken. Step 1 was selecting a diagnosis, and Step 2 was organizing a development team consisting of 7 experts. Step 3 analyzed the medical records, and Step 4 drew up a preliminary Critical Pathway. Step 5 tested the clinical validity of the preliminary Critical Pathway, and Step 6 developed the final Critical Pathway. RESULT: The contents of the medical practices observed in the medical records were investigated in seven areas: monitoring/assessment, treatment, medication, diet, activity, consults, and education/discharge plan; and a total of 73 items was identified. The validity of the 73 items was examined by a group of specialists. 68 items were adopted, 4 items revised, 1 item removed, and 1 item was added. Using the results, a preliminary Critical Pathway was drawn up. According to the results from examining the clinical validity of the preliminary Critical Pathway with five patients for five weeks, 3 items which showed discrepancy were revised and another 3 items were added. Then, the final Critical Pathway was completed. CONCLUSION: This Critical Pathway needs to be clinically applied and continuously to measure its effects in terms of the length of stay, cost?effectiveness, and the patients' and staffs' satisfaction.
