Effect of Clinical Pathway Application on Stroke Patients’ Outcomes


  • Abeer El Said Hassan El Sol1 , Asmaa Hamed Abd Elhy1 , Hassnaa Eid Shaban Mosa1 , Yasser Ibrahim Fathy Mohamed2 , Rosa Khalil Mohammed Babikir




Clinical Pathway; Stroke; Clinical Outcomes; Hospitalization Length (Hospital stay).


A clinical pathway is a process for managing patient by states the goal and main elements of care based
on Evidence Based guidelines, best intervention to enhance quality of care; outcomes and reduce length of
patient’s hospitalization.
Aim of the Study: To evaluate the effect of clinical pathway applications on stroke patients’ outcomes.
Design: Quasi-experimental design was used to test the research hypothesis.
Subjects: A purposive sample of 78 patients, they divided randomly and alternatively into two equal groups
38 patients in each as follows: (1)The study group (I): received their care by application of clinical pathway
(2) The control group (II): received routine hospital care.
Setting: The current study was conducted at Emergency, Intensive Care Unit and Medical ward at Menoufia
University Hospital; Menoufia Governorate; Egypt. Tools for data collection: four tools were utilized by
the researchers to achieve the aim of the study and to collect the necessary data. Tool (I): Semi structured
questionnaire (demographic and medical data Sheet); Tool (II): bio- physiological measurements (indicators
of improved patients’ outcomes); Tool (III): National Institutes of Health Stroke Scale, or NIH Stroke Scale
(NIHSS); and Tool (IV): Multidisciplinary planned sheet team.
Results: There was improvement in values of vital signs, oxygen saturation, central venous pressure, arterial
blood gases interpretation, central venous pressure, blood glucose level during the last measurements after
applying clinical pathway in study group compared to control group, also there was a highly statistical
significant difference between two groups regarding to post stroke complications. Additionally there was
highly statistical significance difference between them stroke severity. Shorten length of stay in hospital in
study group compared to control due to improvement in study group outcomes.
Conclusion: clinical pathway has a positive effect on reducing length of patient’s hospitalization stay, and
early improvement in patients’ outcomes with apparent positive effect on quality of patient care.
Recommendation: The researchers recommended that; application of clinical pathway on large samples
and variable measurements are in need to generalization of the results. Clinical pathway should be carried
out routinely for managing stroke patients in intensive care unit.

Author Biography

Abeer El Said Hassan El Sol1 , Asmaa Hamed Abd Elhy1 , Hassnaa Eid Shaban Mosa1 , Yasser Ibrahim Fathy Mohamed2 , Rosa Khalil Mohammed Babikir

1Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt, 2Doctor of
Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Menoufia University, Egypt, 3Assistant
Professor, Community of Health Nursing, Faculty of Nursing, the National Ribat University Sudan, 3Faculty of
Applied Medical Sciences, Nursing department, Al-Baha University Kingdom of Saudi-Arabia