Question

You are a nurse manager for a 30-bed pediatric unit in a large urban hospital. According to the patient classification system used by the hospital, the level of acuity of pediatric patients on your unit is con­sistently very high, and the patient census averages 26. The only pediatric oncologist in town practices at your hospital and has told you in the past that he preferred to have his patients admitted to your unit because of the quality of nursing care provided, thus the unit always has a high number of pediatric patients with cancer. Additionally, two pediatric sur­geons have told you that they prefer the care pro­vided on your unit versus that at the other hospital in town. However, recently, there has been an in­crease in the number of complaints from families—twice in the past week—and one of the physicians has come to your office to talk about patient care problems. You also sense increased tension and dissatisfaction among the RNs because you have had to fill some vacant RN positions with LVNs or nursing assistants. As you analyze the problem, you note the following facts:

How could clinical pathways be used to improve the quality and cost-effectiveness of care on this unit?

Answer 1

1. Determine the causative factors for Patient care problem.( It may be due to staff shortage, improper care of the patient by nurses.)

2. Next creates a group with the nursing staff and improve communication between them.

3. Set up planning and goals for improvement of Patient care.

Planning and goal should be-

• providing safety to the patient.

• Deliver best care to the patient in less cost.

• Respect the Patient family members.

• Prevent medication error.

• Reduction of nursing stress.

4. Provide education to the nursing staff how to deal with Patient.

5. Supervising the performance of the nurse.

6. Analysis of the outcome.