J Korean Acad Adult Nurs.  2006 Dec;18(5):819-827.

Analysis of Performance on Activities in Critical Pathway of Total Hip Replacement Surgery

• Lim YJ
• Jeong KI
• Jeong HY
• Sun JJ
• Kim YK
• Choi JK
• Lee KL
• Kim JS
• Yang JJ
• Kim HJ
• Jang KS
• Choi JY

Abstract

PURPOSES: The purpose of this study was to evaluate the extent of performance on activities in critical pathway (CP) according to eight domains and six admission days on nursing records of patients who received total hip replacement surgery.
METHODS
We reviewed 90 nursing records of patients who received total hip replacement surgery from June, 2004 to July, 2005 at C University Hospital. Data were collected using Hong's CP (2002) and were analyzed using ANOVA.
RESULTS
The domain of diet was valued the highest in CP performance scoring, followed by the domains of assessment, activities, and test. There were differences in the performance scores according to the period of admission in all of the domains. Among 132 activities in the CP, 18 activities were completely performed, of which most included activities belonging to the domain of assessment on the admission day. Twelve activities were never performed, of which most included activities belonging to the domain of treatment on the day of operation and the first day after operation.
CONCLUSIONS
Therefore, further studies on the development of a new system to increase CP utilization and on updating the contents of CP from the best practice based on evidence is recommended.

Keyword

Critical pathways; Compliance; Total hip replacement

MeSH Terms

Arthroplasty, Replacement, Hip*
Compliance
Critical Pathways*
Diet
Humans
Nursing Records
Practice Guidelines as Topic