Exploration of Facilitators and Barriers Components in the Process Development and Implementation of the Integrated Clinical Pahtway

Main Article Content

Sri Musyrifah
Rini Rachmawaty
Syahrul Syahrul

Abstract

This study aims to explore the facilitating and constraining components in the process of developing and implementing ICP. The method used an integrative review using the PubMed, Science Direct, ProQuest, Wiley and EBSCO databases and a secondary search for journals limited to the last 10 years and other publication sources related to the topic of writing. 11 studies that were included and based on the results of the analysis of 3 main components that became facilitators and at the same time as obstacles in the process of developing and implementing ICP, namely the managerial component which included the role of hospital leaders managing hospitals and their clinical champions influencing the successful process of implementing ICP, both cultural organizations include an overview an organization that shows the work pattern of officers in the application of ICP as well as functional and technical elements that cover the stages or processes of the implementation of the ICP. The ability to identify the facilitator and obstacle components can determine the implementation strategy.

Downloads

Download data is not yet available.

Article Details

How to Cite
Musyrifah, S., Rachmawaty, R. ., & Syahrul, S. . (2022). Exploration of Facilitators and Barriers Components in the Process Development and Implementation of the Integrated Clinical Pahtway. Journal of Asian Multicultural Research for Medical and Health Science Study, 3(3), 56-64. https://doi.org/10.47616/jamrmhss.v3i3.319
Section
Articles

References

Antiocch, K., Richard Chapman, Barry, E., Santamaria, N., Crawford, R., & Fiddes, K. (2015). Cost-effective clinical pathways at The Alfred Hospital : international lessons from Bayside Health , Australia. July. https://doi.org/10.1071/AH010021a

Asmirajanti, M., S, A. Y., Hamidÿ, R., & Hariyati, T. S. (2019). Supporting factors of the implementation of clinical pathway approach in nursing care. 29. https://doi.org/https://doi.org/10.1016/j.enfcli.2019.04.067

Asmirajanti, M., Syuhaimie Hamid, A. Y., & Hariyati, T. S. (2018). Clinical care pathway strenghens interprofessional collaboration and quality of health service: a literature review. Enfermeria Clinica, 28, 240–244. https://doi.org/10.1016/S1130-8621(18)30076-7

Astuti, Y. D., Dewi, A., & Arini, M. (2017). Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 6(2), 95–106. https://doi.org/10.18196/jmmr.6133

Bai, J., Bai, F., Zhu, H., & Xue, D. (2018). The perceived and objectively measured effects of clinical pathways’ implementation on medical care in China. PLoS ONE, 13(5), 1–13. https://doi.org/10.1371/journal.pone.0196776

Bryan, M. A., Desai, A. D., Wilson, L., Wright, D. R., & Mangione-Smith, R. (2017). Association of bronchiolitis clinical pathway adherence with length of stay and costs. Pediatrics, 139(3). https://doi.org/10.1542/peds.2016-3432

CEBMa. (2014). Critical Appraisal of a Cross-Sectional Study (Survey) Appraisal questions.

Gadacz TR, Adkins RB Jr, O'Leary JP. General surgical clinical pathways: an introduction. Am Surg. 1997 Jan;63(1):107-10. PMID: 8985081.

Gadacz, T. R., Adkins, R. B. J., & O’Leary, J. P. (1997). General surgical clinical pathways: an introduction. The American Surgeon, 63(1), 107–110.

Geerligs, L., Shepherd, H. L., Rankin, N. M., Masya, L., Shaw, J. M., Harga, M. A., Dhillon, H., Dolan, C., Perst, G., Program, G., & Butow, P. (2020). Nilai pengujian dunia nyata : a studi kelayakan kualitatif untuk mengeksplorasi hambatan dan strategi staf dan organisasi untuk mendukung penerapan jalur klinis untuk pengelolaan kecemasan dan depresi pada pasien kanker dewasa. 1–10.

Graeber, S., Richter, S., Folz, J., Pham, P. T., Jacob, P., & Schilling, M. K. (2007). Clinical pathways in general surgery: Development, implementation, and evaluation. Methods of Information in Medicine, 46(5), 574–579. https://doi.org/10.1160/ME9059

Grol R, Wensing M, Eccles M, Davis D, editors. Improving patient care: The implementation of change in health care. Chichester: Wiley Blackwell; 2013.

Hadira, Syahrul, S., & Rahmawaty, R. (2020). Efektivitas Penerapan Integrated Clinical Pathway ( ICP ) Terkait Manajemen Risiko Ter- hadap Kualitas Pelayanan Di Rumah Sakit : Literatur Review. Jurnal Keperawatan Muhammadiyah, 97–106.

Hijrah, Saleh, A., & Rachmawaty, R. (2022). Efektifitas Jalur Klinis terintegrasi Terhadap Lama Hari Rawat Dan biaya Pada Pasien Pasca Operasi:Tinjauan Literatur. March. https://doi.org/10.33023/jikep.v8i1.787

Hipp, R., Abel, E., & Weber, R. J. (2016). A primer on clinical pathways. Hospital Pharmacy, 51(5), 416–421. https://doi.org/10.1310/hpj5105-416

Hitch, D., Butzkueven, S., Carter, V., Fetterplace, K., Fox, K., Varghese, J., Kiss, N., Yeung, J. M., Ottaway, A., Pierce, K., & Deftereos, I. (2022). Menerapkan jalur perawatan nutrisi perioperatif standar dalam operasi kanker saluran cerna bagian atas : analisis metode campuran implementasi menggunakan Konsolidasi Kerangka Kerja Penelitian Implementasi. 9, 1–15.

Iroth, R. A. M., & Achadi, A. (2019). Proceedings of International Conference on Applied Science and Health ICASH-A111 The Impact Of Clinical Pathway To Effectivenees Of Patient Care In Current Medical Practice Ii Hospital : Proceedings of International Conference on Applied Science and Healt. 4, 864–872.

Jabbour, M., Newton, A. S., Johnson, D., & Curran, J. A. (2018). Defining barriers and enablers for clinical pathway implementation in complex clinical settings. Implementation Science, 13(1), 1–14. https://doi.org/10.1186/s13012-018-0832-8

Jayanti, L. D., & Hariyati, T. S. (2020). Development of Management Information Systems with. 4(1), 13–19. http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jnj/about/submissions#authorGuidelines

Lilly-West B. R, John, M. E., & I, C. (2018). Knowledge of Diabetic Foot Care among Nursing Practitioners in Rivers State, Nigeria. Texila International Journal of Nursing, 4(2), 1–9. https://doi.org/10.21522/TIJNR.2015.04.02.Art002

Marion van der Kolk MD, ter Brugge-Speelman, C., Hol, J., Noyez, L., van Laarhoven, K., van der Hoeven, H., & Pickkers, P. (2017). Development and implementation of a clinical pathway for cardiac surgery in the intensive care unit: Effects on protocol adherence. Journal of Evaluation in Clinical Practice, 23(6), 1289–1298. https://doi.org/10.1111/jep.12778

Mutiarasari, D., Pinzon, R. T., & Gunadi, G. (2017). Evaluasi Proses Pengembangan Dan Penerapan Clinical Pathway Kasus Stroke Iskemik Akut Di Rumah Sakit Anutapura Kota Palu. Berkala Ilmiah Kedokteran Duta Wacana, 2(2), 335. https://doi.org/10.21460/bikdw.v2i2.59

Purwadi, K. (2019). Efektifitas Penerapan INA-CBG DI Rumah Sakit (Analisis Penerapan Permenkes RI No. 76 Tahun 2016 tentang Pedoman Indonesian Case Base Groups (INA-CBG) Dalam Pelaksanaan JKN di Rumah Sakit Emanuel Banjarnegara). Jurnal Idea Hukum, 5(2), 1475–1490. https://doi.org/10.20884/1.jih.2019.5.2.121

Rosalina, I. S., Mansur, M., Hidayat, M. K. S., & Widyaningrum, K. (2018). Evaluating Clinical Pathway Typhoid Fever Monitoring at ABC Hospital Malang. 7(April), 43–51. https://doi.org/10.18196/jmmr.7155

Sari, D. R. (2017). Audit Implementasi Clinical Pathway Diare Akut di Rumah Sakit Anak dan Bunda Harapan Kita Tahun 2016. Jurnal ARSI, 3(2), 115–126.

Taufiqurrahman, & Nadjib, M. (2018). The Role of Clinical Pathway in Improving Hospitals Cost Efficiency. Proceedings of International Conference on Applied Science and Health, 3, 228–233