RESOURCES REQUIRED IN CLINICAL PATHWAY FOR TYPHOID FEVER TREATMENT AT KALIWATES GENERAL HOSPITAL IN 2017

Abstract

Background: A clinical pathway is a concept of an integrated service which describes the stages of healthcare services from the admission until the return of patients based on the medical service standards and evidence-based nursing care with measurable results. Kaliwates General Hospital is an accredited hospital with a clinical pathway. Typhoid case was the highest disease in 2017 at Kaliwates General Hospital. Aims: This study aims to describe the resources at Kaliwates General Hospital in the implementation of clinical pathways, especially typhoid fever treatment. Method: This study was a descriptive and qualitative study. Nine respondent s were selected using purposive sampling , including one interni st and the quality team at Kaliwates General Hospital . The v ariables studied include human resource factors, budget factors, meth od factors and time factors. Results: The results suggested that the human resources at Kaliwates General Hospital had high commitment, motivation, and moderate knowledge in the implementation of clinical pathways. All equipment and documents were considered adequate. The communication among the implementers was good, but compliance and training for staffs were considered less prominent. The task division of each staff was fairly distributed even though the pharmacy unit perceived that the division was quite unfair. Conclusion: T he implementation of the clinical pathway for typhoid fever treatment at Kaliwates General Hospital runs quite well. T he hospital must identify and plan staff training regular l y , prepare the job description appropriately, and perfo rm performance appraisal based on the job description that has been developed