Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.
Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.
Document Type
DNP - University Access Only
Award Date
2014
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Linda Herrick
Keywords
kidney transplant, clinical pathway, care pathway, patient pathway, quality improvement
Abstract
Kidney transplant is considered the treatment of choice for patients with end stage renal disease (ESRD) as kidney transplantation often increases life expectancy, quality of life, and is more cost effective than a lifetime of dialysis. With the increasing economic burden of kidney transplant, it is necessary to put processes, such as clinical pathways, in place to standardize care, use healthcare resources efficiently, decrease cost, and improve outcomes. This doctor of nursing practice (DNP) practice innovation project (PIP) sought to analyze the effect of development and implementation of an inpatient kidney transplant recipient clinical pathway on length of stay (LOS), 30 day readmission rates, graft function 30 days from transplant, and number of days in intensive care unit (ICU). Post clinical pathway intervention, LOS increased from 5.5 to 6.36 day, while ICU days decreased from 1.2 to 1.1. Changes in LOS and ICU days were not statistically significant. The clinical pathway did not have an effect on 30 day readmission rates or graft function 30 days from transplant. However, based on feedback from staff meetings, the clinical pathway served as a teaching tool for inpatient and outpatient staff and patients and as a means to increase staff knowledge and communication.
Library of Congress Subject Headings
Kidneys -- Transplantation
Kidneys -- Transplantation -- Patients
Evidence-based medicine
Description
Includes bibliographical references (pages 43-48)
Format
application/pdf
Number of Pages
68
Publisher
South Dakota State University
Rights
In Copyright - Non-Commercial Use Permitted
http://rightsstatements.org/vocab/InC-NC/1.0/
Recommended Citation
Saufley, April, "Kidney Transplant Recipient Inpatient Clinical Pathway" (2014). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 68.
https://openprairie.sdstate.edu/con_dnp/68