Nurse Performance Based on Clinical Pathway in Inpatient Room

  • Syukriadi Syukriadi Universitas Syiah Kuala
  • Hilman Syarif Universitas Syiah Kuala
  • Marlina Marlina Universitas Syiah Kuala


This study aims to identify the relationship between the variables of Clinical Pathway documentation, Clinical Pathway development, and Clinical Pathway implementation with the quality of nursing services. This research is quantitative research with a cross-sectional approach. This research was conducted at the Meuraxa Regional General Hospital, Banda Aceh. The population in this study were all nurses in the Inpatient Room with a sample of 68 nurses. Data collection used a questionnaire as a research instrument and consisted of closed questions. The research instrument has been tested for validity and reliability on 30 nurses with R-squared calculated. In this case, the calculation uses Cronbach alpha (0.966 > 0.80) with the results of clinical pathway documentation (0.842 > 0.361), clinical pathway development (0.618 > 0.361), and clinical pathway implementation (0.601 > 361). Data were analyzed by SPSS using the chi-square model and logistic regression. The results showed 37 (54.4%) nurses aged 26-30 years, 58 (86.3%) female nurses, 48 (70.6%) nurses with a Diploma in Nursing, 55 (80.9%) nurses with married status, 43 (63.2%) nurses with more than five years of service, 60 (88.2%) nurses with contract work status, 34 (50.0%) nurses have attended the clinical pathway training socialization. There is a relationship between the Clinical Pathway and the quality of nursing services (p-value 0.002 <0.05). In this case, the variables of Clinical Pathway documentation (p-value = 0.002), Clinical Pathway development (p-value = 0.009), and Clinical Pathway implementation (p-value = 0.569).

Keywords: Clinical Pathway, Development, Documentation, Implementation, Nurse Performance

Article Metrics


Download data is not yet available.


Artana, I. M., et al. (2020). Penilaian Mutu Asuhan Keperawatan Sebelum dan Sesudah Penerapan Clinical Pathway di Rumah Sakit Umum Pusat (RSUP) Sanglah, Bali, Indonesia. Intisari Sains Medis (ISM): Jurnal Kedokteran, 11(2), 528-534. doi:

Astuti, Y. D., et al. (2017). Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 6(2), 97-111. doi:

Dulang, S., et al. (2021). Dampak Clinical Pathway pada Pasien Cancer: Literatur Review. Jurnal Keperawatan, 13(1), 65-74.

Fitri, D. A. & Sundari, S. (2018). The Evaluation of Clinical Pathway Implementation on Cerebral Infarction in the Inpatient Care Unit of Bantul X Hospital. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 7(2), 152-161. doi:

Goula, A., et al. (2021). Public Hospital Quality Assessment. Evidence from Greek Health Setting Using SERVQUAL Model. International Journal of Environmental Research and Public Health, 18(7), 1-16. doi:

Kusumaningtyas, T., et al. (2017). Dampak Pemberlakuan Clinical Pathway terhadap Kualitas Pelayanan Stroke di RS Bethesda Yogyakarta. Berkala Ilmiah Kedokteran Duta Wacana, 2(2), 349-360. doi:

Liang, J., et al. (2017). Genetic Variations in the P11/TPA/BDNF Pathway are Associated with Post Stroke Depression. Journal of Affective Disorders, 226, 313-325. doi:

Rotter, T., et al. (2014). Evaluation of a Clinical Pathway for ‘Radical Laparoscopic Prostatectomy’: An Interrupted Time Series Study. International Journal of Urological Nursing, 8(2), 84-89. doi:

Septiani, A. C., et al. (2016). Evaluasi Implementasi Clinical Pathway Pneumonia di Ruang Bangsal Anak RSUD Panembahan Senopati Bantul. In Prosiding Interdisciplinary Postgraduate Student Conference 3rd, Program Pascasarjana Universitas Muhammadiyah Yogyakarta, 44-53.

Widjaja, L., et al. (2019). Pengaruh Clinical Pathway terhadap Mutu Pelayanan Keperawatan dan Kepuasan Pasien. Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal), 9(3), 616-622. doi:

Wijayanti, F. E. R. (2016). "Analisis Clinical Pathway dengan BPJS antara RS Negeri dan RS Swasta". Thesis. Universitas Muhammadiyah Surakarta.

Willeit, J., et al. (2014). Thrombolysis and Clinical Outcome in Patients with Stroke after Implementation of the Tyrol Stroke Pathway: A Retrospective Observational Study. The Lancet Neurology, 14(1), 48-56. doi:

How to Cite
Syukriadi, S., Syarif, H., & Marlina, M. (2022). Nurse Performance Based on Clinical Pathway in Inpatient Room. SIGn Journal of Public Health, 1(1), 57-71.