Objective: Clinical pathways serve as the structured, standardized approach of the multidisciplinary
health care planning to support the care implementation to achieve good patient outcome. This study
aimed to identify the supporting factors and the nurses� expectation of the implementation of clinical
pathway in nursing care at the hospital.
Methods: A quantitative, cross-sectional, descriptive study was conducted at a medical-surgical unit of a
hospital in Jakarta Indonesia. Participants were 100 nurses with minimal one year work experience,
selected using proportional purposive sampling method. Data were collected using questionnaire and were
analyzed descriptively.
Results: The supporting factors of clinical pathway implementation in nursing care nursing consisted of
nursing care management, human resource management, reward system management, equipment
management, and information system management. The nursing care management factor was found to be
of highest performance (90%), while the rest showed inadequate perfomances (24%, 14%, 39%, and 41%,
respectively). Meanwhile, nurses expected to have improved nursing care information system (50%) and
reward system (60%) to support the clinical pathway in nursing care.
Conclusions: Most supporting factors of the implementation of clinical pathway in nursing care were still
suboptimal. Nurses� expectations on this issue also indicate the room for improvement. The clinical
pathway can be implemented in nursing care by the support of the competent nurses, nursing care
standard, fair reward system, adequate information system and equipment.