Development of a Structured Management Plan and Educational Materials for a Multidisciplinary Pediatric Menstrual Bleeding Disorder Clinic.

Abstract

Background: Females with bleeding disorders benefit from management to control heavy menstruation. Multidisciplinary pediatric menstrual bleeding disorder clinics offer a wide range of beneficial services; however, not enough data exist regarding the use of structured management pathways to deliver positive patient outcomes. Objective: Identify evidence-based interventions and develop a clinical pathway for providers of a multidisciplinary pediatric menstrual bleeding disorder clinic, including assessment of patients' baseline and postvisit knowledge of treatment options, reportable symptoms, and provider pathway satisfaction. Methods: A structured management pathway and educational treatment forms were developed and implemented in the clinic. Female participants experiencing heavy menstruation completed knowledge questionnaires before/after clinic visit with health care providers during which educational handouts were reviewed. Providers completed satisfaction surveys following patient visits. Results: Nine participants completed pre/postvisit knowledge questionnaires with statistically significant improvement in knowledge (p = .03). Providers expressed overall satisfaction with pathway and educational materials with overall mean satisfaction Likert scale scores >4 of 5. Conclusions: Multidisciplinary clinics can improve patient care. Benefits of such structures continue to guide evidence-based practice and are important to maintain patient-centered care. Implications for Nursing: Integrating standardized practices through a clinical pathway and formal educational materials increases patient knowledge and provider satisfaction.