Gastrointestinal bleed pathway documentation by nurses and physicians in Pakistan: a literature gap

  • Shahina Pirani Aga Khan University, Karachi, Pakistan
Keywords: GI bleed, clinical pathway, documentation, Pakistan



Upper gastrointestinal bleed is the serious medical condition which needs immediate interventions to prevent patients from serious complications. Nurses and physicians neglect gastrointestinal bleed pathway documentation which results in improper patient care management.


Aim of the study

The aim of this paper is to overview the reviews on gastrointestinal bleed pathway documentation and also to identify the barriers of gastrointestinal bleed pathway documentation among physicians and nurses.



Literature search was undertaken in a systematic way to explore and review the existing literature related to documentation in GI bleed pathway and the barriers of documentation among nurses and physicians. For literature search, four major databases, CINHAL plus with full text, PUBMED, Cochrane library and JSTOR were used. Other search engine like Google scholar was also used to find the relevant literature. These databases were searched for the time period between 2000 and 2012.



The literature review reveals studies on effectiveness of gastrointestinal bleed pathway on patient’s outcome, effect of clinical pathway on documentation, and barriers of documentation in Clinical Pathway. However, none of the study focused specifically on gastrointestinal bleed pathway documentation among nurses and physicians in Pakistan.



There is a gap in literature regarding physicians and nurses’ practice towards documentation of gastrointestinal bleed pathway in Pakistan. It is recommended that base line study is needed to overcome the issue of managing gastrointestinal bleed patients and to improve patients’ quality of care.



Key Words: GI bleed, clinical pathway, documentation, Pakistan



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