Enferm Clin. 2019;29(S2):455---458 www.elsevier.es/enfermeriaclinica Supporting factors of the implementation of clinical pathway approach in nursing care  Mira Asmirajanti, Achir Yani S. Hamid * , Rr. Tutik Sri Hariyati Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia Received 13 November 2018; accepted 17 April 2019 Available online 10 July 2019 KEYWORDS Supporting factors; Nursing care; Nurses’ expectation; Clinical pathway Abstract Objective: This study aimed to identify the supporting factors and the nurses’ expectation related to 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 a questionnaire and were analyzed descriptively. Results: The nursing care management factor was found to be of highest performance (90%), while the rest showed inadequate performances (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 of the supporting factors in the implementation of clinical pathway in nursing care were still suboptimal. Nurses’ expectations on this issue indicate that there will be an improvement. © 2019 Elsevier Espa˜ na, S.L.U. All rights reserved. Introduction Nurses at the hospital are on the front line of the health care service; therefore, nurses have an important role to provide an excellent care. 1 A well-planned nursing care contributes  Peer-review under responsibility of the scientific committee of the Second International Nursing Scholar Congress (INSC 2018) of Faculty of Nursing, Universitas Indonesia. Full-text and the content of it is under responsibility of authors of the article. * Corresponding author. E-mail address: achir@ui.ac.id (A.Y.S. Hamid). to better patient outcomes. Nurses provide the nursing care starting from the patient’s admission to the ward to discharge. The nursing care process includes performing assessment, determining the nursing diagnosis, creating the nursing care plan, and performing the intervention followed by the evaluation. 2 This iterative process involves clinical decision making based on patients’ responses to their actual or potential health problems. 3 Nursing care should meet the standard which can be measured in a recommended timeframe. 4 Clinical path- ways serve as the structured, standardized approach of the multidisciplinary health care planning to support the https://doi.org/10.1016/j.enfcli.2019.04.067 1130-8621/© 2019 Elsevier Espa˜ na, S.L.U. All rights reserved.