2.50
Hdl Handle:
http://hdl.handle.net/10755/159073
Type:
Presentation
Title:
Evaluating Home Health Care Nursing Outcomes with OASIS and NOC
Abstract:
Evaluating Home Health Care Nursing Outcomes with OASIS and NOC
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Stocker Schneider, Julia, PhD, RN
P.I. Institution Name:University of Detroit Mercy
Title:Assistant Professor
Contact Address:School of Nursing, 8433 Barrington Dr., Ypsilanti, MI, 48198, USA
Contact Telephone:(734) 223-2285
Purpose A study was conducted to explore the sensitivity and responsiveness of the Outcome and Assessment Information Set (OASIS) and the Nursing Outcomes Classification (NOC) to the effects of home healthcare nursing interventions on patient outcomes. Background Medicare requires the collection of home healthcare outcomes data using OASIS, yet the sensitivity and responsiveness of this instrument is not yet known. The Outcomes Model for Health Care Research (Holzemer) shows that outcomes result from client, provider, and setting inputs and processes. Outcomes instruments must able to detect change attributable to the intervention and show change that is clinically meaningful. Methods Outcomes data were collected at home healthcare admission and discharge using OASIS and NOC for a convenience sample of 106 cardiac home health care patients. Nursing intervention data were collected at each visit using the Nursing Interventions Classification (NIC) and were totaled to determine intervention intensity over the episode of care. Results Using repeated measures ANOVA, neither OASIS nor NOC were sensitive to the effects of home healthcare nursing as measured by intervention intensity, though reliability issues with the measurement of intervention intensity may have impacted these findings. When other analyses methods were employed, NOC demonstrated more sensitivity than OASIS to change resulting from nursing interventions. The OASIS was not responsive to clinically discernable change in patient outcomes when analyzed using a ROC curve, but NOC was responsive in most outcome categories measured. The study results demonstrate that condition and discipline-specific outcome measures are more sensitive and responsive to the effects of home healthcare nursing. Implications This study has identified the need for further research in evaluating nursing outcome measures for sensitivity and responsiveness. Outcome measures are need in information systems and for evidence-based practice, but such measures must be reliable, valid, sensitive, and responsive in order to be effective.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluating Home Health Care Nursing Outcomes with OASIS and NOCen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159073-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluating Home Health Care Nursing Outcomes with OASIS and NOC</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Stocker Schneider, Julia, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Detroit Mercy</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 8433 Barrington Dr., Ypsilanti, MI, 48198, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(734) 223-2285</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">stockeju@udmercy.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose A study was conducted to explore the sensitivity and responsiveness of the Outcome and Assessment Information Set (OASIS) and the Nursing Outcomes Classification (NOC) to the effects of home healthcare nursing interventions on patient outcomes. Background Medicare requires the collection of home healthcare outcomes data using OASIS, yet the sensitivity and responsiveness of this instrument is not yet known. The Outcomes Model for Health Care Research (Holzemer) shows that outcomes result from client, provider, and setting inputs and processes. Outcomes instruments must able to detect change attributable to the intervention and show change that is clinically meaningful. Methods Outcomes data were collected at home healthcare admission and discharge using OASIS and NOC for a convenience sample of 106 cardiac home health care patients. Nursing intervention data were collected at each visit using the Nursing Interventions Classification (NIC) and were totaled to determine intervention intensity over the episode of care. Results Using repeated measures ANOVA, neither OASIS nor NOC were sensitive to the effects of home healthcare nursing as measured by intervention intensity, though reliability issues with the measurement of intervention intensity may have impacted these findings. When other analyses methods were employed, NOC demonstrated more sensitivity than OASIS to change resulting from nursing interventions. The OASIS was not responsive to clinically discernable change in patient outcomes when analyzed using a ROC curve, but NOC was responsive in most outcome categories measured. The study results demonstrate that condition and discipline-specific outcome measures are more sensitive and responsive to the effects of home healthcare nursing. Implications This study has identified the need for further research in evaluating nursing outcome measures for sensitivity and responsiveness. Outcome measures are need in information systems and for evidence-based practice, but such measures must be reliable, valid, sensitive, and responsive in order to be effective.</td></tr></table>en_GB
dc.date.available2011-10-26T21:40:38Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:40:38Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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