2.50
Hdl Handle:
http://hdl.handle.net/10755/159079
Type:
Presentation
Title:
Overview of Nursing Outcomes Effectiveness Research
Abstract:
Overview of Nursing Outcomes Effectiveness Research
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Titler, Marita, PhD, RN, FAAN
P.I. Institution Name:University of Iowa Hospitals and Clinics
Title:Professor
Contact Address:Department of Nursing, T-100 General Hospital, 200 Hawkins Dr., Iowa City, IA, 52242, USA
Contact Telephone:319-353-6995
Co-Authors:Joanne Dochterman, PhD, RN, FAAN; Debra Picone, PhD, RN; Rui Qin, MS; Taikyoung Kim, MS; Leah L. Shever, BSN, RN, Project Director; and Mary Kanak, PhDc, RN, Graduate Research Assistant
Purpose: There is a recognized need for outcomes effectiveness research that captures the contributions of nursing practice. The purpose of this paper is to overview a conceptual model of outcomes effectiveness research, steps to construct a nursing outcomes effectiveness database, and methods to conduct nursing outcomes effectiveness research.

Conceptual Framework: The conceptual model to guide this nursing outcomes effectiveness research will be discussed using patients hospitalized with heart failure, hip fracture, and hospitalized older adults receiving the nursing treatment of Fall Prevention as exemplars.

Subjects: Over 12,000 acute care hospitalizations of patients ? 60 years of age with medical diagnosis of heart failure, hip fracture or hip procedures, and the nursing treatment of fall prevention, cared for from July 1, 1998 through June 30, 2002, at a large academic medical center in the Midwest, comprise the subjects.

Methods: Patients hospitalizations meeting pre-specified inclusion criteria were downloaded from 9 clinical (e.g. medical treatments, nursing treatments) and operational (e.g. cost) electronic data repositories to a SQL server. Data were linked at the individual patient level, and a relational database constructed. The Nursing Intervention Classification was used to document nursing care; thus nursing treatments are included in the database.

Results: The database contains over 500,000 data elements of patient demographics, comorbidity, severity of illness, medical treatments, nursing treatments, pharmacotherapy, staffing, and a variety of general and condition specific patient outcomes. Constructing the nursing outcomes effectiveness research database provided empirical evidence of nursing contributions (e.g. nursing treatments; staffing) to patient outcomes such as cost, length of stay, complications and others. A guideline for conducting effectiveness research in nursing and other healthcare services has also been formulated.

Conclusions: This represents an essential step in development of effectiveness research in nursing, using data repositories that incorporate standardized nursing language.
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.titleOverview of Nursing Outcomes Effectiveness Researchen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159079-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Overview of Nursing Outcomes Effectiveness Research</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">Titler, Marita, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa Hospitals and Clinics</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Department of Nursing, T-100 General Hospital, 200 Hawkins Dr., Iowa City, IA, 52242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319-353-6995</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">marita-titler@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Joanne Dochterman, PhD, RN, FAAN; Debra Picone, PhD, RN; Rui Qin, MS; Taikyoung Kim, MS; Leah L. Shever, BSN, RN, Project Director; and Mary Kanak, PhDc, RN, Graduate Research Assistant</td></tr><tr><td colspan="2" class="item-abstract">Purpose: There is a recognized need for outcomes effectiveness research that captures the contributions of nursing practice. The purpose of this paper is to overview a conceptual model of outcomes effectiveness research, steps to construct a nursing outcomes effectiveness database, and methods to conduct nursing outcomes effectiveness research. <br/><br/>Conceptual Framework: The conceptual model to guide this nursing outcomes effectiveness research will be discussed using patients hospitalized with heart failure, hip fracture, and hospitalized older adults receiving the nursing treatment of Fall Prevention as exemplars. <br/><br/>Subjects: Over 12,000 acute care hospitalizations of patients ? 60 years of age with medical diagnosis of heart failure, hip fracture or hip procedures, and the nursing treatment of fall prevention, cared for from July 1, 1998 through June 30, 2002, at a large academic medical center in the Midwest, comprise the subjects. <br/><br/>Methods: Patients hospitalizations meeting pre-specified inclusion criteria were downloaded from 9 clinical (e.g. medical treatments, nursing treatments) and operational (e.g. cost) electronic data repositories to a SQL server. Data were linked at the individual patient level, and a relational database constructed. The Nursing Intervention Classification was used to document nursing care; thus nursing treatments are included in the database. <br/><br/>Results: The database contains over 500,000 data elements of patient demographics, comorbidity, severity of illness, medical treatments, nursing treatments, pharmacotherapy, staffing, and a variety of general and condition specific patient outcomes. Constructing the nursing outcomes effectiveness research database provided empirical evidence of nursing contributions (e.g. nursing treatments; staffing) to patient outcomes such as cost, length of stay, complications and others. A guideline for conducting effectiveness research in nursing and other healthcare services has also been formulated. <br/><br/>Conclusions: This represents an essential step in development of effectiveness research in nursing, using data repositories that incorporate standardized nursing language.</td></tr></table>en_GB
dc.date.available2011-10-26T21:40:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:40:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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