2.50
Hdl Handle:
http://hdl.handle.net/10755/160800
Type:
Presentation
Title:
Risk Factors Associated with Patient Outcomes of Older Adults
Abstract:
Risk Factors Associated with Patient Outcomes of Older Adults
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Kerr, Peg, PhD
P.I. Institution Name:University of Iowa
Title:Systems and Practice
Contact Address:378 Nursing Bldg, Iowa City, IA, 52242-1121, USA
Contact Telephone:319-335-7086
Co-Authors:P. Kerr, D. Reed, College of Nursing, University of Iowa, Iowa City, IA; M. Clarke, Genesis Medical Center, Davenport, IA;
The objective of this retrospective, descriptive study was to contribute to risk adjustment method development for nursing effectiveness research for older adults. The specific aims were to determine which outcomes are important in this population, describe patient characteristics related to improvement or lack of improvement in these Nursing Outcomes Classification (NOC) scores, examine interrelationships among variables, and determine whether the characteristics vary among age groups in their influence on outcome status. The characteristics included age, sex, primary and comorbid medical diagnoses, and nursing diagnoses. Iezzoni's model of risk provided the framework, and represents what is called the 'algebra of effectiveness' - the concept that outcomes are a function not only of patient characteristics and random events, but also of quality and effectiveness of care: The data set contained NANDA and NOC, and consisted of all discharges from a 321-bed hospital in the midwest between Jan 1 and Dec 31, 2005. The outcomes selected most frequently for patients 65 and older were determined with frequency analysis; contingency table methods and chi-square were used to evaluate the association between outcome status and each variable. Characteristics found to be significant with univariate analyses were combined into multiple logistic regression models, and interaction terms introduced to estimate whether age has a moderating effect. The 10 NOC outcomes selected most frequently by nurses included five in the category of knowledge outcomes, two pain-related outcomes (Pain Control and Pain Level), Risk Control, Tissue Integrity, and Fall Prevention. Sex and number of NANDAs were not significant predictors. Age was a significant predictor for all outcomes, with the exception of Tissue Integrity. Number of medical comorbidities was also an important predictor of lack of improvement in most outcomes. Several medical diagnosis categories were signficantly related to outcome status. This research is a significant innovation for nursing effectiveness research because it yields information about risk factors to be accounted for in analysis of outcomes in this population, and lays groundwork for development of conceptual models specifying risk factors.
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.titleRisk Factors Associated with Patient Outcomes of Older Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160800-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Risk Factors Associated with Patient Outcomes of Older Adults</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kerr, Peg, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Systems and Practice</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">378 Nursing Bldg, Iowa City, IA, 52242-1121, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319-335-7086</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">peggy-kerr@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">P. Kerr, D. Reed, College of Nursing, University of Iowa, Iowa City, IA; M. Clarke, Genesis Medical Center, Davenport, IA;</td></tr><tr><td colspan="2" class="item-abstract">The objective of this retrospective, descriptive study was to contribute to risk adjustment method development for nursing effectiveness research for older adults. The specific aims were to determine which outcomes are important in this population, describe patient characteristics related to improvement or lack of improvement in these Nursing Outcomes Classification (NOC) scores, examine interrelationships among variables, and determine whether the characteristics vary among age groups in their influence on outcome status. The characteristics included age, sex, primary and comorbid medical diagnoses, and nursing diagnoses. Iezzoni's model of risk provided the framework, and represents what is called the 'algebra of effectiveness' - the concept that outcomes are a function not only of patient characteristics and random events, but also of quality and effectiveness of care: The data set contained NANDA and NOC, and consisted of all discharges from a 321-bed hospital in the midwest between Jan 1 and Dec 31, 2005. The outcomes selected most frequently for patients 65 and older were determined with frequency analysis; contingency table methods and chi-square were used to evaluate the association between outcome status and each variable. Characteristics found to be significant with univariate analyses were combined into multiple logistic regression models, and interaction terms introduced to estimate whether age has a moderating effect. The 10 NOC outcomes selected most frequently by nurses included five in the category of knowledge outcomes, two pain-related outcomes (Pain Control and Pain Level), Risk Control, Tissue Integrity, and Fall Prevention. Sex and number of NANDAs were not significant predictors. Age was a significant predictor for all outcomes, with the exception of Tissue Integrity. Number of medical comorbidities was also an important predictor of lack of improvement in most outcomes. Several medical diagnosis categories were signficantly related to outcome status. This research is a significant innovation for nursing effectiveness research because it yields information about risk factors to be accounted for in analysis of outcomes in this population, and lays groundwork for development of conceptual models specifying risk factors.</td></tr></table>en_GB
dc.date.available2011-10-26T23:10:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:10:52Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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