Nurses' Effect on Changing Patient Outcomes

Wiley - Tập 27 Số 2 - Trang 95-99 - 1995
Dorothy Brooten1, Mary D. Naylor2
1Overseer's Professor in Perinatal Nursing and Director of the Center for Low Birthweight Research;
2Killebrew Censits Term Professor of Undergraduate Education, both at the University of Pennsylvania School of Nursing, Philadelphia. The authors wish to acknowledge the assistance of Rilma Lewis.

Tóm tắt

Emphasis on examining provider effects and resulting patient outcomes has grown considerably in the past several decades. This paper highlights the effect of nurses on changing patient outcomes. The most important issues raised include the types of patient outcomes that should be measured; the amount and type of nursing (or “nurse dose”) needed to effect patient outcomes; the nurse dose needed in a given health care environment to demonstrate an effect; and the nurse dose needed for effects with differing patient groups.

Từ khóa


Tài liệu tham khảo

10.1097/00005650-199408000-00002

Alexander J.S., 1988, Effectiveness of a nurse managed program for children with chronic asthma, Journal of Pediatric Nursing, 3, 312

American Nurses Association, 1976, Guidelines for review at the local level

Aydelotte M.K., 1962, The use of patient welfare as a criterion measure, Nursing Research, 11, 10, 10.1097/00006199-196201110-00007

10.1056/NEJM198610093151505

10.1111/j.1547-5069.1988.tb00032.x

Brooten D., 1994, A randomized clinical trial of early hospital discharge and nurse specialist home followup of women with unplanned cesarean birth, Obstetrics and Gynecology, 84, 832

Brown S., 1992, A meta‐analysis of process of care, clinical outcomes, and cost effectiveness of nurses in primary care roles: Nurse practitioners and nurse midwives

10.1016/0277-9536(87)90154-7

DeFriese G.(1992).Outcomes research: Implications for the effectiveness of nursing practice. National Institutes of Health Patient Outcomes Research: Examining the Effectiveness of Nursing Practice(11–15). (DHHS publication No. 93–3411).

10.1056/NEJM198912213212506

Hegyvary S.(1992).Outcomes research: Integrating nursing practice into the world view. National Institutes of Health Patient outcomes research: Examining the effectiveness of nursing practice(17–24). (DHHS publication No 93–3411).

Hollingsworth A. Cohen S. Finkler S. Rubin M. &Morgan M.(in review).A randomized trial of early hospital discharge and home followup discharge and home followup of women having hysterectomy.

Joint Commission on Accreditation of Hospitals, 1975, PEP workbook for nurses

10.1093/geront/28.4.469

10.2105/AJPH.79.9.1271

10.7326/0003-4819-104-3-410

Lang N.M. &Marek K.D.(1992).Outcomes that reflect clinical practice. National Institute of Health Patient Outcomes Research: Examining the Effectiveness of Nursing Practice(27–38). (DHHS publication No. 93–3411).

10.1177/014572178801400115

Main D., 1987, Prospective evaluation of a risk scoring system for predicting preterm delivery in black inner city women, Obstetric and Gynecology, 69, 61

10.1002/1097-0142(19890915)64:6<1375::AID-CNCR2820640634>3.0.CO;2-6

10.1097/00002800-199100540-00009

10.7326/0003-4819-120-12-199406150-00005

10.1002/nur.4770130509

Neidlinger L., 1987, Cost evaluation of discharge planning for hospitalized elderly, Nursing Economics, 5, 225

Nightingale F., 1858, Notes on matters affecting the health, efficiency, and hospital administration of the British Army

10.1097/00005650-197710000-00005

10.2105/AJPH.72.1.55

Rubenstein.L.V. Chang B.L. Keeler E.B. &Kahn K.L.(1992).Measuring the quality of nursing surveillance activities for five diseases before and after implementation of the drug‐based prospective payment system. National Institute of Health Patient outcomes research: Examining the effectiveness of nursing practice(39–53). (DHHS publication No. 93–3411).

Safriet B., 1992, Health care dollars and regulatory sense: The role of advanced practice nursing, Yale Journal on Regulation, 9, 417

Scott W.R., 1976, Organizational research in hospitals, 72

U.S. Congress, Office of Technology Assessment, 1986, Nurse practitioners, physician assistants, and certified nurse midwives: A policy analysis

Verran J.A. &Mark B.(1992).Contextual factors influencing patient outcomes individual/group/environment: Interactions and clinical practice interface. National Institute of Health Patient outcomes research: Examining the effectiveness of nursing practice(121–143). (DHHS publication No. 93–3411).

Weisman C.S.(1992).Nursing practice models: Research on patient outcomes. National Institute of Health Patient outcomes research: Examining the effectiveness of nursing practice(112–120). (DHHS publication No. 93–3411).

York R. Brown L. Samuels P. Swank A. Armstrong C. &Robbins D.(in review).A randomized clinical trial of early discharge and nurse specialist home follow up of high risk childbearing women.