Nursing Outcomes: State of the Science

by Diane M. Doran

Overview

This book is Print on Demand. Orders take 4-6 weeks to fulfill.Doody's Review Service - 5 Stars!Nursing Outcomes: State of the Science, Second Edition is an invaluable resource for nurse researchers, scholars, and health care professionals committed to effective, quality nursing care as evidenced by nursing-sensitive outcomes measurement. This text concentrates on outcome indicators which focus on how patients and their conditions are affected by their interaction with nursing staff. Each chapter includes a concept analysis of the outcome concept; then defining characteristics are identified and a conceptual definition is proposed.Factors that influence the outcome concept are discussed, as well as the consequences for clients' health and well-being. The strength of the evidence is reviewed concerning the sensitivity of the outcome concept to nursing structure variables and nursing/processes interventions. The author offers a comprehensive synthesis of the literature, critically reviews the quality of the evidence, and provides direction for the selection of outcome variables and approaches to measurement. An ideal Resource for MSN and DNP Programs teaching outcomes research, outcomes evaluation, evaluation and measurement of outcomes. © 2011 | 522 pages

Product Details

ISBN-13:	9780763783259
Publisher:	Jones & Bartlett Learning
Publication date:	06/07/2010
Edition description:	2E
Pages:	522
Product dimensions:	8.50(w) x 10.80(h) x 1.20(d)

About the Author

Diane Doran, PhD, RN, is an Associate Professor in the Faculty of Nursing and Associate Dean of Research and International Relations. Dr. Doran is a co-investigator with the Nursing Effectiveness, Utilization, and Outcome Research Unit, Faculty of Nursing, University of Toronto and co-investigator of the Patient Safety Research Cluster, at the University of Toronto. She is a recipient of the Premiers Research Excellence Award and her research has been further recognized in receiving the Canadian Association University Schools of Nursing Award of Excellence in Nursing Research and the Dorothy Pringle Research Excellence Award from the Lambda Pi Chapter of Sigma Theta Tau International. The foci of her research are the evaluation of methods for improving the quality of health care, the design and measurement of nursing sensitive patient outcomes, health care teams, and innovations in patient safety. One group of studies has focused on the evaluation of interventions designed to teach members of multidisciplinary teams methods for making improvements in clinical practice. A second group of studies is focusing on the evaluation of methods for assessing a select set of patient outcomes that are sensitive to nursing care. A third study is focusing on an evaluation of the feasibility and cost of instituting data collection on nursing sensitive outcomes for acute care, home care, long-term care and complex continuing care. Dr. Doran has published articles on quality improvement in health care, nursing sensitive outcomes, and health care teams.

Table of Contents

Chapter Acknowledgements
Chapter Preface
Chapter 1 Patient Outcomes as an Accountability
Chapter 2 Functional Status
Chapter 3 Self-Care
Chapter 4 Symptom Management
Chapter 5 Pain as a Symptom Outcome
Chapter 6 Adverse Patient Outcomes
Chapter 7 Psychological Distress as a Nurse Sensitive Outcomes
Chapter 8 Patient Satisfaction as a Nurse-Sensitive Outcome
Chapter 9 Mortality Rate - A Nursing-Sensitive Outcome
Chapter 10 Health Care Utilization
Chapter 11 Nursing Databases: Inputs and Outcomes

Editorial Reviews

Reviewer: Diane M Tomasic, EdD, RN (Slippery Rock University )
Description: This is the second edition of a critical review and analysis of the literature on nursing-sensitive outcomes that are considered to be indicators of nursing effectiveness. The first edition was published in 2003.
Purpose: The primary purpose is to provide a synthesis of the review from the first edition and update it with new empirical evidence including conceptual literature. A secondary purpose is to review the methods and tools used to measure outcome concepts and the evidence's reliability, validity, and sensitivity. These are worthwhile objectives, as the measurement of outcomes is important for showing improved patient outcomes.
Audience: Graduate and undergraduate nursing students interested in the state of the science of nursing outcome measurement are the intended readers. The book also will be of interest to researchers for the selection of outcome variables and their measurement.
Features: Each chapter includes an analysis of the outcome concept with defining characteristics and a proposed conceptual definition. Factors that influence the concept and consequences for the patient's health and well-being are discussed. Directions for future practice and research are detailed. The book begins with a chapter on patient outcome as accountability, which introduces the concept of measuring outcomes and the framework and methodology for conducting the literature review. Concepts discussed include functional status, self-care, symptom management, pain as a symptom outcome, adverse patient outcomes, psychological distress as a nurse-sensitive outcome, patient satisfaction as a nurse-sensitive outcome, mortality rate as a nurse-sensitive outcome, and healthcare utilization. The final chapter covers nursing minimum data sets.
Assessment: This book is a worthwhile resource for learning about outcomes and the emphasis on providing quality care evidenced by nursing-sensitive outcomes. This second edition is needed to review and synthesize the most current evidence.

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