Academic literature on the topic 'Nursing sensitive outcome'
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Journal articles on the topic "Nursing sensitive outcome"
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Grant, Susan M., Lorie Wild, and Jeanne Vincent. "Process and outcome measures using nursing sensitive indicators." Nurse Leader 2, no. 2 (April 2004): 46–49. http://dx.doi.org/10.1016/j.mnl.2004.01.013.
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Gonçalves, Isabel, Diana Arvelos Mendes, Sílvia Caldeira, Élvio Jesus, and Elisabete Nunes. "The Primary Nursing Care Model and Inpatients’ Nursing-Sensitive Outcomes: A Systematic Review and Narrative Synthesis of Quantitative Studies." International Journal of Environmental Research and Public Health 20, no. 3 (January 29, 2023): 2391. http://dx.doi.org/10.3390/ijerph20032391.
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Background: The delivery of quality, safe, and patient-centered care is foundational for professional practice. The primary nursing model allows nurses to have excellent knowledge about patients and families and to plan and coordinate care from admission to discharge, with better management of health situations. Nurses play a crucial role in improving patients’ outcomes, namely those sensitive to nursing care. The knowledge of the relationship between the primary nursing model and the nursing-sensitive outcomes provides new scientific evidence that strengthens the relevance of this nursing care organization model in the inpatients’ health outcomes. This systematic review describes the relationship between nurse-sensitive inpatients’ outcomes and the primary nursing care model. Methods: A systematic review was conducted with a narrative synthesis, and the following databases were searched: MEDLINE, CINAHL, Web of Science, Nursing & Allied Health Collection, SciELO Collections, and Cochrane. Results: A total of 22 full texts were assessed, of which five were included in the study according to the selection criteria. The analysis results indicated that the primary nursing care model was related to nursing-sensitive patient safety outcomes. Patients’ experience was also considered a nursing-sensitive outcome, namely in the satisfaction with nursing care. Conclusion: The negative outcomes are clearly related to the primary nursing care model. There is scarce research that relates primary nursing to positive outcomes, such as patients’ functional status and self-care abilities, and more studies are needed.
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Yassien, Sahar, and Mona Hamdi. "Measuring Nursing Sensitive Outcomes in Patient with Acute Myocardial Infarction: Tool Development and Validation." Evidence-Based Nursing Research 1, no. 1 (April 11, 2019): 12. http://dx.doi.org/10.47104/ebnrojs3.v1i1.32.
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Context: The outcomes movement is a young science, improving care by determining the outcomes of nursing interventions will give scientific validity to strategies that are used by nursing in a variety of venues. Cardiovascular nurses contribute significantly to health outcomes and frequently assume responsibility for the clinical and organizational processes to ensure positive outcomes for patients and families
Aims: The aims of this study were to identify nursing-sensitive outcomes in patients with acute myocardial infarction, to develop a tool to measure nursing-sensitive outcomes of caring patients with myocardial infarction, and to evaluate the content, face validity, reliability and nursing sensitivity of 46 nursing sensitive-outcomes concerning bio-psycho-socio- educational aspects of care for patients with myocardial infarction from the Nursing Outcomes Classification (NOC). Methods: A survey research design was used in this study to assess the content and face validity of the designed instrument and inter-rater reliability was utilized to assure its reliability. Thirty patients with acute myocardial infarction subjected to measuring their nursing-sensitive outcomes during their stay in the CCUs or intermediate units. Fifty-nine experts were invited to participate in this study. Nursing-Sensitive Outcomes Measuring Scale was developed and subjected to testing reliability, validity, and sensitivity
Results: Most of the studied outcomes showed a high degree of consistency as indicated by ICC that was above 0.900. 100% of the experts rated 14 out of 46 outcomes as very important; the remaining outcomes were assessed by more than 75% of the experts as important. Also, 18 out of 46 outcomes were rated by the 100% experts as very sensitive to the contribution of nursing intervention; no one outcome was rated as not important or not sensitive for nursing contribution. Conclusions: The study provided evidence of outcomes content validity, reliability, and nursing sensitivity of the studied outcomes. The study recommended the testing of NOC outcomes in various clinical settings with appropriate training for nurses, and the inclusion of NOC into nursing curricula to utilized in clinical education as a continuum for nursing diagno- ses classification.
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Krapohl, Greta, Milisa Manojlovich, Richard Redman, and Lingling Zhang. "Nursing Specialty Certification and Nursing-Sensitive Patient Outcomes in the Intensive Care Unit." American Journal of Critical Care 19, no. 6 (November 1, 2010): 490–98. http://dx.doi.org/10.4037/ajcc2010406.
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Background To the public and to individual nurses, certification usually means expert, high-quality, competent nursing care. Little research, however, has yielded results that support, or refute, any differences in clinical practice between certified and noncertified nurses. Objectives To determine whether the proportion of certified nurses on a unit is associated with the rate of nurse-sensitive patient outcomes. Methods A nonexperimental, correlational, descriptive design was used to anonymously survey 866 nurses working in 25 intensive care units in Southeast Michigan. The Conditions for Work Effectiveness Questionnaire-II was used to measure workplace empowerment, and an additional question was asked about certification status. Outcome data were simultaneously collected on 3 nurse-sensitive patient outcomes: (1) rate of central line catheter-associated blood stream infection, (2) rate of ventilator-associated pneumonia, and (3) prevalence of pressure ulcers. Data were aggregated and analyzed at the unit level. Results No significant relationship was found between the proportion of certified nurses on a unit and patients’ outcomes. The association between nurses’ perception of overall work-place empowerment and certification, however, was positive and statistically significant (r=.397, P=.05). Conclusions Although a link between certification and nurse-sensitive outcomes was not established, the association between workplace empowerment and the proportion of certified nurses on a unit underscores the importance of organizational factors in the promotion of nursing certification.
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Behrenbeck, Julia G., Jane A. Timm, Linda K. Griebenow, and Kathy A. Demmer. "Nursing-Sensitive Outcome Reliability Testing in a Tertiary Care Setting." International Journal of Nursing Terminologies and Classifications 16, no. 1 (January 2005): 14–20. http://dx.doi.org/10.1111/j.1744-618x.2005.00002.x.
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El-Sayed, Reham, Tahany El-Senousy, and Sahar Yassien. "Effect of Self-Care Management on Nursing-Sensitive Patients’ Outcomes after Permanent Pacemaker Implantation." Evidence-Based Nursing Research 1, no. 1 (April 11, 2019): 11. http://dx.doi.org/10.47104/ebnrojs3.v1i1.29.
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Context: Nursing is striving to build a knowledge base that supports professional practice and improves the quality of care. Aim: This study aimed to evaluate the effect of self-care management guidelines on nursing-sensitive patients' outcomes after permanent pacemaker implantation. Methods: A quasi-experimental design was utilized in this study. A purposive sample of 50 patients admitted to the cardiac catheterization unit at Ain Shams University Hospital after permanent pacemaker implantation during their follow up visit. They are divided into two matched group study and control groups. Their mean age ±SD was 45.37±5.76, and 48.75±4.27 successively. Patient socio-demographic characteristic and medical data sheet, self-care management level assessment scale, and nursing-sensitive outcomes measuring scale were utilized to achieve the study aim.
Results: The study results revealed positive outcomes for patients of the study group compared to the controls and their pre-implementation level of self-care guidelines. Conclusion: The study concludes that implementation of self-care management guidelines reflected positively on enhancing all dimensions of nursing-sensitive patients' outcomes recommending that it should be applied in all cardiac catheterization units and should be updated periodically to enhance self-care management for those patients based on nursing-sensitive outcome classification.
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Haun, Courtney N., Zachary B. Mahafza, Chassidy L. Cook, and Geoffrey A. Silvera. "A Study Examining the Influence of Proximity to Nurse Education Resources on Quality of Care Outcomes in Nursing Homes." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 55 (January 1, 2018): 004695801878769. http://dx.doi.org/10.1177/0046958018787694.
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This examination seeks to determine the influence of proximal density to nurse education resources (nursing schools) on nursing home care quality outcomes in Alabama. Motivated by the social network theory, which highlights the influence of relational closeness on shared resources and values, we hypothesize that nursing homes that have higher levels of nursing education resources within a close proximity will exhibit significantly higher nursing home quality outcomes. As proximal density to nurse education resources increases, the opportunity for nursing homes to build closer, stronger ties increase, leading to higher quality outcomes. We examine this hypothesis via ordered logistic regressions of proximal density measures developed through geographic information systems (GIS) software, nurse education resource data from Johnson & Johnson’s Campaign for Nursing’s Future (n = 37), and nursing home quality outcome data from Centers for Medicare and Medicaid Services’s (CMS) Nursing Home Compare from 2016 (n = 226). The results find that increases in proximal density to nurse education resources have a negative and significant association with nursing home quality outcomes in Alabama. Additional sensitivity analysis, which examines the degree to which the nature of this relationship is sensitive to health care facilities’ location in high-density areas, is offered and confirms principal findings. Because nursing programs generally have stronger ties with hospitals, the findings suggest that the nursing homes in areas with higher nurse education resources may actually face greater competition for nurses.
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Behrenbeck, Julia G. "Nursing-Sensitive Outcome Implementation and Reliability Testing in a Tertiary Care Setting." International Journal of Nursing Terminologies and Classifications 14, s4 (October 2003): 12. http://dx.doi.org/10.1111/j.1744-618x.2003.012_1.x.
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Héon, Marjolaine, Marilyn Aita, Andréane Lavallée, Gwenaëlle De Clifford-Faugère, Geneviève Laporte, Annie Boisvert, and Nancy Feeley. "Comprehensive mapping of NICU developmental care nursing interventions and related sensitive outcome indicators: a scoping review protocol." BMJ Open 12, no. 1 (January 2022): e046807. http://dx.doi.org/10.1136/bmjopen-2020-046807.
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IntroductionNeurodevelopmental outcomes of preterm infant are still a contemporary concern. To counter the detrimental effects resulting from the hospitalisation in the neonatal intensive care unit (NICU), developmental care (DC) interventions have emerged as a philosophy of care aimed at protecting and enhancing preterm infant’s development and promoting parental outcomes. In the past two decades, many authors have suggested DC models, core measures, practice guidelines and standards of care but outlined different groupings of interventions rather than specific interventions that can be used in NICU clinical practice. Moreover, as these DC interventions are mostly implemented by neonatal nurses, it would be strategic and valuable to identify specific outcome indicators to make visible the contribution of NICU nurses to DC.ObjectivesThe overarching objective of this review is to identify the nature, range, and extent of the literature regarding DC nursing interventions for preterm infants in the NICU. The secondary twofold objectives are to highlight interventions that fall into identified categories of DC interventions and suggest nursing-sensitive outcome indicators related to DC interventions in the NICU.Inclusion criteriaPapers reporting on or discussing a DC nursing intervention during NICU hospitalisation will be included.Methods and analysisThe Joanna Briggs Institute’s methodology for scoping reviews will be followed. CINAHL, MEDLINE, Embase, PubMed, Web of Science, Scopus, ProQuest and PsycInfo databases from 2009 to the present will be searched. Any type of paper, published in English or French, will be considered. Study selection and data extraction will be conducted by pairs of two review authors independently. A qualitative content analysis will be conducted.Ethics and disseminationNo Institutional Review Board ethical approbation is needed. Results of this review will be presented in scientific meetings and published in refereed papers.
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Stewart, Barbara J., and Patricia G. Archbold. "Nursing intervention studies require outcome measures that are sensitive to change: Part two." Research in Nursing & Health 16, no. 1 (February 1993): 77–81. http://dx.doi.org/10.1002/nur.4770160110.
Full textDissertations / Theses on the topic "Nursing sensitive outcome"
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DANIELIS, MATTEO. "NURSING SENSITIVE OUTCOMES IN INTENSIVE CARE UNIT. A FOCUS ON THE FAMILY ENGAGEMENT IN HEALTHCARE." Doctoral thesis, Università degli Studi di Milano, 2022. http://hdl.handle.net/2434/891808.
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Driven by the current need of achieving high-reliability and patient-focused organization, several efforts have been enacted with the purpose of identifying and qualifying nursing care’s contribution to patients’ outcomes in Intensive Care Unit (ICU). The main aim of this thesis was to advance knowledge in critical care nursing with regard to nursing outcomes in the ICU.
Thirty-five Nursing Sensitive Outcomes (NSOs) have been identified from a scoping review. Pressure ulcers, ventilator-associated pneumonia, and physiological parameter changes have been the top three reported outcomes, while those related to the physical dimension (such as bowel status) and the experience of being in intensive care (such as family participation in care) have been rarely reported. In addition, as an expression of both the structural and process dimensions of care, a total of 21 nursing factors have been studied to date. Early mobility programmes, the use of algorithms, checklists and specific assessment tools, nurse staffing and compliance with care bundles have been largely studied as being able to affect NSOs in the ICU. Conversely, little research investigating family member’s contributions to care in ICU, including its outcomes on family itself and on patient care, has been rendered available.
Thus, the aim of the Family ENgagement in Intensive Care Environments (FENICE) project was to assess the effects of a family engagement program on family members’ satisfaction and on patients’ well-being and quality of life post-discharge. When questioned, relatives of critically ill patients discharged from an ICU experienced a mix of negative and positive feelings in the early stages. Three main themes summarized the experience of relatives in the first three months after ICU discharge: ‘Being shaken following ICU discharge’; ‘Returning to our life that is no longer what it used to be’ and ‘Feeling powerless due to the COVID-19 pandemic’.
Finally, from an educational perspective, ICUs were perceived as good learning environments where undergraduate nursing students reported learning a high degree of competences compared with other clinical rotations. Therefore, this context of care can promote positive attitudes regarding the NSOs, by moving nursing care from a task orientation to an outcomes focus since the undergraduate education.
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Tseng, Hui-Chen. "Use of standardized nursing terminologies in electronic health records for oncology care: the impact of NANDA-I, NOC, and NIC." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/1409.
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The purpose of this study was to identify the characteristics of cancer patients and the most frequently chosen nursing diagnoses, outcomes and interventions chosen for care plans from a large Midwestern acute care hospital. In addition the patients' outcome change scores and length of stay from the four oncology specialty units are investigated. Donabedian's structure-process-outcome model is the framework for this study. This is a descriptive retrospective study. The sample included a total of 2,237 patients admitted on four oncology units from June 1 to December 31, 2010. Data were retrieved from medical records, the nursing documentation system, and the tumor registry center. Demographics showed that 63% of the inpatients were female, 89% were white, 53 % were married and 26% were retired. Most patients returned home (82%); and 2% died in the hospital. Descriptive analysis identified that the most common nursing diagnoses for oncology inpatients were Acute Pain (78%), Risk for Infection (31%), and Nausea (26%). Each cancer patient had approximately 3.1 nursing diagnoses (SD=2.5), 6.3 nursing interventions (SD=5.1), and 3.7 nursing outcomes (SD=2.9). Characteristics of the patients were not found to be related to LOS (M=3.7) or outcome change scores for Pain Level among the patients with Acute Pain. Specifically, 88% of patients retained or improved outcome change scores.
The most common linkage of NANDA-I, NOC, and NIC (NNN), a set of standardized nursing terminologies used in the study that represents nursing diagnoses, nursing-sensitive patient outcomes and nursing interventions, prospectively, was Acute Pain--Pain Level--Pain Management. Pain was the dominant concept in the nursing care provided to oncology patients. Risk for Infection was the most frequent nursing diagnosis in the Adult Leukemia and Bone Transplant Unit. Patients with both Acute Pain and Risk for Infection may differ among units; while the traditional study strategies rarely demonstrate this finding. Identifying the pattern of core diagnoses, interventions, and outcomes for oncology nurses can direct nursing care in clinical practice and provide direction for future research tot targets areas of high impact and guide education and evaluation of nurse competencies.
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Clark, Carla Green. "Benchmarking nurse sensitive quality patient outcomes across the continuum of care." Diss., The University of Arizona, 2003. http://hdl.handle.net/10150/289874.
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The impact health care delivery changes have on nursing and subsequently on the health of individuals, families, and the community are unknown to the nursing profession as well as the public. Delineation of patient outcomes sensitive to nursing care and their benchmarks would enable the nursing profession to evaluate system changes being implemented. Establishing targets for patient outcomes will provide facilities with benchmarks to measure themselves against. The purposes of this study were first, to identify if the nurse sensitive patient outcomes identified by the AAN expert panel are appropriate and second, to establish benchmarks for these outcomes that are applicable across the continuum of care. The appropriateness and benchmarks were determined through a Delphi study with nurse experts identified from the health care continuum of primary health care providers, hospitals, home care, hospice, and long term care. The five patient outcomes are Appropriate Self Care Behaviors, Symptom Management, Health Promoting Behaviors, Perceptions of Being Well Cared For, and Health Related Quality of Life (HRQOL). All patient outcomes were deemed appropriate for all healthcare settings. Two indicators of Health Related Quality of Life were excluded by the panel from Acute Care. Consensus was reached for the majority of patient outcomes. There were only seven benchmarks out of 18 for each continuum of care (a total of 90) that did not achieve consensus. The acute care participants did not reach consensus on one indicator within Health Promoting Behaviors. The remaining six were from Hospice participants: one indicator of Appropriate Self Care, all indicators of Health Promoting Behaviors and two within Health Related Quality of Life. The majority of benchmarks were in the mid to high range. Long Term Care tended to have lower scores than the other settings. Patient self care behaviors were very low for hospice patients. The indicators that did not meet consensus criteria were stable indicating that scores were not changing between rounds. Sample size of participants prevent citation of results for Home Care, Hospice and Long Term Care. Benchmarks can be set and used to evaluate the effectiveness of nursing care and the impact of system changes.
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England, Jessica Brooke. "An integrative literature review: the relationship between healthy work environment and nursing-sensitive patient outcomes." Montana State University, 2012. http://etd.lib.montana.edu/etd/2012/england/EnglandJ0512.pdf.
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The impact of the nursing work environment on patient safety has received national attention, and has led to efforts to reduce morbidity and mortality in the health care environment (American Hospital Association, 2004). According to the American Association of Critical-Care Nurses, (2005) there is mounting evidence that unhealthy work environments contribute to medical errors, ineffective care delivery, and stress among health care professionals. There are few studies that examine a healthy work environment and the effect on patient outcomes. The purpose of this integrative literature review was to analyze the research that has been completed on healthy work environments and the effect they have on nursing-sensitive patient outcomes. An extensive literature search was performed using the following databases: the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature On-Line (MEDLINE), The Agency for Health care Research and Quality Patient Safety Network (AHRQ PSN), and The Robert Wood Johnson Foundation publications on-line database. The studies were evaluated using the following strategies: overall quality, data reduction, and identification of patterns, themes, variations and relationships. They were then further analyzed and synthesized using; data display, data comparison, conclusion drawing and verification. Twelve studies met the inclusion criteria and were compiled, organized by theme and analyzed based on similarities and differences. The data was examined, discrepancies and gaps in literature were discussed and conclusions were drawn based on the patterns found in the literature. The majority (n= 9; 75%) of the articles that met inclusion criteria suggested that a healthy work environment effects nursing sensitive patient outcomes by showing a decrease in the number of negative outcomes. However researchers used multiple healthy work environment factors and different patient outcomes in each study making it difficult to compare results. The findings of this research suggests the need for better identification of a healthy work environment, the use of consistent nursing-sensitive patient outcomes by researchers, and suggests the importance of a healthy work environment on all aspects of patient care. Findings strengthen the principle that the work environment at the unit level mediates the effects of nursing interventions.
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Oh, Hyunkyoung. "Validation of nursing-sensitive knowledge and self-management outcomes for adults with cardiovascular diseases and diabetes." Diss., University of Iowa, 2016. https://ir.uiowa.edu/etd/3153.
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Cardiovascular diseases (CVD) and diabetes are the most significant chronic diseases globally due to their high prevalence and mortality. People with CVD or diabetes need to know how to self-manage their health conditions to promote, maintain, and restore their health status. The Nursing Outcomes Classification (NOC) has assisted nurses and other health care providers to evaluate and quantify the status of the patient and has reflected the current health care issues that are to prevent progression of chronic diseases. Based on the current health focus, additional knowledge and self-management NOC outcomes were developed and added to the latest edition of NOC published in 2013. Generally, validation of measurement tools is required to provide trustworthy evidence for use in practice. As measurement tools, NOC outcomes with their definitions, indicators, and measurement scales need to be validated for accuracy, meaningfulness, and usefulness before they are widely used in various health settings. To provide clinical evidence for effective nursing practice such as accurate assessments and evaluations, validation of NOC outcomes is required. The purpose of this study was to validate 12 NOC outcomes focused on knowledge and self-management for people with CVD and diabetes.
A descriptive exploratory design was used to validate the selected NOC outcomes, and a two round survey using the Delphi technique was used to collect data from the invited experts via email. Two subject populations were invited. The first expert group was related to standardized nursing languages (SNL) and invited experts were members of NANDA International or a fellow of the Center for Nursing Classification and Clinical Effectiveness (CNC). The second expert group was related to self-management and invited experts were members of two research interest groups which are Health Promoting Behaviors Across the Lifespan and Self Care in the Midwest Nursing Research Society (MNRS). Descriptive statistics were used to determine the definition adequacy, clinical usefulness of measurement scales, and similarity between content of knowledge and self-management outcomes. The Outcome Content Validity (OCV) method was used for the content validity of outcomes and their indicators.
A total of 46 and 27 nurse experts participated in the first and second round surveys, respectively. The mean age of participants was 51.87 years (SD=13.03) and the mean of experience in nursing was 27.67 (SD=14.75) years. Most participants had experience using SNL (82.6%). Each outcome reported acceptable psychometric properties. The range of definition adequacy of the 12 NOC outcomes was from 3.71 to 4.29 (perfect score is 5.0). The range of clinical usefulness for using measurement scales was from 3.77 to 4.29. The range of content similarity of the six pairs was from 3.88 to 4.35. Every evaluated NOC outcome identified as critical with over .80 OCV scores (perfect score 1.0). More than 80% of indicators were categorized in the critical level in the first round. Thus, psychometric properties of the 12 NOC outcomes were acceptable to use in the clinical settings.
By using validated NOC outcomes, nurses caring of patients with CVD or diabetes can evaluate patient outcomes effectively, and determine the effect of nursing interventions accurately. Development of new NOC outcomes and validation of them will provide nurses with measurement tools to use with patients, clinical evidence for quality improvement and knowledge development in nursing.
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Thacker, Lauren E. "Relationship-Based Care: Primary Nursing as a Practice and Outcomes to Evaluate Effectiveness." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1397642758.
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Gallart, i. Vivé Elisabet. "Qualitat de vida relacionada amb la salut i resultats sensibles a intervencions infermeres en pacients ingressats a cures intensives sotmesos a ventilació mecànica." Doctoral thesis, Universitat de Lleida, 2017. http://hdl.handle.net/10803/405995.
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Objectiu: Valorar la qualitat de vida relacionada amb la salut en pacients sotmesos a ventilació mecànica en una Unitat de Cures Intensives i la seva relació amb els resultats sensibles a intervencions infermeres.
Mètodes: Estudi d’una cohort prospectiva en que es van incloure durant 14 mesos consecutius els pacients ingressats a l’UCI de l’Hospital Universitari Vall d’Hebron sotmesos a ventilació mecànica durant més de 48 hores. Es va valorar la qualitat de vida relacionada amb la salut a l’ingrés mitjançant els qüestionaris SF-36 i Qüestionari Respiratori de Saint Georges (QRSG) i a l’alta de l’UCI. Els mateixos qüestionaris es van repetir a l’any de l’alta. Els Resultats Sensibles a Intervenció d’Infermeria (RSII) i les variables clíniques relacionades amb la patologia i l’evolució es van recollir de la documentació clínica diàriament. Es va realitzar una anàlisi descriptiva i analítica de la relació entre les variables principals.
Resultats: La cohort inicial va estar formada per 184 pacients, a l’any se’n van poder estudiar 151. En els components resum (físic i mental) de l’SF-36 i la puntuació total del QRSG existien diferències estadísticament significatives entre la valoració a l’ingrés i a l’any (p= 0,001; p=0,001 i p<0,001 respectivament).Cap dels RSII van presentar associació estadísticament significativa amb els components resum de l’SF-36 ni amb cap dimensió del QRSG.
Conclusions: Els pacients que van requerir ventilació mecànica durant el seu ingrés a l’UCI van presentar millor qualitat de vida a l'any de la seva alta que la que presentaven a l’ingrés, però va continuar sent pitjor que la de la població de referència. No es va poder determinar que existís relació entre els resultats sensibles a intervencions infermeres i la qualitat de vida a l’any dels pacients.Objetivo: Valorar la calidad de vida relacionada con la salud en pacientes sometidos a ventilación mecánica en una Unidad de Cuidados Intensivos y su relación con los resultados sensibles a intervenciones enfermeras. Métodos: Estudio de una cohorte prospectiva en que se incluyeron durante 14 meses consecutivos los pacientes ingresados en la UCI del Hospital Universitario Vall d'Hebron sometidos a ventilación mecánica durante más de 48 horas. Se valoró la calidad de vida relacionada con la salud en el ingreso mediante los cuestionarios SF-36 y Cuestionario Respiratorio de Saint Georges (QRSG) y al alta de la UCI. Los mismos cuestionarios se repitieron al año del alta. Los Resultados Sensibles a Intervención de Enfermería (RSIE) y las variables clínicas relacionadas con la patología y la evolución se recogieron de la documentación clínica diariamente. Se realizó un análisis descriptivo y analítico de la relación entre las variables principales. Resultados: La cohorte inicial estuvo formada por 184 pacientes, al año se pudieron estudiar 151. En los componentes resumen (físico y mental) de l’SF-36 y la puntuación total del QRSG existían diferencias estadísticamente significativas entre la valoración al ingreso y al año (p = 0,001; p = 0,001 y p <0,001 respectivamente). Los componentes resumen de l’SF-36 (Físico = 46, Mental = 47) y la puntuación total del QRSG (12 vs 8) tuvieron peores resultados al año que la población de referencia. Ninguno de los RSIE presentaron asociación estadísticamente significativa con los componentes resumen del SF-36 ni con el QRSG. Conclusiones: Los pacientes que requirieron ventilación mecánica durante su ingreso en la UCI presentaron mejor calidad de vida al año del alta que la que presentaban al ingreso, aunque continuó siendo peor que la de la población de referencia. No se pudo determinar relación entre los resultados sensibles a intervenciones enfermeras y la calidad de vida al año de los pacientes.
Objective: To assess the HRQL of mechanically ventilated patients admitted to ICU and its relation to nurse-sensitive outcomes (NSO). Methods: A prospective cohort of admitted to d'Hebron University Hospital ICU who underwent mechanical ventilation for more than 48 hours were included for 14 consecutive months. Health-related quality of life at admission and discharge from ICU was assessed using the SF-36 and Saint Georges Respiratory (QRSG) questionnaires. The same questionnaires were also utilised 1 year after ICU discharge. Nursing Sensitive Outcomes (NSO) and clinical variables related to patient’s diagnosis and clinical course were collected from patient records on a daily basis. A descriptive and analytical analysis of variables’ relationship performed. Results: The initial cohort consisted of 184 patients. Follow-up a year after discharge was done on 151 patients. In the summary components (physical and mental) of the SF-36 as well as the total score of the QRSG there were statistically significant differences between the assessment performed at ICU admission and the one performed a year after ICU discharge (p = 0.001, p = 0.001 and p <0.001, respectively). The summary components of the SF-36 (Physical = 46, Mental = 47) and the total QRSG score (12 vs 8) results obtained a1 year after ICU discharge were worse if compared with the ones obtained from the reference population. None of the NSO had a statistically significant association with the SF-36 summary components or any dimension of the QRSG. Conclusions: Patients who required mechanical ventilation during ICU admission had better quality of life 1 year after ICU discharge when compared with ICU admission, but was worse when compared with the reference population. It was not possible to determine if there is a relationship between NSO and quality of life a year after ICU discharge.
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Jones, Terry Lynn Clark Angela P. "Nursing sensitive process and outcome measures in patients with adult respiratory distress syndrome (ARDS) receiving mechanical ventilation." 2004. http://repositories.lib.utexas.edu/bitstream/handle/2152/2031/jonestl042.pdf.
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Jones, Terry Lynn. "Nursing sensitive process and outcome measures in patients with adult respiratory distress syndrome (ARDS) receiving mechanical ventilation." Thesis, 2004. http://hdl.handle.net/2152/2031.
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Ofner, Marianne. "Outcome and Predictors of In-hospital 6-week Mortality associated with Invasive Methicillin Resistant Staphylococcus aureus (MRSA) versus Methicillin Sensitive Staphylococcus aureus (MSSA) Infection." Thesis, 2013. http://hdl.handle.net/1807/35918.
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Background: Staphylococcus aureus (SA) infections are common and important within the hospital environment. The case fatality rate of invasive Staphylococcus aureus (SA) infections is between 20-40%. Whether the infection is due to methicillin resistant SA (MRSA) or methicillin sensitive SA (MSSA) may determine outcomes. Literature to date is inconclusive regarding whether antimicrobial resistance in SA affects patient outcomes. Host factors, infection-host interactions, and treatment-related factors may also influence case fatality.
Objectives: The purpose of this study was to determine if patients with MRSA invasive infections were more likely to die than those with MSSA invasive infections, and what factors were associated with death.
Methods: A retrospective matched case control study was designed, comparing cases of MRSA with controls of MSSA invasive disease from hospitals participating in the Canadian Nosocomial Infection Surveillance Program (CNISP). Two analyses were run: the first, to identify the variables associated with MRSA vs. MSSA infections, and the second, to determine the variables associated with death in invasive Staphylococcal aureus (S. aureus) infections. Backward logistic regression analysis was used for the MRSA vs. MSSA analysis and a hierarchical logistic regression model for assessment of risk factors for death.
Results: In the logistic regression MRSA model the variables: recent prior use of antibiotics, Charlson Comorbidity Index score > 2 and not having received appropriate empiric antibiotics were associated with MRSA vs. MSSA infections. The hierarchical model identified older age, higher CCI scores, immunosuppression, bloodstream infection, septic shock, neurological dysfunction and not receiving appropriate empiric antibiotic as associated with death. MRSA infection was not more likely to be associated with increased mortality than MSSA infection. Those with a resistant infection (MRSA) however, were less likely to receive appropriate empiric antibiotic treatment.
Conclusions: Appropriate empiric antibiotics are the most important and only modifiable risk factor identified. Elderly patients who are on immunosuppressive drugs and have chronic comorbid conditions need to be monitored and screened more often since they are more at risk for death than others.
Books on the topic "Nursing sensitive outcome"
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Diane, Doran, and Almost Joan, eds. Nursing sensitive outcomes: The state of the science. Sudbury, Mass: Jones and Bartlett Pub., 2003.
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Nursing sensitive outcomes: The state of the science. Sudbury, Mass: Jones and Bartlett Pub., 2003.
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White, Peggy, Dorothy Pringle, Joan Almost, Linda McGillis, Heather Laschinger, Claire Mallette, Judy Watt-Watson, and Souraya Sidani. Nursing Sensitive Outcomes: The State of the Science. Jones & Bartlett Publishers, 2003.
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Comisso, Irene, Alberto Lucchini, Stefano Bambi, Gian Domenico Giusti, and Matteo Manici. Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes. Springer, 2018.
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Comisso, Irene, Alberto Lucchini, Stefano Bambi, Gian Domenico Giusti, and Matteo Manici. Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes. Springer, 2019.
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Yang, Ke-Ping Agnes. PREDICTORS OF NURSING SENSITIVE PATIENT OUTCOMES IN LONG-TERM CARE FACILITIES IN TAIWAN, ROC (CHINA, NURSING HOMES). 1995.
Find full textConference papers on the topic "Nursing sensitive outcome"
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Aoufy, Khadija El, Laura Rasero, Guya Piemonte, Gianni Virgili, Serena Guiducci, Cosimo Bruni, Silvia Bellando Randone, and Marco Matucci-Cerinic. "AB1355-HPR A SYSTEMATIC LITERATURE REVIEW (SLR) ON NURSING SENSITIVE OUTCOMES IN SYSTEMIC SCLEROSIS (SSC)." In Annual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019. BMJ Publishing Group Ltd and European League Against Rheumatism, 2019. http://dx.doi.org/10.1136/annrheumdis-2019-eular.7685.
Full textReports on the topic "Nursing sensitive outcome"
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Hook, Mary L. The Impact of Electronic Knowledge-Based Nursing Content and Decision-Support on Nursing-Sensitive Patient Outcomes. Fort Belvoir, VA: Defense Technical Information Center, February 2014. http://dx.doi.org/10.21236/ada614256.
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