Overview

Nursing Outcomes: State of the Science 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. Awarded 5 Stars from Doodys Review Service!

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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.

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