title: The impact of nursing care in Latin America and the Caribbean: a focus on outcomes.
abstract: A systems model is presented that has the potential to expand understanding of the complex nature of health-related outcomes. The horizontal axis is a systems axis of context, process and outcome and the vertical axis consists of the client, provider and setting. Examples from outcome research in Latin America and the Caribbean are provided. Each section is explored from the perspective of primary health care research and some of the issues of design, measurement and analysis are raised. The systems model is offered as a framework for conceptualizing research on the impact of nursing care on client, provider and setting outcomes.
authors.affiliation: WHO Collaborating Center, School of Nursing, University of California-San Francisco 94143-0604.
authors.forename: W L
authors.initials: WL
authors.lastname: Holzemer
mesh_terms: D017691:Caribbean Region; D006302:Health Services Research / Q000379:methods*; D006801:Humans; D007843:Latin America; D016294:Models, Nursing; D009732:Nursing Care / Q000592:standards*; D015403:Nursing Evaluation Research / Q000379:methods*; D010043:Outcome and Process Assessment, Health Care; D011320:Primary Health Care / Q000592:standards*; D013597:Systems Analysis