title: Evaluation of a client care delivery model, Part 2: Variability in client outcomes in community home nursing.
abstract: Using similar variables, Part II explores variation in client outcomes such as OMAHA knowledge, behavior, and SF-36 scores. Medical and nursing diagnoses explained large variations in client outcomes. Clients cared for by degree-prepared nurses improved knowledge and behavior scores. Unanticipated case complexity was negatively associated with client outcome even with nursing intervention. The study revealed that "for every unit increase in assignment of baccalaureate-prepared nurses, clients will on average demonstrate an 80% greater likelihood of improvement in knowledge scores and a 120% greater likelihood of improvement in behavior scores in relation to their health condition at discharge." This two-part study has offered insight into the controllable variables influencing the cost and quality of home care services.
authors.affiliation: Nursing Effectiveness, Utilization and Outcomes Research Unit, Home Care Evaluation and Research Center, Faculty of Nursing, University of Toronto, Ontario, Canada.
authors.forename: Linda-Lee
authors.initials: LL
authors.lastname: O'Brien-Pallas
authors.forename: Diane
authors.initials: D
authors.lastname: Irvine Doran
authors.forename: Michael
authors.initials: M
authors.lastname: Murray
authors.forename: Rhonda
authors.initials: R
authors.lastname: Cockerill
authors.forename: Souraya
authors.initials: S
authors.lastname: Sidani
authors.forename: Brenda
authors.initials: B
authors.lastname: Laurie-Shaw
authors.forename: Jacquelyn
authors.initials: J
authors.lastname: Lochhaas-Gerlach
mesh_terms: D002170:Canada; D003152:Community Health Nursing / Q000191:economics / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008137:Longitudinal Studies; D016294:Models, Nursing; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data; D018709:Statistics, Nonparametric