A theoretical model of the determinants of mortality.
Outcome research in nursing has been criticized for being atheoretical. Although there has been research investigating patient mortality as an outcome, there has been little discussion about models or theories of nursing-related determinants of mortality for hospitalized patients. Yet, unnecessary patient mortality is an important patient safety outcome. This article describes development of beginning theory of determinants of patient mortality culminating with a revised mortality model. Conclusions are made related to plans for further testing and refinement of the revised mortality model. Further, the utility of the proposed model in practice is discussed.
Tourangeau
Ann E
AE
Faculty of Nursing, University of Toronto, Ontario Ministry of Health and Long-term Care, and Institute for Clinical Evaluative Sciences in Ontario, Toronto, Canada. ann.tourangeau@utoronto.ca
D000208:Acute Disease / Q000401:mortality / Q000451:nursing; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D015897:Comorbidity; D003266:Continuity of Patient Care / Q000458:organization & administration; D006272:Health Facility Environment / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D017052:Hospital Mortality; D006801:Humans; D019359:Knowledge; D016294:Models, Nursing; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009742:Nursing Theory; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D012307:Risk Factors; D017751:Safety Management / Q000458:organization & administration