Relationship between nursing interventions and outcome achievement in acute care settings.
The extent to which nursing interventions provided during hospitalization are associated with patients' therapeutic self-care and functional health outcomes was explored with a voluntary sample of 574 patients. Nurses collected data on patient outcomes at admission and discharge using the minimum data set (MDS) and the therapeutic self-care scale (TSCS). Research assistants audited charts for documentation of nursing interventions. The results indicated that nursing interventions aimed at exercise promotion, positioning, and self-care assistance predicted functional status outcome. Higher functional status outcome predicted therapeutic self-care ability at hospital discharge. The results demonstrate that nurses can use MDS and TSCS data on patient outcomes to gain insight into the effectiveness of their interventions.
Doran
Diane
D
Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Harrison
Margaret B
MB
Laschinger
Heather
H
Hirdes
John
J
Rukholm
Ellen
E
Sidani
Souraya
S
Hall
Linda McGillis
LM
Tourangeau
Ann E
AE
Cranley
Lisa
L
D000203:Activities of Daily Living; D000208:Acute Disease / Q000451:nursing*; D001494:Baths / Q000451:nursing; D003625:Data Collection; D004282:Documentation / Q000592:standards; D005081:Exercise Therapy; D006293:Health Promotion; D006801:Humans; D016013:Likelihood Functions; D024802:Nurse's Role; D009730:Nursing Assessment; D009731:Nursing Audit; D009732:Nursing Care / Q000379:methods / Q000592:standards*; D015403:Nursing Evaluation Research; D009736:Nursing Process; D009737:Nursing Records / Q000592:standards; D009864:Ontario; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010343:Patient Admission; D010351:Patient Discharge; D010353:Patient Education as Topic; D012044:Regression Analysis; D012648:Self Care / Q000592:standards