Patient health outcomes in psychiatric mental health nursing.
This integrative literature review examined evidence concerning the relationship between psychiatric mental health nursing interventions and patient-focused outcomes. Empirical studies, published between 1997 and 2007, were identified and gathered by searching relevant databases and specific data sources. Although 156 articles were critically appraised, only 25 of them met the inclusion criteria. Findings from this review showed that the most frequently used outcome instruments assessed psychiatric symptom severity. Most of the instruments targeted two symptom categories: altered thoughts/perceptions and altered mood. Other outcome instruments were categorized in the following domains: self-care, functioning, quality of life and satisfaction. The most important finding of this review is the lack of consistently strong evidence to support decisions concerning which outcome instrument or combination of instruments to recommend for routine use in practice. Based on this review, additional research to conceptualize, measure and examine the feasibility of outcome instruments sensitive to psychiatric mental health nursing interventions is recommended.
Montgomery
P
P
School of Nursing, Laurentian University, Sudbury, ON, Canada. pmontgomery@laurentian.ca
Rose
D
D
Carter
L
L
D000339:Affect; D055318:Evidence-Based Nursing / Q000458:organization & administration*; D006304:Health Status; D006801:Humans; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology; D008603:Mental Health; D024802:Nurse's Role; D009730:Nursing Assessment; D015403:Nursing Evaluation Research / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D017060:Patient Satisfaction; D011446:Prospective Studies; D011568:Psychiatric Nursing / Q000458:organization & administration*; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D012648:Self Care; D012680:Sensitivity and Specificity