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Outcome evaluation: an essential component for CNS practice.

L D Urden1

  • 1Spectrum Health, Grand Rapids, Michigan, USA.

Clinical Nurse Specialist CNS
|May 21, 1999
PubMed
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Clinical nurse specialists (CNSs) are vital in evaluating healthcare outcomes. This article details their role in assessing cost-effectiveness and patient impact within innovative care models.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Health Services Research

Background:

  • Healthcare systems face significant cost and delivery changes.
  • Innovative care models require multidisciplinary teams.
  • Evaluating care effectiveness on patient and system outcomes is crucial.

Purpose of the Study:

  • To describe the role of the Clinical Nurse Specialist (CNS) in outcomes evaluation.
  • To delineate various types of outcomes, distinguishing nurse-sensitive from medical/collaborative care outcomes.
  • To provide examples of valid, reliable, and comparable measurement tools for outcomes assessment.

Main Methods:

  • Literature review on outcomes evaluation in healthcare.
  • Analysis of the CNS role in implementing and evaluating care delivery changes.

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  • Identification and description of measurement tools for diverse outcomes.

    • Main Results:

    • CNSs are uniquely qualified to lead outcomes evaluation.
    • Clear differentiation between nurse-sensitive and collaborative care outcomes is presented.
    • Practical, comparable measurement tools are identified for CNS use.

    Conclusions:

    • CNSs play an integral role in evaluating the impact of innovative healthcare models.
    • Effective outcomes evaluation by CNSs supports evidence-based practice and system improvement.
    • The findings have direct implications for CNS professional practice and healthcare quality.