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Related Experiment Videos

Evaluating the quality of caring: structure, process, and outcome.

S Shiber, E Larson

    Holistic Nursing Practice
    |April 1, 1991
    PubMed
    Summary

    Attributing patient outcomes to nursing care requires further research. Defining patient outcomes and structural components of caring is essential for linking care processes to results.

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    Area of Science:

    • Nursing
    • Healthcare Quality
    • Patient Outcomes

    Background:

    • Establishing a direct link between the nursing process of caring and specific patient outcomes remains challenging.
    • Recent studies have identified components and indicators of caring from patient and nurse perspectives.
    • Nursing leaders have proposed frameworks for examining and testing caring processes.

    Purpose of the Study:

    • To highlight the need for further research into the relationship between nursing care and patient outcomes.
    • To emphasize the importance of defining patient outcomes and structural components of caring.
    • To advocate for a shift in viewing caring as a process rather than an endpoint.

    Main Methods:

    • Literature review of recent studies on caring components and indicators.
    • Analysis of theoretical frameworks proposed by nursing leaders.
    • Conceptual analysis of the relationship between caring processes and patient outcomes.

    Main Results:

    • Progress has been made in describing caring components and indicators.
    • Existing educational, organizational, and professional structures may impede the creation of a caring milieu.
    • A clear definition of patient outcomes is a prerequisite for linking them to the caring process.

    Conclusions:

    • Individual nurses cannot solely ensure a caring relationship without supportive structures.
    • Greater attention is needed on the structural components that facilitate caring.
    • Viewing caring as a process and defining its link to patient outcomes is crucial for advancing nursing practice.

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