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Related Concept Videos

Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
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Methods of Documentation II: POMR

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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool
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Published on: June 30, 2014

A theoretical framework for patient-reported outcome measures.

Leah McClimans1

  • 1Department of Philosophy, University of South Carolina, Columbia, SC, USA. mccliman@mailbox.sc.edu

Theoretical Medicine and Bioethics
|June 8, 2010
PubMed
Summary
This summary is machine-generated.

Patient-reported outcome measures (PROMs) are crucial for healthcare assessment. This study proposes viewing PROMs through a philosophical lens, suggesting questions posed to patients should remain open to interpretation rather than standardized.

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Published on: June 30, 2014

Area of Science:

  • Health Services Research
  • Philosophy of Science
  • Qualitative Research Methods

Background:

  • Patient-reported outcome measures (PROMs) are widely utilized across healthcare to evaluate treatment effectiveness, symptoms, and quality of care.
  • Despite their prevalence, the theoretical foundations and interpretive challenges of PROMs remain underexplored.
  • Professor Donna Lamping's 2008 address highlighted the need to address theoretical issues in PROMs research.

Purpose of the Study:

  • To explore the theoretical underpinnings of Patient-reported outcome measures (PROMs).
  • To propose an analogy between PROMs and Hans-Georg Gadamer's philosophical hermeneutics of question and answer.
  • To advocate for a reevaluation of the standardization of questions within PROMs.

Main Methods:

  • Philosophical analysis drawing on Hans-Georg Gadamer's hermeneutics.
  • Conceptual argument regarding the nature of questions in Patient-reported outcome measures.
  • Critique of the prevailing approach to construct understanding and standardization in PROMs.

Main Results:

  • PROMs, like Gadamerian questions, involve constructs that are imperfectly understood and lack a gold standard.
  • The questions posed in PROMs are themselves subject to interpretation and should not be rigidly standardized.
  • A theoretical framework is proposed where PROMs function as genuine, open-ended questions to respondents.

Conclusions:

  • Standardizing PROM questions overlooks the inherent interpretive nature of patient responses and the constructs being measured.
  • Adopting a hermeneutic approach to PROMs allows for a richer understanding of patient experiences.
  • Future research should consider PROMs as dynamic inquiries, embracing their potential for reinterpretation.