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The Value of Nursing Care: A Concept Analysis
Tracey K Dick1, Patricia A Patrician2, Lori A Loan3
1PhD Student, School of Nursing, University of Alabama at Birmingham, Birmingham, AL.
Aim:
To report an analysis of the concept of value of nursing care.
Background:
Value-based health care delivery and reimbursement models are focused on value as a product of quality and cost. Nursing care provides tangible and intangible contributions to patient and organizational outcomes. The nursing profession must be able to proactively and effectively communicate the value of nursing care.
Design:
Concept analysis.
Data Sources:
Thirty-five separate sources were chosen from database searches of CINAHL Complete and ABI/INFORM Complete. Key terms utilized for the search were "nursing value" OR "nursing care value" OR "value of nursing".
Methods:
Caron and Bowers' (2000) dimensional analysis method was used as a guide for the project.
Results:
Dimensions identified from this concept analysis included: (a) economic, (b) relational, and (c) societal.
Conclusion:
Direct care nurses experience the relational and societal dimensions of the value of nursing care. Patients and/or families experience the relational dimension of value in nursing care. Health care administrators, third-party payers, and nurse researchers interpret value from the economic dimension. Future nursing research should better quantify the economic value of nursing care. Qualitative research which focuses on how patients and families experience the value of nursing care would also contribute to further refinement of this concept.
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