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Guidelines for Writing Outcome01:11

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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...
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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
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Following injury, the integrity of the injured tissues must be reestablished. For example, in skin tissue, wound repair involves coordination among resident skin cells, blood mononuclear cells, extracellular matrix, growth factors, and cytokines to complete the healing cascade.
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Using Learning Outcome Measures to assess Doctoral Nursing Education
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Developing outcome measures assessing wound management and patient experience: a mixed methods study.

Daisy Elliott1,

  • 1Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS.

BMJ Open
|November 29, 2017
PubMed
Summary

This study developed two new measures to assess surgical wound management and patient experience. These tools are quick, acceptable, and relevant for healthcare professionals and patients.

Keywords:
dressingsqualitative researchquestionnaire developmentwounds

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Area of Science:

  • Surgical wound management
  • Patient experience assessment
  • Outcome measure development

Background:

  • Effective management of primary surgical wounds is crucial for patient recovery and satisfaction.
  • Existing outcome measures may not fully capture the practical aspects of wound care and patient experience.

Purpose of the Study:

  • To develop and refine outcome measures for assessing practical management of primary surgical wounds.
  • To evaluate patient experiences related to surgical wounds and their dressings.

Main Methods:

  • Employed a mixed-methods approach, combining qualitative interviews with healthcare professionals and patients.
  • Analyzed data from published randomized controlled trials (RCTs) to identify existing outcome measures.
  • Iteratively developed and tested provisional questionnaire items through cognitive interviews for face validity and acceptability.

Main Results:

  • Identified 69 issues through data analysis and interviews, leading to the development of two distinct measures.
  • One measure focuses on healthcare professionals' perspectives of wound management (exudate, allergic reactions).
  • The second measure captures patients' experiences across seven domains (comfort, dressing, mobility, anxiety, satisfaction).

Conclusions:

  • Successfully developed two validated measures for assessing surgical wound management and patient experience.
  • Both measures are brief (under five minutes), understood, and acceptable to users.
  • Further research is needed to establish the validity, reliability, and broader applicability of these measures.