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Nursing-sensitive outcomes in adult inflammatory bowel disease: A systematic review
Rocco Spagnuolo1,2, Alessandro Corea1, Daniele Napolitano3
1Department of Clinical and Experimental Medicine, University "Magna Graecia", Catanzaro, Italy.
Aims:
To evaluate nursing activity through outcomes that are affected, provided, and/or influenced by nurses and defined as nursing-sensitive outcomes in adult IBD patients.
Design:
Systematic review without meta-analysis.
Data Sources:
PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library databases on August 2019.
Review Methods:
Peer-reviewed articles published between 2000-2020 were reviewed. The outcome measures were contextualized and presented by OMERACT Filter 2.0.
Results:
Twenty-four studies were included. Eighteen nursing-sensitive outcomes were identified. These outcomes defined eight domains for health intervention, fitting into three core areas (resource use/economic impact, life impact, pathophysiological manifestations). Fifty-three measurement instruments were identified.
Conclusions:
Through 53 measurement tools, with use of OMERACT framework, 18 nursing-sensitive outcomes in the main 3 core areas were identified, highlighting the multidimensional role of nursing. Further insights are to be carried out to define nursing outcomes included in IBD nursing intervention studies.
Impact:
These results could serve as a cornerstone for further investigations and validation by a panel of experts to standardizing nursing activity in a multidisciplinary context.
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