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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
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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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Nursing Clinical Information System (NCIS)
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Updated: Jul 4, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Problem resolution scale: A single-item instrument for easily assessing clinical improvement.

Grégoire Vitry1, Rytis Pakrosnis2, Jeffrey B Jackson3

  • 1LACT, Paris, France, University Paris Descartes, Paris, France.

Journal of Marital and Family Therapy
|February 8, 2024
PubMed
Summary

The Problem Resolution Scale (PRS) effectively measures therapy outcome. This single-item tool shows strong validity in assessing client and therapist perceptions of problem resolution.

Keywords:
outcome assessmentproblem resolutionpsychotherapy outcome researchsingle‐item scalestrategic systemic therapy

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Therapeutic Assessment

Background:

  • Assessing therapy effectiveness is crucial for clinical practice and research.
  • Existing measures may be lengthy, posing challenges for routine use.
  • A concise, valid measure of problem resolution is needed.

Purpose of the Study:

  • To develop and validate the Problem Resolution Scale (PRS), a single-item measure.
  • To assess the degree to which the focal problem in therapy is perceived as resolved.
  • To evaluate the PRS's construct and criterion validity.

Main Methods:

  • The PRS was administered at therapy termination to 747 clients across 18 therapists.
  • Construct validity was examined by correlating client and therapist PRS ratings.
  • Criterion validity was assessed by correlating PRS scores with psychological well-being and functioning.

Main Results:

  • Strong correlation between client and therapist PRS ratings (r=0.71, p<0.001) supported construct validity.
  • Significant correlations between client-reported PRS scores and psychological well-being/functioning (r=-0.63, p<0.001) supported criterion validity.
  • Therapist-reported PRS scores also showed strong criterion validity (r=-0.66, p<0.001).

Conclusions:

  • The Problem Resolution Scale (PRS) demonstrates good construct and criterion validity.
  • The PRS is a valid and useful single-item measure for assessing therapy problem resolution.
  • Findings support the PRS's utility in clinical and research settings.