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Rethinking Nursing Outcome Measures: A Call to Action.
Joan Vitello-Cicciu1, Priscilla Gazarian
1Author Affiliations: Donna M. & Robert J. Manning Chair in Nursing, Dean and Professor (Dr Vitello-Cicciu), Professor and Associate Dean for Academic Affairs (Dr Gazarian), Tan Chingfen Graduate School of Nursing, UMass Chan Medical School, Worcester, MA.
The Journal of Nursing Administration
|February 18, 2026
Summary
This article advocates for recognizing and measuring nurses' contributions. It calls for developing positive, nursing-sensitive outcomes to demonstrate the value of quality nursing care.
Area of Science:
- Nursing
- Healthcare Quality Improvement
- Health Services Research
Background:
- Current quality metrics often focus on negative outcomes or absence of care.
- There is a recognized need to better quantify the positive impact of nursing interventions.
Purpose of the Study:
- To advocate for a paradigm shift in measuring nursing care quality.
- To emphasize the development of nursing-sensitive outcomes that reflect nursing's positive contributions.
Main Methods:
- This is a department article, presenting a call to action and conceptual framework.
- It synthesizes current discussions on quality measurement in acute and critical care nursing.
Main Results:
- A comprehensive approach to measuring quality nursing care is proposed.
- The development of "nursing-sensitive outcomes" is advocated.
Conclusions:
- Nurse leaders must champion the visibility of nursing value.
- Moving beyond negative indicators is crucial for accurate quality assessment.
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