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Gordon's Functional Health Patterns and Their Association with Patient and Organizational Outcomes: A Scoping Review
Clarissa Santos de Lima Araújo1, Larissa Maiara da Silva Alves Souza2, Agueda Mª Ruiz Zimmer Cavalcante1
1Nursing College, Federal University of Goiás, Rua 227, Viela Q. 68, S/N-Setor Leste Universitário, Goiânia 74605-080, GO, Brazil.
Healthcare (Basel, Switzerland)
|May 13, 2026
Summary
Gordon's Functional Health Patterns (FHPs) improve patient outcomes like quality of life and reduce hospital readmissions. Integration into electronic health records enhances nursing data and decision-making.
Area of Science:
- Nursing Science
- Health Informatics
- Evidence Synthesis
Background:
- Nursing assessment frameworks are vital for holistic patient care and quality initiatives.
- Gordon's Functional Health Patterns (FHPs) are a comprehensive, widely adopted nursing assessment framework.
- Evidence linking FHPs to patient and organizational outcomes requires synthesis.
Purpose of the Study:
- To map evidence on the use of FHPs concerning patient and organizational outcomes.
- To examine FHPs' integration into electronic health records (EHRs).
- To analyze the analytical methods used in studies of FHPs.
Main Methods:
- Scoping review following Joanna Briggs Institute methodology and PRISMA-ScR guidelines.
- Searched PubMed, CINAHL, and Scopus for quantitative primary studies.
- Data extracted by three independent reviewers from seven included studies.
Main Results:
- FHPs associated with improved patient outcomes (quality of life, well-being, clinical parameters, self-management, functional performance).
- FHPs linked to reduced hospital readmissions and nursing workload.
- Most studies used standardized terminologies (NANDA-I, NOC, NIC) and EHR documentation.
Conclusions:
- FHPs offer a structured approach with benefits for patient and organizational outcomes.
- EHR integration of FHPs supports standardized, data-driven nursing practice.
- Further research is needed to establish causal links and guide implementation.
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