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Related Experiment Videos

Developing an outcomes infrastructure for nursing. The Outcomes Taskforce

M T Lush1, D L Jones

  • 1Kaiser Permanente Medical Care Program, Northern California, USA.

Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1995
PubMed
Summary
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A new healthcare database infrastructure is being developed to evaluate patient care influenced by nursing interventions. It incorporates patient functional status, knowledge, engagement, and well-being for a comprehensive assessment.

Area of Science:

  • Healthcare Management
  • Nursing Research
  • Health Informatics

Background:

  • Evaluating patient care sensitive to nursing interventions is crucial.
  • Existing administrative measures may not fully capture nursing's impact.
  • A comprehensive evaluation framework is needed.

Purpose of the Study:

  • To develop and describe an infrastructure for evaluating patient care sensitive to nursing interventions.
  • To incorporate patient functional status, knowledge, engagement, and psychosocial well-being into care evaluation.
  • To establish the reliability and validity of data elements within this infrastructure.

Main Methods:

  • Developing a database infrastructure within a health maintenance organization.
  • Including traditional administrative measures alongside patient-centered clinical data.

Related Experiment Videos

  • Implementing algorithms for missing data and establishing reliability and validity of data elements.
  • Conducting a study to confirm the content validity of clinical data elements.
  • Main Results:

    • Structures for monitoring and supporting data reliability and validity are in place.
    • Algorithm elements have been created to manage missing data.
    • The model for the first generation of practice reports has been developed.
    • Content validity of clinical data elements has been established through a study.

    Conclusions:

    • The developed infrastructure provides a robust framework for evaluating nursing's impact on patient care.
    • Incorporating patient-reported outcomes enhances the sensitivity of care evaluation.
    • The study confirms the validity of clinical data elements for this purpose.