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A theoretical model for nursing systems outcomes research

B A Mark, J Sayler, C S Smith

    Nursing Administration Quarterly
    |January 1, 1996
    PubMed
    Summary

    This study presents a comprehensive model integrating organizational context and structure to better understand patient and nursing outcomes. It aims to overcome fragmented knowledge from previous research approaches.

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    Area of Science:

    • Healthcare Management
    • Nursing Research
    • Health Services Research

    Background:

    • Traditional nursing research often overlooks organizational context when examining outcomes.
    • Health services research frequently ignores structural characteristics when studying outcomes like mortality.
    • Both approaches lead to incomplete understanding of healthcare performance.

    Purpose of the Study:

    • To introduce a comprehensive theoretical model for healthcare organizations.
    • To integrate organizational context, structure, and outcomes (patient and nursing administrative).
    • To address limitations of fragmented knowledge in existing research.

    Main Methods:

    • Development of a comprehensive theoretical model.
    • Integration of organizational context and structural characteristics.

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  • Examination of relationships with patient and nursing administrative outcomes.

    • Main Results:

    • The proposed model offers a holistic framework for analyzing healthcare performance.
    • It accounts for the interplay between context, structure, and diverse outcomes.
    • Provides a foundation for more integrated and complete research.

    Conclusions:

    • A unified theoretical model is essential for advancing healthcare research.
    • Integrating context and structure provides a richer understanding of patient and nursing outcomes.
    • This model can guide future research and improve healthcare quality.