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Advancing nursing's accountability for outcomes

M L Maas1

  • 1University of Iowa College of Nursing, Iowa City, USA.

Outcomes Management for Nursing Practice
|February 12, 1998
PubMed
Summary
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Advancing nursing accountability requires standardized nursing diagnoses, interventions, and outcomes. Empowering nurses and fostering positive attitudes are crucial for demonstrating accountability in patient care.

Area of Science:

  • Nursing
  • Healthcare Management
  • Patient Outcomes

Background:

  • Nursing outcomes accountability is an emerging field.
  • Current progress is limited by the lack of standardized nursing terminologies and practices.
  • Systemic changes are needed to support nurses in demonstrating accountability.

Purpose of the Study:

  • To highlight the essential components for advancing nursing outcomes accountability.
  • To identify key areas requiring development for improved nursing practice and patient outcomes.

Main Methods:

  • Literature review and conceptual analysis of nursing accountability frameworks.
  • Discussion of necessary changes in nursing delivery systems and professional attitudes.
  • Identification of critical elements for nursing clinical decision making and documentation.

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Main Results:

  • Standardized nursing diagnoses, interventions, and nursing-sensitive patient outcomes are fundamental.
  • Empowerment of nurses, individually and collectively, is essential for accountability.
  • Positive attitudes and behaviors across nursing roles are critical for progress.

Conclusions:

  • Nursing outcomes accountability requires a multi-faceted approach.
  • Integration of standardized practices and empowered nursing roles will enhance patient care accountability.
  • Further exploration of specific actions is needed to advance the discipline.