Does what nurses do affect clinical outcomes for hospitalized patients? A review of the literature.

Abstract:

OBJECTIVE:Through a review of the literature, to identify and describe (1) empirical studies of inpatient nursing care quality that evaluate links between nursing care processes and health-related patient outcomes, (2) nursing care processes for which process-outcome links have been established, and (3) important nursing care processes that have not yet been evaluated. DATA SOURCES/STUDY SETTING:Published empirical studies of inpatient nursing care quality that evaluated links between processes of nursing care and health-related patient outcomes. STUDY DESIGN/DATA COLLECTION/EXTRACTION METHODS:This literature review used a five-step article search and review method. PRINCIPAL FINDINGS:Of 257 data-based studies of nursing care quality identified, 135 investigated a process-outcome link but only 17 met study inclusion criteria. The literature provides evidence that the quality of nursing care processes affects health-related patient outcomes during and after hospitalization. Gaps in the literature that evaluates nursing quality are identified. CONCLUSIONS:Although some nursing care processes affect health-related patient outcomes, the full extent of nursing process-outcome links is relatively understudied. Further evaluation of the interrelationships between nursing care processes and outcomes is critical.

journal_name

Health Serv Res

journal_title

Health services research

authors

Lee JL,Chang BL,Pearson ML,Kahn KL,Rubenstein LV

keywords:

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

1011-32

issue

5 Pt 1

eissn

0017-9124

issn

1475-6773

journal_volume

34

pub_type

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