2. “Outcomes research examines the end results of health services on individuals and is
intended to provide scientific evidence relating to decisions made by all who
participate in healthcare” (Schmidt & Brown, 2015).
Nursing outcomes measure states, behaviors, or perceptions of individuals, families,
or communities (Moorehead, Johnson, Maas, & Swanson, 2013)” (Sctmidt & Brown,
2015).
“Outcomes research differs from traditional clinical research in that outcomes are
typically measures from the patient’s perspective, and expanded measures of
outcomes are used, such as the quality of life and cost-effectiveness” (Stewart, M.
G., 2004).
3. Who is being
measured?
Individuals
Groups
Organizations
What type of outcome is being
measured?
Care-related
Patient-related
Performance-related
4. Research shows that when patients are engaged in their health care, it can lead to
measurable improvements in safety and quality
(http://www.ahrq.gov/professionals/systems/hospital/index.html).
Outcomes research is BASED ON THE PAITENT’S PERCEPTION of the
outcome.
Researchers also use expanded measures of outcome, such as quality of life,
functional status, and quality of life.
In a traditional trial researchers focus on efficacy – which is determined in a
rigorous clinical trial- versus effectiveness, which is determined in a population
based study.
5. Outcomes research came about because of “certain geographic variations and
treatment appropriateness, as well as the maturation of psychometrics” (Stewart,
M. G., 2004).
“Outcome-based measurements are a means used to establish evidence-based
practice (EBP) and to evaluate the care delivered. In healthcare, many activities
are income driven. The rising costs of healthcare, increasingly stringent
accreditation standards, and public reporting are several reasons why outcomes
are closely scrutinized and are integral to ensuring the successful implementation
of an innovation” (Schmidt & Brown, 2015).
The problem is… “in healthcare outcomes are typically quantitative, not
qualitative!” (Schmidt & Brown, 2015).
This can lead to focusing on the numbers and when quantifying subjective data,
the result is not always representative of the outcomes data.
6. Schmidt, N. A. & Brown, J. M. (2015). Evidence-based practice for nurses:
Appraisal and application of research (3rd ed.). Burlington, MA: Jones & Bartlett
Learning
Stewart, M. G. (2004). Outcomes research: An overview. ORL : Journal for Oto -
Rhino - Laryngology and its Related Specialties, 66(4), 163-6. Retrieved from
http://search.proquest.com/docview/225082361?accountid=14375
Agency for Health Care Research and Quality. (2016, June). PCOR Findings for
AHRQ’s Dissemination and Implementation Initiative. Retrieved
from http://www.ahrq.gov/(http://www.ahrq.gov/professionals/systems/hospital/ind
ex.html).