week-12-discussion-601

1. Kristina
Hutton
Touro
University
MSNV-601
OUTCOME
RESEARCH

2.  “Outcome 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
health care.”- Schmidt and Brown (2015, p. 487)
 Schmidt, N. A., & Brown, J. M. (2015). Evidence-Based Practice for
Nurses: Appraisal and Application of Research. (3rd ed.). Burlington, MA:
Jones & Bartlett Learning.
 “Outcomes research is defined by its focus on the result of
healthcare interventions and policies that focuses attention
on safety, effectiveness, equity, efficiency, timeliness, and
patient-centeredness of high-quality health systems.”-
Krumholz (2008)
 Krumholz, H. M., (2008). Outcomes Research: Generating Evidence for Best
Practices and Policies, American Heart Association Journals, 118(3). DOI:
http://dx.doi.org/10.1161/CIRCULATIONAHA.107.690917
OUTCOME RESEARCH DEFINED

3. CATEGORIES OF OUTCOME
RESEARCH
Care-Related Patient-Related Performance-Related
Measures the effect of
nursing interventions
Related to patient’s
behaviors or actions
Related to how nurses
perform their job
Short-Term Intermediate Long-Term
Outcome results
achieved in brief period
of time that involves a
change in condition
When changes occur
after an innovation is
implemented
Primary changes in
patient’s behaviors or
status
Nursing-Sensitive
Demonstrates effectiveness of nursing care reported by
nursing administration
-Schmidt, N. A., & Brown, J. M. (2015). Evidence-Based Practice for Nurses:
Appraisal and Application of Research. (3rd ed.). Burlington, MA: Jones &
Bartlett Learning.
-Page 488

4. EXAMPLES OF OUTCOME RESEARCH
Care-Related Patient-Related Performance-Related
Rate of VAP developed in
patients intubated for
more than 48 hours
Patient knowledge
related to diabetic diet
Adherence to best
practice when providing
outpatient education on
blood pressure
medication
Short-Term Intermediate Long-Term
Patient’s ability of
administering insulin
Lifestyle changes in
diabetic diets and weight
loss
Compliance with diabetic
lifestyle and lowered
HgbA1c results
Nursing-Sensitive
Rate of central line bloodstream infections

5.  Establishes evidence-based practices
 Evaluates care delivered to patients
 Improvement of health-care quality and efficiency
 Decrease costs of health-care
 Health-care delivered is safer
POSITIVE ASPECTS
-Schmidt, N. A., & Brown, J.
M. (2015). Evidence-Based
Practice for Nurses:
Appraisal and Application of
Research. (3rd ed.).
Burlington, MA: Jones &
Bartlett Learning.

6.  Results of outcome research can be altered easily such as
in the sample selected, how the data is collected, and the
reporting of the data.
 Research can be driven/altered by money or private
organizations with personal goals
 -Schmidt, N. A., & Brown, J. M. (2015). Evidence-Based Practice for
Nurses: Appraisal and Application of Research. (3rd ed.). Burlington,
MA: Jones & Bartlett Learning.
 Krumholz, H. M., (2008). Outcomes Research: Generating Evidence
for Best Practices and Policies, American Heart Association
Journals, 118(3). DOI:
http://dx.doi.org/10.1161/CIRCULATIONAHA.107.690917
NEGATIVE ASPECTS

7.  Outcome research is relevant, applied, and practical
research that attempts to improve care of patients and
society. Gaps in quality of care are addressed.
 Krumholz, H. M., (2008). Outcomes Research: Generating Evidence for Best
Practices and Policies, American Heart Association Journals, 118(3). DOI:
http://dx.doi.org/10.1161/CIRCULATIONAHA.107.690917
CONCLUSION