Quality Health Outcomes Model

Abstract

The quality health outcomes model is sufficiently broad (a) to guide development of databases for quality improvement and outcomes management, (b) to suggest key variables in clinical intervention research, and (c) to provide a framework for outcomes research and outcomes management that compares not only treatment options, but organizational or system level interventions. The model also has several policy implications.

Comparative Study of Patients’ Satisfaction with Nursing Service in Major Units of Selected Training Hospitals in Tehran

“…Since the past three decades, the use of patients' opinions has been considered in order to improve on the provision of health care and at present, patients' satisfaction is one of the most important criteria for measuring the quality of health service provided [9]. Accordingly, a patient's satisfaction with nursing service is very important, and serves as a part of the patient's satisfaction with the treatment process [10].…”

The Conceptualization of Physical Restraint as a Nursing-Sensitive Adverse Outcome in Acute Care Psychiatric Treatment Settings

“…The purpose of this article was to examine the extant literature to determine if evidence supports the conceptualization of a physical restraint episode as an adverse client outcome that is sensitive to the organization of nursing care in psychiatric settings. An adapted version of the Quality Health Outcomes Model (Mitchell, P. H., Ferketich, S., & Jennings, B. M. (1998). Quality Health Outcomes Model.…”

“…A physical restraint episode is hypothesized as an adverse outcome that is influenced by elements of organizational structures and processes, and therefore is sensitive to psychiatric nursing care. An adapted version of the Quality Health Outcomes Model (Mitchell, Ferketich, & Jennings, 1998) was used as the ontological foundation for the conceptualization of a physical restraint episode as an adverse client outcome (see Figure 1). The purpose of this article was to examine the extant literature to determine if evidence supports the adapted version of the model for the conceptualization of a physical restraint episode in acute psychiatric settings as an adverse outcome that is sensitive to nursing care.…”

Measuring and improving health care quality: nursing's contribution to the state of science

“…For example, some research has addressed the recommendations set forth at the June 1996 Invitational Conference, 24 which included: (1) Developing, explicating, and testing theory about the assumed causal relations between the structure and process variables and the related health outcome variables; [17][18][19][20][21][22][23][25][26][27][28][29] (2) encouraging creative strategies to utilize existing primary and secondary data sets to generate control or comparison groups and to conduct outcomes research; [30][31][32][33][34][35] (3) capitalizing on natural experiments that change structures or processes to test theory about causal or interactive relations among organizational factors and outcomes; (4) increasing expertise in methodological issues unique to organizational research; [36][37][38][39] and (5) refining selected outcome categories. [40][41][42] However, despite the progress made, there is urgent need for further research, especially in view of the dramatic changes in health care delivery and the expanded care provider roles of nurses in a variety of settings.…”