Using large data bases in nursing and health policy research

Lange, Linda; Jacox, Ada

doi:10.1016/8755-7223(93)90037-d

Cited by 25 publications

(13 citation statements)

References 17 publications

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“…In general, administrative databases contain data that have been gathered as a by-product of some other process; the data may be collected and entered by hundreds of individuals at many locations; usually, there are few, if any, quality checks on the data; records may have different lengths and structures within the same database; and missing data are common. 32,33 One of the most obvious disadvantages is that these systems were not created for research purposes and, in most cases, researchers did not have input into the design or types of information collected by the systems. They may lack some of the details that researchers might want.…”

Section: Discussionmentioning

confidence: 98%

Surgeon Perceptions and Reported Complications in Spine Surgery

Dekutoski¹,

Norvell²,

Dettori³

et al. 2010

Spine

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We define a complication as an unintended and undesirable diagnostic or therapeutic event that may impact the patient's care. Complications should be recorded and analyzed relative to disease severity, patient comorbidities, and ultimately their effect on patient outcomes. Further work needs to be done to develop a complication risk impact index that has the ability to help us assess and communicate the interaction of patient comorbidities and complication severity on patient centered outcomes.

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Section: Discussionmentioning

confidence: 98%

Surgeon Perceptions and Reported Complications in Spine Surgery

Dekutoski¹,

Norvell²,

Dettori³

et al. 2010

Spine

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“…Reoperation rates indicated in this study were not analyzed by a prospective cohort study but were estimated from data retrospectively obtained from a registration database in a particular area. Basically, studies using administrative databases have inevitable limitations: (1) there are few (if any) quality checks on data, and missing data are common [24,25]; (2) databases are often not created for research purposes and may lack some details that researchers may want [24,25]; (3) data of individuals are not analyzed completely. Thus, the reliability of our spine registration system is a limitation in this study, as data from all spine surgeries in Miyagi Prefecture may not be correctly recorded.…”

Section: Discussionmentioning

confidence: 99%

Reoperation for recurrent lumbar disc herniation: a study over a 20-year period in a Japanese population

Aizawa

Ozawa

Kusakabe

et al. 2012

Journal of Orthopaedic Science

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“…Orientation of nurses to OCS was addressed previously. Subtle changes in data collection techniques may occur as diagnostic abilities of individual s improve over time (Lange & Jacox, 1993). This may occur in any setting, and therefore, these effects may be mediated.…”

Section: Data Collectionmentioning

confidence: 95%

Surveillance as a Nursing Intervention: Use in Community Nursing Centers

Schoneman¹

2002

Journal of Community Health Nursing

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The purpose of this multisite retrospective descriptive study was to describe the nature of surveillance as a nursing intervention within 3 urban community nursing centers (CNCs). Secondary analysis of clinical data was conducted for clients seen in 1995. The CNCs used the Automated Community Health Information System (Lundeen & Friedbacher, 1994), a relational database. Nursing diagnoses and interventions were described according to the Omaha Classification System (Martin & Scheet, 1992b). The sample included 1,506 unduplicated clients who received care during 5,248 encounters and was characterized by more adults 20 years and older (56.1%), women (71.0%), and African Americans (77.2%). The age range of the clients was infancy to 95 years (M = 29.90 years). Surveillance was a significant nursing intervention making up 27.1% of all interventions (7,557 of 27,898), and 68.5% of the clients received surveillance. There was a significant relation between the provision of surveillance and age range, chi 2 (5, N = 1,427) = 211.96, p < or = .001, V = .385, and gender, chi 2 (1, N = 1,501) = 17.90, p < or = .001, phi = .109. Clients who were 40 years and older and who were women were more likely to receive surveillance. Surveillance was provided most often for the diagnoses of circulation and nutrition. Health promotion and disease prevention diagnoses were more likely to prompt surveillance. The provision of surveillance was linked to age and developmental risk factors.

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Using large data bases in nursing and health policy research

Cited by 25 publications

References 17 publications

Surgeon Perceptions and Reported Complications in Spine Surgery

Surgeon Perceptions and Reported Complications in Spine Surgery

Reoperation for recurrent lumbar disc herniation: a study over a 20-year period in a Japanese population

Surveillance as a Nursing Intervention: Use in Community Nursing Centers

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