The identification and characterization of nurse-sensitive outcomes in acute and critical care: A systematic review

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-02-24 DOI:10.1016/j.outlook.2025.102379

Natalie L. McEvoy PhD, RN, FAAN , Laura Beth Kalvas PhD, RN , Killian Walsh BA, MA , Martha A.Q. Curley PhD, RN, FAAN

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引用次数: 0

Abstract

Background

Few nurse-sensitive patient and family outcome measures are included in hospital core metrics used for accreditation, credentialing, or recognition.

Purpose

Identify and characterize patient and family outcome measures that are sensitive to the work of acute and critical nursing.

Methods

Systematic literature review that included all age groups and excluded measures commonly reported for hospital accreditation, credentialing, or recognition (i.e., patient falls, pressure injuries/pressure ulcers, and hospital-acquired infections).

Discussion

In total, 16 studies met review criteria. Eight (50%) studies were conducted in acute care, five (31.3%) in critical care, and three (18.8%) in surgical settings. Eight (50%) were conducted in adults, four (25%) in pediatrics, and one (6.3%) in neonates. Three (18.8%) studies did not specify the population of interest. Overall, 55 nurse-sensitive outcomes were identified and 47 (85.5%) were operationally defined. These included patient/family satisfaction (n = 7, 12.7%), patient complications (n = 6, 10.9%), ventilator-related outcomes (n = 6, 10.9%), unplanned extubation (n = 5, 9.1%), and symptom-related outcomes (n = 6, 10.9%). Outcomes differed by patient population and setting.

Conclusion

It is important to broaden nurse-sensitive outcome measurement in acute/critical care settings to recognize the full spectrum of nursing’s work in hospitals. When core hospital outcome measures reflect the true work of nursing, its value to patients, families, and organizations can be made visible.

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.