The Impact of Nursing on Patient and Organizational Outcomes

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Executive SummaryTo capture the comprehensive benefits of nursing care on patient and organizational outcomes, the author proposes an encompassing framework that reaches beyond past evaluation techniques.Six major constructs create the framework including: health facility environment, unit qualities, nurse qualities, patient qualities, nursing care, and outcomes.Within each construct, an array of measures are proposed, many of which stem from prior research such as autonomy in the unit qualities construct and nurse turnover in the outcomes construct.Several less commonly discussed measures are also proposed such as leadership in the health facilities construct and McClure's concepts of nursing care based on the RN role of caregiver and integrator in the nursing care construct.With a more sophisticated approach to measuring the value of nursing care, policymakers and health care leaders will be equipped with better tools with which to make decisions that will ultimately affect patient outcomes.

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