Better care an analysis of nursing and healthcare system outcomes

Browne, Gina. (Author). Birch, Stephen, 1957- (Added Author). Thabane, Lehana. (Added Author). Canadian Health Services Research Foundation (Added Author). Canadian Nurses' Association. (Added Author).

Summary: The purpose of this review of nursing intervention literature was to document the comparative effects and costs of models of nursing intervention on patient outcomes, such as morbidity and mortality, and on system outcomes, such as health resource use. This information will be used to provide suggestions about innovative, effective and efficient models of nursing intervention in preparation for the 2014 new federal health accord. Eligible reviews and studies were those of interventions provided by nurses that documented: patient outcomes related to mortality and morbidity, such as functional status, quality of life, coronary or adverse events, and caregiver burden; and system outcomes related to use of emergency departments, hospitalizations, length of stay, admissions to nursing homes, and/or total direct cost of health service use from a payer perspective; or patient impacts related to wait times or access to care. This review was conducted in three stages: 1. In the initial stage we evaluated high-quality reviews. 2. The second stage involved reviewing high-quality studies of nursing interventions because of limitations in the initial reviews. 3. In the third stage we reviewed studies from McMaster University?s System-linked Research unit on Health and Social Service utilization (SlRu) that involved economic evaluations conducted from a societal perspective alongside clinical trials. In addition, these studies included not only patient outcomes but also health and social effects--direct, indirect and cash transfer effects--of comparative treatments for various illnesses. We did this third stage because the description of costing methods in the previous studies lacked detail.

Record details

Physical Description: electronic resource
remote
1 online resource (69 p.) : ill., digital file.
Publisher: [Ottawa, Ont.] : Canadian Health Services Research Foundation : Canadian Nurses' Association, 2012

Content descriptions

General Note:	"June 2012."
Bibliography, etc. Note:	Includes bibliographical references.
Formatted Contents Note:	Literature review and promising nurse-led practices -- Types of reviews of the literature -- Outline of the conceptual framework and methods approach used -- Problems of meta-analysis of complex interventions and patient/system outcomes -- Methods -- Results of our review of high-quality reviews -- Aggregate analyses of the reviews -- Limitations of high-quality reviews and to review recent high quality studies -- Characteristics of high-quality studies, participants and intervention programs -- Economic evaluations of nursing intervention programs -- Discussion Conclusions -- 1.11 Analysis of the literature -- 1.11b Promising practices in the literature -- 1.11c Potential methods of financing promising practices for people with chronic illness -- Costs averted, key clinical programs and performance measurement -- Service innovations documenting similar outcomes at a provincial or national level -- 2.1a Treatment for chronic pressure ulcers -- 2.1b Adoption of leading practices in home wound care -- 2.1c Palliative home care -- 201d Ontario's chronic disease prevention and management framework -- 2.1e Chronic disease management in the community or at home -- .1f Managing people requiring alternative levels of care -- 2.1g Home telehealth for chronic disease management -- Key clinical programs across the range of determinants of health: implications for achieving better care for Canadians -- Strategic investments made and required for monitoring, evaluation, performance measurement and research -- Appendix A. Search terms with results, criteria and strategies -- Appendix B. Excluded reviews and studies [under separate cover] -- Appendix C. Results of our review of high-quality reviews -- Appendix D. Characteristics of high-quality studies, participants and intervention programs -- Appendix E. Economic evaluations of nursing intervention programs.
System Details Note:	Mode of access: World Wide Web (or Internet).