Evaluation of Outcome Change Scores for Patients With Pneumonia or Heart Failure

Cindy A. Scherb; Barbara J. Head; Melody Hertzog; Elizabeth Swanson; David Reed; Meridean L. Maas; Sue Moorhead; Deborah Marks Conley; Marie Kozel; Mary Clarke; Susan Gillette; Barbara Weinberg

doi:10.1177/0193945911401429

Evaluation of Outcome Change Scores for Patients With Pneumonia or Heart Failure

Cindy A. Scherb, Barbara J. Head, Melody Hertzog, Elizabeth Swanson, David Reed, Meridean L. Maas, Sue Moorhead, Deborah Marks Conley, Marie Kozel, Mary Clarke, Susan Gillette, Barbara Weinberg

Niedfelt Nursing Research Center

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

This study was conducted to describe the variance in selected Nursing Outcomes Classification (NOC) outcome change scores of hospitalized older patients with pneumonia (n = 216) or heart failure (HF; n = 67) that could be explained by age, length of stay (LOS), number of comorbid conditions, number of nursing diagnoses, and number of nursing interventions. Investigators used a descriptive correlational design to analyze data sets from three U.S. community hospitals. Study participants had at least two ratings on one of nine outcomes selected for their frequency and use across the three hospitals. A significant portion of the variance in the outcomes Knowledge: Illness Care and Fall Prevention Behavior was explained for pneumonia patients. None of the regression models for HF patients showed significance. Individual independent variables were significant in some of the models (i.e., LOS [pneumonia], number of nursing diagnoses [pneumonia and HF]). Implications for research and clinical practice are discussed.

Original language	English (US)
Pages (from-to)	117-140
Number of pages	24
Journal	Western journal of nursing research
Volume	35
Issue number	1
DOIs	https://doi.org/10.1177/0193945911401429
State	Published - Jan 2013

Keywords

Iowa Nursing Outcomes Classification
nursing outcomes
outcomes research
risk adjustment

ASJC Scopus subject areas

General Nursing

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10.1177/0193945911401429

Cite this

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title = "Evaluation of Outcome Change Scores for Patients With Pneumonia or Heart Failure",

abstract = "This study was conducted to describe the variance in selected Nursing Outcomes Classification (NOC) outcome change scores of hospitalized older patients with pneumonia (n = 216) or heart failure (HF; n = 67) that could be explained by age, length of stay (LOS), number of comorbid conditions, number of nursing diagnoses, and number of nursing interventions. Investigators used a descriptive correlational design to analyze data sets from three U.S. community hospitals. Study participants had at least two ratings on one of nine outcomes selected for their frequency and use across the three hospitals. A significant portion of the variance in the outcomes Knowledge: Illness Care and Fall Prevention Behavior was explained for pneumonia patients. None of the regression models for HF patients showed significance. Individual independent variables were significant in some of the models (i.e., LOS [pneumonia], number of nursing diagnoses [pneumonia and HF]). Implications for research and clinical practice are discussed.",

keywords = "Iowa Nursing Outcomes Classification, nursing outcomes, outcomes research, risk adjustment",

author = "Scherb, {Cindy A.} and Head, {Barbara J.} and Melody Hertzog and Elizabeth Swanson and David Reed and Maas, {Meridean L.} and Sue Moorhead and Conley, {Deborah Marks} and Marie Kozel and Mary Clarke and Susan Gillette and Barbara Weinberg",

note = "Funding Information: The authors declared receipt of the following financial support for the research and/or authorship of this article: Support was obtained from The Gerontological Nursing Interventions Research Center NIH #P30 NR03979 (PI: Toni Tripp-Reimer, PhD, RN, FAAN, The University of Iowa College of Nursing) and the Hartford Center for Geriatric Nursing Excellence The John A. Hartford Foundation (PI: Kathleen Buckwalter, PhD, RN, FAAN, The University of Iowa College of Nursing). The contents of this manuscript are solely the responsibility of the authors and do not necessarily represent the official views of either the National Institute of Nursing Research or The John A. Hartford Foundation.",

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AU - Reed, David

AU - Maas, Meridean L.

AU - Moorhead, Sue

AU - Conley, Deborah Marks

AU - Kozel, Marie

AU - Clarke, Mary

AU - Gillette, Susan

AU - Weinberg, Barbara

N1 - Funding Information: The authors declared receipt of the following financial support for the research and/or authorship of this article: Support was obtained from The Gerontological Nursing Interventions Research Center NIH #P30 NR03979 (PI: Toni Tripp-Reimer, PhD, RN, FAAN, The University of Iowa College of Nursing) and the Hartford Center for Geriatric Nursing Excellence The John A. Hartford Foundation (PI: Kathleen Buckwalter, PhD, RN, FAAN, The University of Iowa College of Nursing). The contents of this manuscript are solely the responsibility of the authors and do not necessarily represent the official views of either the National Institute of Nursing Research or The John A. Hartford Foundation.

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N2 - This study was conducted to describe the variance in selected Nursing Outcomes Classification (NOC) outcome change scores of hospitalized older patients with pneumonia (n = 216) or heart failure (HF; n = 67) that could be explained by age, length of stay (LOS), number of comorbid conditions, number of nursing diagnoses, and number of nursing interventions. Investigators used a descriptive correlational design to analyze data sets from three U.S. community hospitals. Study participants had at least two ratings on one of nine outcomes selected for their frequency and use across the three hospitals. A significant portion of the variance in the outcomes Knowledge: Illness Care and Fall Prevention Behavior was explained for pneumonia patients. None of the regression models for HF patients showed significance. Individual independent variables were significant in some of the models (i.e., LOS [pneumonia], number of nursing diagnoses [pneumonia and HF]). Implications for research and clinical practice are discussed.

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Evaluation of Outcome Change Scores for Patients With Pneumonia or Heart Failure

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