Evidence-Based Practice for Nurses

(Ben Green) #1

and consists of several components: a definition, a list of numeric indicators
from which the nurse selects to evaluate the patient’s status, a target outcome
rating, and a 5-point Likert-type scale for measuring the status. “Knowledge:
Healthy Diet” is an example of an NOC patient outcome and is defined as the
extent of understanding conveyed about the recommended diet. The outcome
may be applied to a diverse group of patients in a wide spectrum of healthcare
settings. Included in this outcome are indicators that the nurse may choose for
evaluation purposes, such as description of diet and description of potential
for food and medication interaction (Moorehead et al., 2013). The Likert-type
scale yields data ranging from none (1) to extensive (5) for each indicator.


Team Membership


When selecting an outcome, consideration should be given to the composi-
tion of members who form the team responsible for monitoring the outcome
(Minnick, 2009). This includes the personnel members and capabilities that


Organization Website

AcademyHealth http://www.academyhealth.org
Agency for Healthcare Research
and Quality

http://www.ahrq.gov/clinic/outcomix.htm

Centers for Medicare
and Medicaid Services

http://www.cms.gov/Medicare/Medicare-Fee-for-Service
-Payment/sharedsavingsprogram/Quality_Measures
_Standards.html
Harvard College Library Health
Data Resources

http://guides.library.harvard.edu/content.php?pid= 176649
&sid= 1487349
Institute for Healthcare
Improvement

http://www.ihi.org

The Joint Commission http://www.jointcommission.org
National Cancer Institute https://healthcaredelivery.cancer.gov/about/orb/
National Committee for Quality
Assurance

http://www.ncqa.org/

Patient-Centered Outcomes
Research Institute

http://www.pcori.org/research-results/patient-centered
-outcomes-research
University of Iowa College
of Nursing

http://www.nursing.uiowa.edu/cncce/nursing-outcomes
-classification-overview

TABLE 18-2 Selected Health Outcome Information Websites


18.2 Choosing Outcomes 475
Free download pdf