An empirical test of the Nursing Role Effectiveness Model

Doran, Diane; Sidani, Souraya; Keatings, Margaret; Doidge, Doris

doi:10.1046/j.1365-2648.2002.02143.x

Cited by 123 publications

(110 citation statements)

References 33 publications

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“…The scale has been used extensively in multiple sclerosis populations. 29 Self-Care: The Therapeutic Self-Care Scale (TSCS) 30 (12 items on a six-point Likert scale from zero = 'not at all' to five = 'very much so') was used to determine the participant's perceptions of their knowledge about their health and associated treatment and resultant learning needs. …”

Section: -28mentioning

confidence: 99%

Health status after traumatic injury

Aitken

Chaboyer

Kendall

et al. 2012

Journal of Trauma and Acute Care Surgery

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Section: -28mentioning

confidence: 99%

Health status after traumatic injury

Aitken

Chaboyer

Kendall

et al. 2012

Journal of Trauma and Acute Care Surgery

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“…According to the Nursing Role Effectiveness Model, 13 which was used to guide this study, both characteristics of the practice environment and nursing care processes such as communication with physicians contribute to patients' outcomes that are sensitive to nursing care. Outcomes related to patients' safety such as pressure ulcers and nosocomial infections have been linked consistently to various aspects of nursing practice.…”

mentioning

confidence: 99%

Intensive Care Units, Communication Between Nurses and Physicians, and Patients’ Outcomes

Manojlovich

Antonakos

Ronis

2009

American Journal of Critical Care

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Background Various factors in hospitals can adversely affect patients' outcomes, including faulty communication between nurses and physicians. Whether specific communication elements (timeliness, accuracy, openness, understanding) can influence adverse outcomes is unknown. Objectives To determine the relationships between patients' outcomes and (1) nurses' perceptions of elements of communication between nurses and physicians and (2) characteristics of the practice environment. Methods A cross-sectional survey design was used. Information on ventilator-associated pneumonia, bloodstream infection associated with a central catheter, and pressure ulcers was collected from 25 intensive care units in southeastern Michigan. Simultaneously, 462 nurses in those units (response rate, 53.3%) were anonymously surveyed. The Conditions for Work Effectiveness Questionnaire-II and the Practice Environment Scale of the Nursing Work Index were used to measure characteristics of the practice environment. The Intensive Care Unit Nurse-Physician Questionnaire was used to measure communication between nurses and physicians. Statistical tests included correlation and multiple regression. Analyses were conducted at the unit level. Results Unit response rates varied from 6% to 100%. Together, variability in understanding communication and capacity utilization were predictive of 27% of the variance in ventilator-associated pneumonia. Timeliness of communication was inversely related to pressure ulcers (r = -0.38; P = .06), and workplace empowerment and scores on the Acute Physiology and Chronic Health Evaluation III were positive predictors of ventilator-associated pneumonia (R 2 = 0.36; P = .005). Conclusions Not all elements of communication were related to the selected adverse outcomes. The connection between characteristics of the practice environment at the unit level and adverse outcomes remains elusive.

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“…Each of the 22 items is scored on a 6-point Likert-type scale with overall higher scores denoting more patient self-care abilities. A previous study (Doran, Sidani, Keatings, & Doidge, 2002) using the TSCS with acute care patients provided support for the construct validity and internal reliability (Cronbach's α = .88) of this instrument.…”

Section: Secondary Outcome Measuresmentioning

confidence: 73%

The Impact of Specialized Oncology Nursing on Patient Supportive Care Outcomes

Sussman

Howell

Bainbridge

et al. 2011

Journal of Psychosocial Oncology

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Meeting the supportive care needs of cancer patients remains a challenge to cancer care systems around the world. Despite significant improvements in the organization of medical care of patients with cancer, numerous surveys of cancer populations demonstrate that significant proportions of patients fail to have their supportive care needs met. One possible solution is the introduction of a care coordinator role using oncology nursing to help ensure that patients' physical, psychological, and social support needs are addressed. Although having face validity, there is little empirical evidence on the effects of nurse-led supportive care coordinator roles on patient reported supportive care outcomes. In this article the authors present the results of a prospective longitudinal cohort study of 113 patients referred to a community-based specialist oncology nursing program. Using validated instruments they found significant improvements in patient-reported outcomes in key supportive care domains: unmet needs, quality of life, and continuity of care, as well as a shift in patterns of health resource utilization from acute care settings to the community over the course of the intervention. The results of this study are important in supporting the design and development of controlled trials to examine provider roles in the coordination of supportive cancer care.

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An empirical test of the Nursing Role Effectiveness Model

Cited by 123 publications

References 33 publications

Health status after traumatic injury

Health status after traumatic injury

Intensive Care Units, Communication Between Nurses and Physicians, and Patients’ Outcomes

The Impact of Specialized Oncology Nursing on Patient Supportive Care Outcomes

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