Exploring the utility of the Nursing Role Effectiveness Model in evaluating nursing contributions in primary health care: A scoping review

Lukewich, Julia; Tranmer, Joan; Kirkland, Megan C.; Walsh, Anna

doi:10.1002/nop2.281

Cited by 20 publications

(62 citation statements)

References 43 publications

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“…It will be urgent to intervene in such factors to create more organized and efficient processes and less bureaucratic, as they are generators of users’ inaccessibility to nursing cares. Some research studies carried out within the scope of long-term care based on the NREM indicates that the nurses’ experience (structure) and the independent nursing interventions (process) were significantly related to functional status, symptom control and better patient clinical outcomes (results) ( 16 , 27 ) .…”

Section: Discussionmentioning

confidence: 99%

“…The participants stated that, in detriment of the referral for the patients to the ECCI, they were referred to the inpatient services of the RNCCI network, due to the fact that the patients need continuous care and the ECCI schedules are not adequate to their real needs, such as elucidated in the excerpts of the interviews: (results) (16,27) .…”

Section: Referral Processmentioning

confidence: 99%

“…The characteristics in the structure and in the nurses' intervention process will provide changes in the results. care, symptom control, and adverse effects (16) .…”

Section: Introductionmentioning

confidence: 99%

“…Based on this framework, this article is conceptually based on the Nursing Role Effectiveness Model (NREM) ( 16 ) which is anchored in Donabedian’s Health Quality Model, developed from three concepts: the structure, the process, and the results with regard to quality assistance ( 16 ) . The NREM allows for assessing the contribution of nurses to health care, advocating a set of relationships between the variables of structure, process, and results.…”

Section: Introductionmentioning

confidence: 99%

“…The process integrates autonomous and interdependent interventions, such as team communication, case management, and care coordination. The results consider functional state, self-care, symptom control, and adverse effects ( 16 ) .…”

Section: Introductionmentioning

confidence: 99%

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Referral to the national network of integrated care: the nurses’ perception

Fonseca-Teixeira

Parreira

Mónico

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to understand the referral to the National Network of Integrated Continuous Care, from the perspective of nurses who work in this care context. Method: an exploratory and descriptive study with a qualitative approach, with data collection between July and September 2019 through interviews with 12 nurses who work in Integrated Continuous Care Teams, in Northern Portugal. The content analysis technique was used to analyze the statements. Results: the professionals revealed that there are difficulties and constraints in the process of referring users to the National Network of Integrated Continuous Care. The process is bureaucratic, complex, and time-consuming, conditioning user accessibility to timely care. Conclusion: the referral process is a very bureaucratic and time-consuming procedure, which not only conditions and delays users’ access to the National Network of Integrated Continuous Care network, contributing to the worsening of the clinical status of some patients. The number of professionals is insufficient, inducing the demand for services through urgency. The focus on primary care should seek to improve inequalities in access, compete for more equitable and accessible care, generating more quality in health care.

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Section: Discussionmentioning

confidence: 99%

Section: Referral Processmentioning

confidence: 99%

“…The characteristics in the structure and in the nurses' intervention process will provide changes in the results. care, symptom control, and adverse effects (16) .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Referral to the national network of integrated care: the nurses’ perception

Fonseca-Teixeira

Parreira

Mónico

et al. 2020

Rev. Latino-Am. Enfermagem

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A nursing care-sensitive patient satisfaction measure in older patients

Goes

Ferreira

Lopes

et al. 2023

Sci Rep

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As a novelty, this article proposes the empirical operationalization of an indicator sensitive to nursing care called patient satisfaction based on functional capacity and quality of life assessments. This was a descriptive cross-sectional study with a sample of 351 individuals aged 65 and older residing in the community. Data acquisition was performed using the structured interview method, employing a core set of 25 codes taken from the International Classification of Functioning, Disability, and Health and the WHOQOL-BREF instrument of the World Health Organization. Confirmatory factor analysis was used to infer the reliability and construct validity of the proposed model, involving three latent factors: functional capacity, quality of life, and patient satisfaction with nursing care received. The proposed model showed good reliability and construct validity, although it failed regarding discriminant validity between latent factors. The greatest statistically significant predictor of the patient satisfaction latent factor was the quality of life latent factor ($$\beta =0.89;p<0.001$$ β = 0.89 ; p < 0.001 ), followed by the functional capacity latent factor ($$\beta =-0.77;p<0.001$$ β = - 0.77 ; p < 0.001 ). The findings seem to suggest that patient satisfaction is an indicator that may be quantitatively measurable, with functional capacity and quality of life considered very significant predictors of patient satisfaction with the nursing care experience.

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Reliability of the risk of bias assessment in randomized controlled trials for nursing: A cross‐sectional study

Yao,

Li,

et al. 2024

Int J of Nursing Practice

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AimTo evaluate the percentage and reasons for disagreements in the risk of bias (RoB) assessments for randomized controlled trials (RCTs) included in more than one Cochrane review in the field of nursing.BackgroundDisagreement in RoB assessments reduces the credibility of the evidence summarized by systematic reviews (SRs). There is no study that evaluates the reliability of RoB assessments in nursing studies.DesignSecondary data analysis based on research reports.MethodsRCTs included in more than one review in the nursing have been included. The disagreement of the assessment was analysed, and the possible reasons for disagreements were investigated.ResultsTwenty‐three RCTs were included in more than one review. The agreement of assessment ranged from 36.84% for “selective reporting” to 91.30% for “random sequence generation”. “Allocation concealment” showed the optimal agreement (84.21%). The items “blinding of participants and personnel”, “blinding of outcome assessment” and “incomplete outcome data” showed poor agreement, with 50.00%, 58.82% and 66.67%, respectively. Most disagreements came from extracting incomplete or different RCTs' information.ConclusionsThe level of agreement of the assessment between reviews has varied greatly in the field of nursing. More complete and accurate information of RCTs needs to be collected when conducting a SR.

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Exploring the utility of the Nursing Role Effectiveness Model in evaluating nursing contributions in primary health care: A scoping review

Cited by 20 publications

References 43 publications

Referral to the national network of integrated care: the nurses’ perception

Referral to the national network of integrated care: the nurses’ perception

A nursing care-sensitive patient satisfaction measure in older patients

Reliability of the risk of bias assessment in randomized controlled trials for nursing: A cross‐sectional study

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