Proposing a New Conceptual Model and an Exemplar Measure Using Health Information

Abstract

The influence of the staffing variable nurse continuity on patient outcomes has been rarely studied and with inconclusive results. Multiple definitions and an absence of systematic methods for measuring the influence of continuity have resulted in its exclusion from nurse-staffing studies and conceptual models. We present a new conceptual model and an innovative use of health information technology to measure nurse continuity and to demonstrate the potential for bringing the results of big data science back to the bedside. Understanding the power of big data to address critical clinical issues may foster a new direction for nursing administration theory development.

Framework for Mining and Analysis of Standardized Nursing Care Plan Data

“…There is merit for the various approaches and in this article we showcase the challenges and present a knowledge discovery and analysis framework that is suitable for a variety of outcomes. We also demonstrate the merits of using a standardized nursing EHR system that is well tested and designed for generating reliable and valid standardized nursing care planning data and supported by substantial research evidence (Almasalha et al, 2013; Anderson, Keenan, & Jones, 2009; Boyd, Funk, Schwartz, Kaplan, & Keenan, 2009; Febretti et al, July 2013; Johnson et al, 2014 in review; Keenan, Stocker, Barkauskas, Treder, & Heath, 2002; Keenan, Yakel, Lopez, Tschannen, & Ford, 2013; Keenan et al, 2005; Keenan, 2014; Keenan et al, 2002; Keenan, Tschannen, & Wesley, 2008; Keenan & Wilkie, 2014; Keenan et al, 2012; Lodhi et al, 2016 in review; Lodhi et al, 2014; Lodhi et al, 2015; Schneider, Barkauskas, & Keenan, 2008; Sousa et al, 2015; Stifter et al, 2014; Stifter et al, 2015; Tastan et al, 2014; Tschannen et al, 2011; Yao et al, 2015). In this work we have also illuminated important issues inherent with analysis of nursing healthcare data.…”

Clarifying model for continuity of care: A concept analysis

“…Inconsistent definition and measurement of continuity in the nursepatient relationship has produced limited evidence to date linking nurse relational continuity to patient outcomes (Stifter, Yao, Lopez, et al, 2015b).…”

“…In the 1970s, continuity in nursing care was operationalized in the primary nursing model, by assigning a "primary" or lead nurse to oversee care over the course of hospitalization who would know the patient's needs and assure effective communication and coordination (Manthey, Ciske, Robertson, & Harris, 1970). A lack of research connecting primary nursing to outcomes (Stifter et al, 2015b) and cost control efforts contributed to development of team-based staffing models rather than staffing focused on the individual nurse-patient relationship (Bostrom, Tisnado, Zimmer, & Lazar, 1994). In a systematic review (Sparbel & Anderson, 2000a, 2000b, no consensus definition of continuity of care was found, and few nurse staffing models and no standardization in measurement of continuity were evident.…”

The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study

“…Our study was designed by applying the conceptual model of nurse continuity developed by Stifter, Yao, Lopez, et al (2015) on patient outcomes. This model offered a useful framework for studying the association between nurse continuity and patient outcomes.…”