Abstract

Outcomes research needs to be conducted in countries beyond the USA if nursing classification is to move into visibility and acceptance in health care delivery around the world. Clinical outcomes that reflect nursing interventions have not been well documented. Recent socioeconomic changes in Taiwan have provided a unique opportunity to measure nursing-sensitive outcomes in nurse-managed nursing homes. The purpose of recently completed research conducted in eight selected nursing homes in Taiwan was to explore factors influencing two nursing-sensitive outcomes, namely, biopsychosocial functioning and patient satisfaction. Nursing-sensitive outcomes are defined as changes in health status upon which nursing care has had a direct influence. The researchers considered the impact of both individual patient factors and organizational factors on the care outcomes. Individual patient factors were found to be significantly more important than organizational factors in determining biopsychosocial function.

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