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The Diabetes Educator

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Medical Care Research and Review
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The Impact of Nursing Interventions

Overview of Effective Interventions, Outcomes, Measures, and Priorities for Future Research

Linda Burnes Bolton

Cedars-Sinai Medical Center

Nancy E. Donaldson

University of California, San Francisco School of Nursing

Dana N. Rutledge

California State University, Fullerton

Crystal Bennett

Cedars-Sinai Medical Center

Diane S. Brown

Kaiser Permanente

The purpose of this article is to present findings from a review of published systematic/integrative reviews and meta-analyses on nursing interventions and patient outcomes in acute care settings. A literature search was conducted for the period 1999-2005, producing 4,000 systematic/integrative reviews and 500 meta-analyses covering seven topics selected by the authors: elder care, caregivers, developmental care of neonates and infants, symptom management, pressure ulcer prevention/treatment, incontinence, and staffing. The association between nursing care interventions/processes and patient outcomes in acute care settings was found to be limited in the articles reviewed. The strongest evidence was for the use of patient risk-assessment tools and interventions implemented by nurses to prevent patient harm. We observed significant variation in methods to measure the effect of independent variables (nursing interventions) on patient outcomes. Results indicate the need for more research measuring the effect of specific nursing interventions that may impact acute care patient outcomes.

Key Words: nursing interventions • patient care outcomes

Medical Care Research and Review, Vol. 64, No. 2 suppl, 123S-143S (2007)
DOI: 10.1177/1077558707299248
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