4.1 Article

Proposing a New Conceptual Model and an Exemplar Measure Using Health Information Technology to Examine the Impact of Relational Nurse Continuity on Hospital-Acquired Pressure Ulcers

Journal

ADVANCES IN NURSING SCIENCE
Volume 38, Issue 3, Pages 241-251

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ANS.0000000000000081

Keywords

adverse patient outcomes; big data science; conceptual model; health information technology; nurse continuity; nurse staffing

Categories

Funding

  1. National Institutes of Health, National Institute of Nursing Research [RO1 NR012949]
  2. Agency for Healthcare Research and Quality [1R36HS023072-01]

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The influence of the staffing variable relational 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 relational 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.

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