Defining the nursing contribution to patient outcome: lessons from a review of the literature examining nursing outcomes, skill mix and changing roles

Authors


KarenSpilsbury St Bartholomew School of Nursing and Midwifery, City University, Philpot Street, London E1 2EA, UK (e-mail: K.Spilsbury@city.ac.uk).

Abstract

•  A review of the evidence to define the nursing contribution to patient outcome is presented. The review relies on work related to nursing sensitive outcomes, skill mix and changing roles.

•  Methodological difficulties associated with these studies are highlighted.

•  Areas requiring further research are discussed.

•  It is suggested that experimental evidence is not always appropriate, when attempting to describe nursing activity. The authors advocate that new methodologies, in particular practitioner-centred research, are needed to unpack the nature of nursing.

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