Using theory and evidence to drive measurement of patient, nurse and organizational outcomes of professional nursing practice


Correspondence: Lianne Jeffs, Nursing/Clinical Research, Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Room 720, Li Ka Shing Knowledge Institute, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada. Email:


An evolving body of literature suggests that the implementation of evidence based clinical and professional guidelines and strategies can improve patient care. However, gaps exist in our understanding of the effect of implementation of guidelines on outcomes, particularly patient outcomes. To address this gap, a measurement framework was developed to assess the impact of an organization-wide implementation of two nursing-centric best-practice guidelines on patient, nurse and organizational level outcomes. From an implementation standpoint, we anticipate that our data will show improvements in the following: (i) patient satisfaction scores and safety outcomes; (ii) nurses ability to value and engage in evidence based practice; and (iii) organizational support for evidence-informed nursing care that results in quality patient outcomes. Our measurement framework and multifaceted methodological approach outlined in this paper might serve as a blueprint for other organizations in their efforts to evaluate the impacts associated with implementation of clinical and professional guidelines and best practices.