Nursing effectiveness in Italy: findings from a grounded theory study
Article first published online: 28 JUN 2012
© 2012 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Patient safety management in the health services Issue editor: Elisabeth Severinsson
Volume 21, Issue 2, pages 251–262, March 2013
How to Cite
PALESE, A., MESAGLIO, M., DE LUCIA, P., GUARDINI, I., FORNO, M. D., VESCA, R., BOSCHETTI, B., NOACCO, M. and SALMASO, D. (2013), Nursing effectiveness in Italy: findings from a grounded theory study. Journal of Nursing Management, 21: 251–262. doi: 10.1111/j.1365-2834.2012.01392.x
- Issue published online: 11 MAR 2013
- Article first published online: 28 JUN 2012
- Accepted for publication: 3 January 2012
- basic social processes;
- complex interventions;
- grounded theory;
- nursing effectiveness;
- nursing practice;
- patient outcomes
Aim The aim of the present study was to conceptualize the basic social process by which nursing intervention affects patient outcomes in Italian daily practice.
Background Different frameworks explain the relationship between nursing care and patient outcomes. However, several authors have suggested the need to develop further theory in order to understand this relationship.
Method A qualitative study based on a grounded theory approach was undertaken to generate a conceptual description of nursing care in Italy and its relationship to patient outcomes. Data collection and analysis processes were conducted simultaneously in an Italian Teaching Hospital from 2007 to 2009.
Findings Nursing effectiveness (the core variable) expresses the positive effects of the nursing system on patient outcomes, on patient safety and on the multi-disciplinary outcomes. The two interdependent social processes that assure nursing effectiveness are: creating a supportive environment for potentially effective nursing (causative factors); and performing organizational, clinical and collaborative intervention (nursing strategies and consequences).
Conclusions The factors determining a potentially supportive environment for nursing effectiveness are similar to those documented in the literature but the need for clinical nurses to compensate systematically when this support is not available seems to be unique.
Implications for Nursing Management Understanding the basic processes involved in the determination of nursing effectiveness in one country has implications for nursing leaders’ decision-making, on National Health Service policy recommendations and on professional development both at national and international levels.