Evaluating home care nursing outcomes with OASIS and NOC

本研究的目的是探讨结果与评估信息集(OASIS)和护理结果分类(NOC)在测量接受不同强度家庭护理干预的心脏病患者结果差异方面的敏感性和响应性。OASIS评级将与NOC评级进行比较，对接受家庭护理的心脏病患者进行选择结果类别。OASIS和NOC的数据将在家庭护理入院就诊时收集，并在家庭护理出院就诊时或60天后重复，以先到者为准。提供的护理干预将使用护理干预分类(NIC)进行记录。干预强度将根据为每个结果类别提供的干预次数计算。在控制其他危险因素的情况下，将通过评估OASIS和NOC评分的变化与在每个结局类别中提供的护理干预强度的关系来确定敏感性。心脏病的严重程度以及合并症的存在和严重程度将在分析中进行风险调整。OASIS和NOC在检测临床可辨别变化方面的响应性将通过评估每个指标预测由标准指标检测到的临床变化的能力来衡量。

The purpose of this study is to explore the sensitivity and responsiveness of the Outcome and Assessment Information Set (OASIS) and the Nursing Outcomes Classification (NOC) in measuring differences in outcomes of heart disease patients who receive different intensities of home care nursing interventions. OASIS ratings will be compared to NOC ratings for heart disease patients receiving home care across select outcome categories. OASIS and NOC data will be collected at the home care admission visit, and repeated at the home care discharge visit or after 60 days, according to whichever comes first. Nursing interventions provided will be recorded using the Nursing Interventions Classification (NIC). Intervention intensity will be calculated according to the number of interventions provided for each outcome category. Sensitivity will be determined by assessing the relationship of the change in OASIS and NOC scores to the intensity of nursing interventions provided in each outcome category, when other risk factors are controlled. Severity of heart disease and presence and severity of comorbidities will be risk adjusted in the analysis. The responsiveness of OASIS and NOC in detecting clinically discernable change will be measured by evaluating the ability of each measure to predict the presence of clinical change as detected by a criterion measure.