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Background of study: Documenting effective health care and nursing interventions that result in positive outcomes (increasing patient knowledge, improving patient status, and producing positive health behaviors) is of primary importance in today's health care settings.
Purpose and Need: This study examined the outcomes of nursing interventions provided to elder adult clients in academic Nurse Managed Centers using the Omaha Documentation System. Measurement of patient outcomes as defined in the Omaha Data System as knowledge, behavior, and status needed to be analyzed to substantiate that nursing care was a component in making differences in patient outcomes. Questions addressed by the study were: 1) What are the most frequently occurring health problems of older adults based on the Omaha Documentation System?, 2) What nursing interventions are used most frequently in an academic nurse managed center? and 3) Is there a statistical positive difference in the outcomes based on nursing interventions in knowledge, behavior, and status based on the Omaha Documentation system Outcome ratings?
Methodology: The participant population reflected the diverse urban population of elders (N=61). The study was conducted in 3 urban academic nurse managed centers. A retrospective, non-experimental design was used to analyze the data collected.
Results: Statistical analysis (2 tailed t-test) indicated statistically significant results (.05 level) in all but 1 of the paired samples comparing changes in knowledge, behavior, and status. Data analysis reflected linkages between problems, interventions, and outcomes.
Conclusion: At this juncture in health care, studies demonstrating linkages between interventions and outcomes provide insight into more effective nursing care. This study supports the Omaha Documentation System as a valid and effective data collection tool and a reliable strategy for measuring outcomes.
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