This comprehensive book organizes the components of quality and safety outcomes, within a framework developed by expert nurses. Such a framework is missing in existing books on quality and safety in health care, and the concepts of nursing and organizational outcomes are often overlooked. This book fills this gap by exploring and expanding the various features of the Quality Health Outcomes Model (QHOM) and its four main concepts of System, Client, Interventions, and Outcomes. Using a broad and comprehensive approach, the authors identify the most current empirical evidence and concepts in the nursing field to provide an up-to-date understanding of the QHOM's four concepts and their interrelations. New concepts include (a) systems concepts of turbulence and complexity of workflow and use of the electronic health record to support clinical workflow; (b) client concepts of social determinants of health, health literacy, and chronicity; (c) intervention concepts of interprofessional practice, nursing care processes including unfinished care, and care coordination; (d) outcome concepts related to nursing and the organization in addition to patient outcomes that includes the patients' experience.
The ideas, approaches, and evidence are provided by a team of experienced researchers, practitioners, and leaders. The author team presents an updated, state-of-art view of how system, client, and interventions affect client, nurse, and organizational outcomes.
This book will appeal to researchers, clinicians, and researchers interested in healthcare quality and in particular nurses and nursing students in administration, research, and practice.
About the Author: Dr. Baernholdt is the Associate Dean of Global Initiatives and Professor at University of North Carolina at Chapel Hill School of Nursing. She was previously the Nursing Alumni Endowed Professor at Virginia Commonwealth University (VCU) and an Associate Professor at University of Virginia (UVA) School of Nursing. Both at UVA and at VCU she was involved in interprofessional practice and education training, projects, and programs involving students and health care practitioners. At UVA she served as Director for the Rural and Global Health Care Center and Global Initiatives. At VCU she was the founding Director of the Langston Center for Quality, Safety, and Innovation. Dr. Baernholdt is active on national and international committees and boards including past Chair of the American Academy of Nursing's expert panel on quality health care and the US representative for 8 years on the International Council of Nurses, Core Steering Group Rural and Remote Nursing Network. Dr. Baernholdt has been a primary investigator and co-investigator on several federal grants using a diverse set of methods focused on healthcare quality. Her research focuses on how quality of care is defined and factors affecting quality of care in global rural areas across the healthcare continuum. She teaches courses and mentors national and international students and junior faculty in leadership, quality and safety, and health services research.
Dr. Boyle is the Wyoming Excellence Endowed Chair in Nursing and Professor at the Fay W. Whitney School of Nursing, University of Wyoming (retired). She was previously Deputy Director of the National Database of Nursing Quality Indicators(R) (NDNQI(R)) at the University of Kansas School of Nursing. She is a past Chair of the American Academy of Nursing's expert panel on quality health care. For 30 years, Dr. Boyle has been leading improvement of the nursing work environment, nursing workforce, and patient safety through expertise in developing and evaluating standardized, value-driven metrics, and sustained investigation of relationships between nursing and patient outcomes. She has taught research, measurement, and quality improvement courses for doctoral students.
