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A Quality of Health Outcomes Model for Guiding Obstetrical Practice
Author(s) -
Mayberry Linda J.,
Gennaro Susan
Publication year - 2001
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/j.1547-5069.2001.00141.x
Subject(s) - conceptualization , psychological intervention , quality (philosophy) , intervention (counseling) , outcome (game theory) , health care , nursing , medicine , process (computing) , quality management , psychology , operations management , computer science , political science , philosophy , mathematics , mathematical economics , epistemology , artificial intelligence , law , operating system , management system , economics
Purpose: To describe the application of the Quality of Health Outcomes Model, introduced by the American Academy of Nursing Expert Panel on Quality of Health Care, to obstetrical care, particularly second‐stage labor. Organizing Framework: The model is different from the more linear structure‐process‐outcome frameworks used in the past to a dynamic conceptualization of reciprocal relationships among the system, intervention, client, and outcome components. Analysis of these components can provide a comprehensive picture of the complexity of patient care decision making in hospital labor and delivery units. Conclusions: Research findings indicate that interventions such as cesarean delivery and epidural analgesia may result in several significant quality of health outcomes for women that should receive increased attention. Uses of this model for shaping best practices among physicians and nurses and for setting directions for priorities in future interdisciplinary research and health policy are discussed.