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Title: Problems, interventions and outcomes in patients with spinal cord injury : identification and measurement
Author: Hughes, J. A.
Awarding Body: University of Wales Swansea
Current Institution: Swansea University
Date of Award: 2000
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This study explores whether it is possible to identify the problems experienced by patients with spinal cord injury that are addressed by specific and independent nursing decisions and actions, whether the actions taken by nurses to address these problems can be identified and whether the identification and treatment of these patient problems lead to outcomes that can be attributed to nursing actions. The study is in two parts. The first part used the Delphi method with an expert panel consisting of nurses from the eleven spinal cord injury units in the UK. This part of the study attempted to gain a consensus on the patient problems presented, the patient problems into which nurses had the major input, the planned patient outcomes, and the nursing interventions undertaken to address those problems to achieve the planned outcomes. Standardised nursing language was introduced to discover whether it could be used to describe problems, interventions and outcomes. The second part of the study was an analytic and evaluative prospective longitudinal cohort study using the participant observation method. In this part of the study the findings of the Delphi method were tested empirically. Consent was obtained from cohorts of patients admitted to two spinal cord injury units in the UK to use their care experiences for the study. This involved testing if the patient problems addressed by nurses were identified, whether outcomes for those problems were identified, the nursing interventions used to address those problems and to explore linkages between problems, interventions and outcomes.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available