The purpose of this descriptive correlational research was to identify the relationship between nursing expertise, defined as embodied nursing knowledge, nurse’s educational background and experience, and client outcomes. Hierarchical multiple regression and Pearson product moment correlation were used to determine the strength of the relationships between embodied nursing knowledge and home health outcome improvement measures in a convenience sample of 107 home health registered nurses. Embodied nursing knowledge was measured by Minick’s Manifestations of Early Recognition instrument. Scores on the Outcome and Assessment Information Set, version C (OASIS-C), measured client outcome improvement. There were no significant differences between participants’ knowledge of their clients, knowledge of the system and institution, knowledge of their own and colleagues’ skills, level of nursing education and experience, or total years of home health nursing experience and mean total clientcentered improvement. Age had a significant, negative relationship to the mean percent score on the OASIS for improved client-centered outcomes. The outcome improvement measures from the nine home health agencies were at or above the state and national averages, which created a restricted data range for the findings. The restricted data range of the outcome improvement measures may have lessened the validity of the findings in this study and advocates that future studies may need to employ the use of purposeful selection of the sample population in home health. The concepts of knowledge of clients and their families, knowledge of the home health system, and knowledge of registered nurses own skills may not be the same construct in home health as in acute care nursing practice. Further research should explore those concepts that may be used specifically in home health. Understanding the characteristics of home health has the potential to assist home health agencies understand how to support their registered nurses to provide quality care thereby achieving improved clinical outcomes by developing rich structured information base practice.
|School:||University of Phoenix|
|School Location:||United States -- Arizona|
|Source:||DAI-B 76/08(E), Dissertation Abstracts International|
|Subjects:||Physical therapy, Epistemology, Nursing|
|Keywords:||Embodied knowlege, Home health, Nursing expertise, Outcome improvement|
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