Abstract
The Quality Health Outcomes Model (QHOM) and its four primary constructs—system, client, interventions, and outcomes—organize the components of quality and safety within a nursing framework. The QHOM allows nurses and other healthcare professionals to conceptualize and measure quality and safety components at the individual, family, community, and population levels. This chapter describes the primary constructs of the QHOM and the theoretic and analytic advantages of the QHOM. Uses of the QHOM in the literature are reviewed. An overview of the book content is provided.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Altares SD (2015) The impact of nursing skill mix on the outcomes of hospitalized adult surgical patients. http://repository.upenn.edu/edissertations/1990
American Nurses Credentialing Center (n.d.-a) ANCC magnet recognition program. https://www.nursingworld.org/organizational-programs/magnet/
American Nurses Credentialing Center (n.d.-b) ANCC pathway to excellence program. https://www.nursingworld.org/organizational-programs/pathway/
Badger MK (2017) Patient acuity as a predictor of length of hospital stay and discharge disposition after open colorectal surgery. Doctoral Dissertation
Baernholdt M, Campbell CL, Hinton ID, Yan G, Lewis E (2015) Quality of hospice care: comparison between rural and urban residents. J Nurs Care Qual 30(3):247–253. https://doi.org/10.1097/NCQ.0000000000000108
Baernholdt M, Dunton N, Hughes RG, Stone PW, White KM (2017) Quality measures. J Nurs Care Qual 33(2):149–156. https://doi.org/10.1097/NCQ.0000000000000292
Berry D, Blonquist T, Nayak M, Grenon N, Momani T, McCleary N (2018) Self-care support for patients with gastrointestinal cancer: iCancerHealth. App Clin Informat 09(04):833–840. https://doi.org/10.1055/s-0038-1675810
Borglund ST (2008) Case management quality-of-life outcomes for adults with a disability. Rehabili Nurs 33(6):260–267. https://doi.org/10.1002/j.2048-7940.2008.tb00238.x
Brewer BB, Verran JA, Stichler JF (2008) The systems research organizing model: a conceptual perspective for facilities design. HERD 1(4):7–19. https://doi.org/10.1177/193758670800100402
Cohen CC, Shang J (2015) Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness. J Adv Nurs 71(10):2279–2292. https://doi.org/10.1111/jan.12718
Donabedian A (1966) Evaluating the quality of medical care. Milbank Memorial Fund Quart 44(part 2):166–206
Donabedian A (1988) The quality of care: how can it be assessed? JAMA 260:1743–1748. https://doi.org/10.1001/jama.1988.03410120089033
Donabedian A (2003) An introduction to quality assessment in health care. Oxford University Press, New York, NY
Effken JA, Brewer BB, Patil A, Lamb GS, Verran JA, Carley K (2005) Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J Med Inform 74(7–8):605–613. https://doi.org/10.1016/j.ijmedinf.2005.02.003
Gerolamo AM (2004) State of the science: outcomes of acute inpatient psychiatric care. Arch Psychiatr Nurs 18(6):203–214. https://doi.org/10.1016/j.apnu.2004.09.003
Gerolamo AM (2006) The conceptualization of physical restraint as a nursing-sensitive adverse outcome in acute care psychiatric treatment settings. Arch Psychiatr Nurs 20(4):175–185. https://doi.org/10.1016/j.apnu.2005.12.005
Gilmartin HM, Sousa KH (2016) Testing the quality health outcomes model applied to infection prevention in hospitals. Qual Manag Health Care 25(3):149–161. https://doi.org/10.1097/QMH.0000000000000102
Gilmartin HM, Sousa KH, Battaglia C (2016) Capturing the central line bundle infection prevention interventions. Nurs Res 65(5):397–407. https://doi.org/10.1097/NNR.0000000000000168
Hallowell SG, Rogowski JA, Spatz DL, Hanlon AL, Kenny M, Lake ET (2016) The associations between the work environment, nursing care and human milk use for very low birth weight infants discharged from NICUs. Nurs Res 65(2):E66–E67. https://doi.org/10.1016/j.ijnurstu.2015.09.016
Henry SB, Holzemer WL (1997) Achievement of appropriate self-care: does care delivery system make a difference? Med Care 35(11 suppl):NS33–NS40. https://doi.org/10.1097/00005650-199711001-00004
Hilleren-Listerud A (2014) Reducing postoperative delirium. Doctoral dissertation
Institute of Medicine (2000) To err is human: building a safer health system. The National Academies Press, Washington, DC
Jones TL (2016) What nurses do when time is scarce—and why. J Nurs Adm 46(9):449–454. https://doi.org/10.1097/NNA.0000000000000374
Jost SG (2016) Nurses as knowledge work agents: measuring the impact of a clinical decision support system on nurses’ perceptions of their practice and the work environment. Doctoral dissertation
Kozlowski SWJ, Klein KJ (2000) A multilevel approach to theory and research in organizations: contextual, temporal, and emergent processes. Jossey-Bass, San Francisco
Kramer M, Schmalenberg C, Maguire P (2010) Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nurs Adm Q 34(1):4–17. https://doi.org/10.1097/NAQ.0b013e3181c95ef4
Lake ET, Staiger D, Horbar J, Cheung R, Kenny MJ, Patrick T, Rogowski JA (2012) Association between hospital recognition for nursing excellence and outcomes of very low-birth-weight infants. JAMA 307(16):1709–1716. https://doi.org/10.1001/jama.2012.504
Lang NM, Mitchell PH, Hinshaw AS, Jennings BM, Lamb GS, Mark BA, Moritz P (2004) Measuring and improving healthcare quality. Med Care 42(2 Suppl):II-1–II-3
Lassche M, Wilson B (2016) Transcending competency testing in hospital-based simulation. AACN Adv Crit Care 27(1):96–102. https://doi.org/10.4037/aacnacc2016952
Lohr KN (1988) Outcomes measurement: concepts and questions. Inquiry 25(1):37–50
Makary MA, Daniel M (2016) Medical error—The third leading cause of death in the US. BMJ 353:i2139. https://doi.org/10.1136/bmj.i2139
Malley AM, Bourbonniere M, Naylor M (2018) A qualitative study of older adults’ and family caregivers’ perspectives regarding their preoperative care transitions. J Clin Nurs 27(15–16):2953–2962. https://doi.org/10.1111/jocn.14377
Mark BA, Harless DW (2009) Nurse staffing and post-surgical complications using the present on admission indicator. Res Nurs Health 33(1):35–47. https://doi.org/10.1002/nur.20361
McAlister BS, Tietze M, Northam S (2013) Early term birth. West J Nurs Res 35(8):1026–1042. https://doi.org/10.1177/0193945913484390
Michell PH, Heinrich J, Moritz P, Hinshaw AS (1997a) Outcome measures and care delivery systems: introduction and purposes of conference. Med Care 35(11 suppl):NS1–NS5
Michell PH, Heinrich J, Moritz P, Hinshaw AS (1997b) Measurement to practice: summary and recommendations. Med Care 35(11 suppl):NS124–NS127
Mitchell PH, Lang NM (2004) Framing the problem of measuring and improving healthcare quality: has the Quality Health Outcomes Model been useful? Med Care 42(2 suppl):II-4–II-11
Mitchell PH, Shortell SM (1997) Adverse outcomes and variations in organization of care delivery. Med Care 35(11 suppl):NS19–NS32
Mitchell PH, Ferketich S, Jennings BM (1998) Quality health outcomes model. Image J Nurs Scholar 30(1):43–46. https://doi.org/10.1111/j.1547-5069.1998.tb01234.x
Needleman J, Kurtzman ET, Kizer KW (2007) Performance measurement of nursing care. State of the science and the current consensus. Med Care Res Rev 64(2):10S–43S. https://doi.org/10.1177/1077558707299260
Press-Ganey (n.d.) Turn nursing quality insights into improved patient experiences. https://www.pressganey.com/docs/default-source/default-document-library/clinicalexcellence_ndnqi_solution-summary.pdf?sfvrsn=0
Rowland C (2005) An exploration of variations in birth outcomes using PRAMS data guided by the quality health outcomes model. Doctoral dissertation
Serpa S, Ferreira CM (2019) Micro, meso, and macro levels of social analysis. Int J Soc Stud 7(3):120–124. https://doi.org/10.11114/ijsss.v7i3.4223
Shang J, You L, Ma C, Altares D, Sloane DM, Aiken LH (2014) Nurse employment contracts in Chinese hospitals: impact of inequitable benefit structures on nurse and patient satisfaction. Hum Resour Health 12(1):1–10. https://doi.org/10.1186/1478-4491-12-1
Sin MK, Belza B, LoGerfo J, Cunningham S (2005) Evaluation of a community-based exercise program for elderly Korean immigrants. Public Health Nurs 22(5):407–413. https://doi.org/10.1111/j.0737-1209.2005.220505.x
Swan BA, Boruch RF (2004) Quality of evidence. Med Care 42(Suppl):II-12–II–20. https://doi.org/10.1097/01.mlr.0000109123.10875.5c
Wilson BL, Effken J, Butler RJ (2010) The relationship between Cesarean section and labor induction. J Nurs Scholarsh 42(2):130–138. https://doi.org/10.1111/j.1547-5069.2010.01346.x
Yakusheva O, Needleman J, Bettencourt AP, Buerhaus P (2020) Is it time to peak under the hood of system-level approaches to safety and quality? Nurs Outlook 68:141–144. https://doi.org/10.1016/j.outlook.2019.11.004
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Boyle, D.K., Baernholdt, M. (2021). Overview of the Quality Health Outcomes Model. In: Baernholdt, M., Boyle, D.K. (eds) Nurses Contributions to Quality Health Outcomes. Springer, Cham. https://doi.org/10.1007/978-3-030-69063-2_1
Download citation
DOI: https://doi.org/10.1007/978-3-030-69063-2_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-69062-5
Online ISBN: 978-3-030-69063-2
eBook Packages: MedicineMedicine (R0)