CONTACT: TOM MOORE
Joint Office for Planning, Marketing and Communications
8788 John Pappajohn Pavilion
Iowa City IA 52242
Release: Nov. 7, 2001
UI health service researchers receive $1.3 million grant
IOWA CITY, Iowa -- Health service researchers at the University of Iowa have
received a four-year, $1.3 million grant to evaluate a methodological approach
for conducting nursing outcomes effectiveness research. Specifically, the
investigators will describe the effectiveness and cost of nursing care for
three patient populations composed of older adults and will develop a research
guideline for use by other researchers.
Investigators note that the study promises better understanding of the effectiveness
of health care provided to hospitalized elders with hip fracture or heart
failure, as well as the effectiveness of nursing treatments in helping prevent
falls among older adults. These three health care problems are leading causes
of morbidity and mortality among the elderly. The researchers plan to quantify
the contribution of nursing care by comparing outcomes of patients who receive
specific nursing interventions with the outcomes of those who do not receive
them for the same diagnosis.
The study's principal investigator is Marita G. Titler, Ph.D., director of
Research, Quality, and Outcomes Management in the UI Hospitals and Clinics
Department of Nursing Services and Patient Care. Joanne Dochterman, Ph.D.,
UI Foundation Distinguished Professor of Nursing and director of the Center
for Nursing Classification, is co-principal investigator. The National Institute
of Nursing Research is providing funding for the study.
Titler, Dochterman, and the investigative team will analyze three years of
data from electronic data repositories at UI Hospitals and Clinics, focusing
specifically on the medical diagnoses of heart failure and hip fracture and
on records of patients who receive the nursing treatment of fall prevention.
The investigators will identify the most frequently used nursing diagnoses
and interventions, pharmacological agents and medical treatments associated
with each. This information will then be used to describe statistical relationships
among patient characteristics, clinical conditions, treatments, nursing unit
characteristics and health outcomes.
Finally, the researchers will compare the costs of health care for patients
who receive specific nursing treatments with those who do not receive these
treatments. Incorporating nursing diagnoses, nursing interventions and outcomes
into health care effectiveness research is critical to understand the contribution
of nursing care to patient outcomes.
"With increasing competition in the health care industry, understanding
the relationship between nursing treatments and patient outcomes becomes more
important," Titler said.
"Unfortunately," Dochterman noted, "nursing interventions
are not included in standard coding or reimbursement systems, such as Medicare's
Diagnosis Related Groups, so nursing care has not been factored into most
previous studies of outcomes effectiveness."
What makes the current study possible is the advent of standardized languages
to describe nursing treatments and the patient outcomes associated with them.
Other members of the investigative team include:
-- Paul Abramowitz, Pharm.D., UI professor of pharmacy and director of
the UI Hospitals and Clinics Department of Pharmaceutical Care;
-- John Brooks, Ph.D., UI assistant professor of pharmacy;
-- Ginette Budreau, associate director of Nursing Finance and Informatics
in the UI Hospitals and Clinics Department of Nursing Services and Patient
-- Gloria Bulechek, Ph.D., UI professor of nursing;
-- Lee Carmen, director of Health Care Information Systems at the UI Hospitals
-- Connie Delaney, Ph.D., UI associate professor of nursing;
-- Linda Everett, Ph.D., associate director of the UI Hospitals and Clinics
and the Hospital's director of Nursing Services and Patient Care/Chief Nursing
Officer at the UI Hospitals and Clinics;
-- R. Edward Howell, director and CEO of the UI Hospitals and Clinics;
-- Christopher Klitgaard, project manager in Hospital Administration at
the UI Hospitals and Clinics;
-- Vicki Kraus, Ph.D., advanced practice nurse in the UI Hospitals and Clinics
Department of Nursing Services and Patient Care;
-- Sue Moorhead, Ph.D., UI associate professor of nursing;
-- Debra Pettit, Ph.D., advanced practice nurse in Research, Quality and
Outcomes Management in the UI Hospitals and Clinics Department of Nursing
Services and Patient Care.
University of Iowa Health Care describes the partnership between
the UI College of Medicine and the UI Hospitals and Clinics and the patient
care, medical education and research programs and services they provide. Visit
UI Health Care online at www.uihealthcare.com.