Nursing-sensitive outcomes in adult inflammatory bowel disease: A systematic review

J Adv Nurs. 2021 May;77(5):2248-2266. doi: 10.1111/jan.14744. Epub 2021 Jan 10.

Abstract

Aims: To evaluate nursing activity through outcomes that are affected, provided, and/or influenced by nurses and defined as nursing-sensitive outcomes in adult IBD patients.

Design: Systematic review without meta-analysis.

Data sources: PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library databases on August 2019.

Review methods: Peer-reviewed articles published between 2000-2020 were reviewed. The outcome measures were contextualized and presented by OMERACT Filter 2.0.

Results: Twenty-four studies were included. Eighteen nursing-sensitive outcomes were identified. These outcomes defined eight domains for health intervention, fitting into three core areas (resource use/economic impact, life impact, pathophysiological manifestations). Fifty-three measurement instruments were identified.

Conclusions: Through 53 measurement tools, with use of OMERACT framework, 18 nursing-sensitive outcomes in the main 3 core areas were identified, highlighting the multidimensional role of nursing. Further insights are to be carried out to define nursing outcomes included in IBD nursing intervention studies.

Impact: These results could serve as a cornerstone for further investigations and validation by a panel of experts to standardizing nursing activity in a multidisciplinary context.

Keywords: OMERACT; health care; inflammatory bowel disease; life impact; nursing-sensitive outcomes; pathophysiological manifestations; resource use.

Publication types

  • Systematic Review

MeSH terms

  • Adult
  • Humans
  • Inflammatory Bowel Diseases*
  • Outcome Assessment, Health Care*