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The Johnson Behavioral Systems Model as a Framework for Patient Outcome Evaluation

BACKGROUD: Although there is a great deal of interest in the outcome of the nursing care of psychSitcpatients, there is little empirical research about the effectiveness of nursing care. METHODS: This study evaluated the medical record documentation by nurses as an important database (N=380patients). The predicted patient outcome instrument developed by the authors was used to collect the data related to patient demographics, acuity, nursing diagnosis, short-and long-term goals, and nursing interventions. The Johnson Behavioral System Model was the nursing conceptualframework used. FINDINGS: Overall, 80% of the predicted patient outcomes were achieved by the time of discharge, with increased length of stay being a factor in increasing the likelihood of achievement ofgoals. A positive link wasfound between achievement of outcomes at time of discharge and nursing interventions. A nursing theoreticalframework made it possible to prescribe nursing care as a distinctionfrom medical care. CONCLUSION: This study showed the importance of the nursing database in the medical records and the effectiveness of nursing interventions on predicted patient outcomes achieved by the time of discharge.