Mark B A, Sayler J, Smith C S
Nurs Adm Q. 1996 Summer;20(4):12-27. doi: 10.1097/00006216-199602040-00004.
Nursing research on patient and administrative outcomes has typically examined the relationships between selected structural characteristics and outcomes, without taking into account the organization's context. In contrast, health services research has focused on the relationships between the organization's context and outcomes, most often mortality, without taking into account structural characteristics. Although widely used, both approaches develop fragmented knowledge. This article describes a comprehensive theoretical model that takes into account the relationships among the organization's context, its structure, and both patient and nursing administrative outcomes.
关于患者和管理结果的护理研究通常考察选定的结构特征与结果之间的关系，而没有考虑组织的背景。相比之下，卫生服务研究则侧重于组织背景与结果之间的关系，最常见的是死亡率，而没有考虑结构特征。尽管这两种方法被广泛使用，但它们都产生了碎片化的知识。本文描述了一个综合理论模型，该模型考虑了组织背景、其结构以及患者和护理管理结果之间的关系。
