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

School of Nursing, University of Texas, Arlington, P.O. Box 19407, Arlington, XX 76019.

Vivien Dee, RN, DNSc, FAAN

UCLA Neuropsychiatric Institute and Hospital.

Brooke P. Randell, RN, DNSc

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.

Journal of the American Psychiatric Nurses Association, Vol. 3, No. 3, 73-80 (1997)
DOI: 10.1177/107839039700300304


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