Table 4 Operationalization of the subsystem of producing changes in patients’ condition

1. Risk outcomes and safety

Falls

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Injuries

1

1

1

1

1

1

Medication management: errors and complications

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Pulmonary infections

1

1

1

1

1

Pressure ulcers/skin integrity

1

1

1

1

1

1

1

1

1

1

1

1

1

1

°

1

1

1

Urinary complications

1

1

1

1

1

1

Intravenous infections

1

1

1

1

1

1

1

Abuses

1

1

1

Nosocomial infections (taken broadly)

1

1

1

1

1

1

1

1

1

1

1

1

Failure to rescue

1

1

1

1

2. Patient comfort and quality of life related to care

Hygiene

1

1

1

1

Physical and chemical restraints

1

1

1

1

1

1

1

1

Symptoms management ( e.g., pain, nausea, dyspnoea, fever)

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Incontinence

1

1

1

1

1

Comfort and quality of life (taken broadly)

1

1

1

3. Patient empowerment

Ability to achieve appropriate self-care

1

1

1

1

1

1

1

1

1

1

1

Adoption of health-promoting behaviours

1

1

4. Patient functional status

Physical functional capacity

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Cognitive and psychosocial functional capacity

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Functional capacity (taken broadly)

1

1

1

Recovery of initial health status

1

1

1

Nutritional status

1

1

1

1

1

1

5. Patient satisfaction

Patient satisfaction/complaints

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

6. Joint contribution of nursing with other care systems

Hospital mortality

1

1

1

1

1

1

1

1

1

Readmissions

1

1

1

1

1

1

Length of stay

1

1

1

1

1

1

1

1

1

Other complications related to care interventions

1

1

1

1

1

1

1

Number of outcomes indicators

6

5

10

10

4

9

7

12

2

12

1

13

11

8

5

8

8

6

3

8

6

10

10

7

15

5

12

3

9

7

6