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The Systems Research Organizing (SRO) Model. Mary Davis Doyle, PhD (c), RN Marylyn Morris McEwen, PhD (c), APRN, BC. Problem Statement Gaps in nursing systems research Absence of context Reliance on linear models. Problem Solution Construction of a new model.
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The Systems Research Organizing (SRO) Model Mary Davis Doyle, PhD (c), RN Marylyn Morris McEwen, PhD (c), APRN, BC
Problem StatementGaps in nursing systems researchAbsence of contextReliance on linear models Problem Solution Construction of a new model
Theoretical Underpinnings of SRO Model • Quality of Health Care model (Donabedian, 1966) • Structure, Process, Outcome • Outcomes Model for Health Care Research (Holzemer and Reilly, 1995) • Matrix of Inputs, Processes, Outputs, Client, Provider, Setting • American Academy of Nursing Quality of Healthcare Outcomes Model (Mitchell, Ferketich, & Jennings, 1998) • Client, Intervention, Systems, & Outcomes
Context Outcomes Client Intervention Systems Research Organizing Model Adapted from Mitchell, Ferketich, & Jennings (1998)
SRO Constructs • Type of Client • Demographics • Risk Factors Client
SRO Constructs • Individual • Group • Organization Context
SRO Constructs • Direct and Indirect • Clinical Processes • Technological • Organizational Intervention
SRO Constructs • Individual • Group • Organization Outcomes
Relationships • Reciprocal • Dynamic/Interactive • Guides selection of variables
Contribution to Nursing Practice and Research • Framework for critiquing, guiding, and building nursing knowledge. • Reflects nursing metaparadigm of person, health, nursing, and environment.
Application of SRO Model • Border health • Informatics • Organizations • Nurse-patient relationship
Conclusion • Supports research questions concerned with the complexity of nursing practice. • Fosters innovative approaches to building nursing knowledge.