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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 l.jpg

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 l.jpg
Problem StatementGaps in nursing systems researchAbsence of contextReliance on linear models

Problem Solution

Construction of a new model


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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


Systems research organizing model l.jpg

Context

Outcomes

Client

Intervention

Systems Research Organizing Model

Adapted from Mitchell, Ferketich, & Jennings (1998)


Sro constructs l.jpg
SRO Constructs

  • Type of Client

  • Demographics

  • Risk Factors

Client


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SRO Constructs

  • Individual

  • Group

  • Organization

Context


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SRO Constructs

  • Direct and Indirect

    • Clinical Processes

    • Technological

    • Organizational

Intervention


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SRO Constructs

  • Individual

  • Group

  • Organization

Outcomes


Relationships l.jpg
Relationships

  • Reciprocal

  • Dynamic/Interactive

  • Guides selection of variables


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Contribution to Nursing Practice and Research

  • Framework for critiquing, guiding, and building nursing knowledge.

  • Reflects nursing metaparadigm of person, health, nursing, and environment.


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Application of SRO Model

  • Border health

  • Informatics

  • Organizations

  • Nurse-patient relationship


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Conclusion

  • Supports research questions concerned with the complexity of nursing practice.

  • Fosters innovative approaches to building nursing knowledge.


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