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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

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 StatementGaps in nursing systems researchAbsence of contextReliance on linear models

Problem Solution

Construction of a new model

theoretical underpinnings of sro 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
systems research organizing model





Systems Research Organizing Model

Adapted from Mitchell, Ferketich, & Jennings (1998)

sro constructs
SRO Constructs
  • Type of Client
  • Demographics
  • Risk Factors


sro constructs6
SRO Constructs
  • Individual
  • Group
  • Organization


sro constructs7
SRO Constructs
  • Direct and Indirect
    • Clinical Processes
    • Technological
    • Organizational


sro constructs8
SRO Constructs
  • Individual
  • Group
  • Organization


  • Reciprocal
  • Dynamic/Interactive
  • Guides selection of variables
contribution to nursing practice and research
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
Application of SRO Model
  • Border health
  • Informatics
  • Organizations
  • Nurse-patient relationship
  • Supports research questions concerned with the complexity of nursing practice.
  • Fosters innovative approaches to building nursing knowledge.