Linking nursing care interventions with client outcomes: A community-basedapplication of an outcomes model

This article describes a conceptual model that provides an organizing frame work for assessing client outcomes in community-based settings. The "Outcom es Model for Community-Based Settings" (OMCBS) examines the relationships a mong structure, process, and outcomes juxtaposed to the dimensions of clien t, provider, and setting including sample measures for each variable. OMCBS incorporates the Omaha System including its comprehensive list of client h ealth problems, nursing interventions, and an outcome rating scale assessin g client knowledge, behavior, and health status to standardize nursing care and client outcomes. The OMCBS provides a strategy to evaluate the effecti veness of nursing interventions for clients in a variety of milieus.