Cultura

The Impact Of Nursing Interventions On Patient Safety, Satisfaction, And Clinical Outcomes: An Integrative Review

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Seham Najim Alotaibi, Doha Khalid Alghamdi, Reem Ali Alshihri, Turki Ahmed Alamri, Hani Fahad Alamri
Abdullah Faraj Mibirik Alamri, Amirah Rabah Almusayri, Sultan Saeed Ali Alkhathiri, Mohammed Hulayyil Musaad Alluqmani, Afnan Surur Alotaibi

Abstract

Background: Nursing interventions play a critical role in shaping patient safety, satisfaction, and clinical outcomes across healthcare systems. As frontline providers, nurses influence care quality through direct clinical actions, preventive practices, patient education, and care coordination. Despite extensive research, evidence on the collective impact of nursing interventions remains dispersed across specialties and settings.

Aim: This integrative review aims to synthesize existing evidence on the impact of nursing interventions on patient safety, patient satisfaction, and clinical outcomes across diverse healthcare contexts.

Methods: An integrative review methodology was employed to analyze peer-reviewed studies published in recent years. Major healthcare databases were searched, and eligible studies were systematically screened and thematically analyzed to identify key categories of nursing interventions and outcome domains.

Results: Findings indicate that nursing interventions are consistently associated with reductions in adverse events, improvements in patient satisfaction and experience, and enhanced clinical outcomes such as reduced length of stay, lower complication rates, and improved recovery trajectories. The effectiveness of these interventions is further influenced by workforce capacity, education, leadership support, and organizational context.

Conclusion: Nursing interventions represent a foundational determinant of healthcare quality and patient outcomes. Strengthening evidence-based nursing practices and supportive systems is essential for advancing patient-centered, safe, and effective healthcare delivery.

Keywords : Nursing interventions; Patient safety; Patient satisfaction; Clinical outcomes; Quality of care..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty