000000690 001__ 690 000000690 005__ 20240422141808.0 000000690 0247_ $$2DOI$$a10.6083/M4Q52MMB 000000690 037__ $$aETD 000000690 245__ $$aClinical inquiry project: domains of life function scale for patients with pituitary adenomas 000000690 260__ $$bOregon Health and Science University 000000690 269__ $$a2011 000000690 336__ $$aPortfolio 000000690 502__ $$bD.N.P. 000000690 520__ $$aThere is a growing national demand to demonstrate quality of care, efficacious clinical outcomes and evidence based practice. Enhanced by Center for Medicare/Medicaid Services (CMS) discussion of outcome based reimbursement and the need for fiscal restraint on what many see as the unsustainable trajectory of health care costs demand is growing to develop new methods of measurement of health care and clinical outcomes. Quality of life (QoL) has been discussed conceptually for many years but has been thrust further into clinical consciousness with this discussion. In summary, there is a need for a simple but comprehensive, standardized tool that can be used as a metric for the impact of pituitary tumors on QoL and life function changes. After validation, this instrument could be used to guide decision making with respect to choice and timing of treatments and to compare the efficacy of different treatment modalities or specific treatments over time and correlate clinical findings in pituitary diseases. Such a tool is needed to guide assessment, informed consent and treatment in both specialty care and primary care settings and to demonstrate efficacious outcomes of care. 000000690 540__ $$fCC BY 000000690 542__ $$fIn copyright - single owner 000000690 650__ $$aAdvanced Practice Nursing$$038882 000000690 650__ $$aPituitary Gland$$024193 000000690 650__ $$aQuality of Life$$025032 000000690 650__ $$aNurse Anesthetists$$023072 000000690 650__ $$aNursing$$023082 000000690 650__ $$aResearch$$025336 000000690 650__ $$aClinical Nursing Research$$028382 000000690 650__ $$aPituitary Neoplasms$$024202 000000690 650__ $$aMidwifery$$022307 000000690 650__ $$aEvidence-Based Nursing$$038239 000000690 6531_ $$aclinical inquiry report 000000690 6531_ $$atumors 000000690 6531_ $$aoutcome assessment (medical care) 000000690 6531_ $$aoutcome assessment (health care) 000000690 6531_ $$acase reports 000000690 6531_ $$anurse practioners 000000690 691__ $$aSchool of Nursing$$041370 000000690 7001_ $$aYedinak, Christine$$uOregon Health and Science University$$041354 000000690 8564_ $$987dbb39f-ac25-45e1-b087-175b0f98c3a8$$s5443779$$uhttps://digitalcollections.ohsu.edu/record/690/files/691_etd.pdf 000000690 905__ $$a/rest/prod/4j/03/cz/67/4j03cz67q 000000690 909CO $$ooai:digitalcollections.ohsu.edu:690$$pstudent-work 000000690 980__ $$aTheses and Dissertations