The Systems Research Organizing SRO Model

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The Systems Research Organizing (SRO) Model

• Mary Davis Doyle, PhD (c), RN
• Marylyn Morris McEwen, PhD (c), APRN, BC

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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

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Systems Research Organizing Model
Adapted from Mitchell, Ferketich, Jennings
(1998)
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SRO Constructs

• Type of Client
• Demographics
• Risk Factors

Client
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SRO Constructs

Context

• Individual
• Group
• Organization

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SRO Constructs
Intervention

• Direct and Indirect
• Clinical Processes
• Technological
• Organizational

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SRO Constructs

Outcomes

• Individual
• Group
• Organization

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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.