Leveraging Patient-Reported Experience and Outcome Measures to Advance Nursing Healthcare Quality: A Silent Revolution in Patient-Centered Care

Abstract

Background: Healthcare systems globally are shifting toward patient-centered care, where patients’ lived experiences and self-reported health status are considered critical indicators of quality. Patient-reported experience measures (PREMs) and patient-reported outcome measures (PROMs) have become major instruments to capture the patient voice, complementing traditional biomedical indicators and helping evaluate the real quality and value of nursing care.

Objective: This review examines the transformative contribution of PREMs and PROMs in strengthening nursing healthcare quality, highlighting core conceptual frameworks, emerging methodological complexities, and innovative applications across diverse clinical settings.

Methods: A concept analysis was executed through a systematic literature search in PubMed, Scopus, CINAHL, and Web of Science (2010–2025). Studies were reviewed for theoretical foundations, nursing use-cases, outcome indicators, and technology-enabled integration models.

Results: PREMs and PROMs generate actionable feedback on satisfaction, communication patterns, functional recovery, emotional resilience, symptom burden, and continuity of care. The integration of these measures improves nurse–patient relationships, builds transparency and accountability, and reinforces shared decision-making. Current trends indicate rapid integration into digital platforms, artificial intelligence enabled predictive analytics, and value-based reimbursement frameworks. PROMs/PREMs are increasingly influencing nursing curricula, regulatory standards, and national health policy – expanding nursing roles in governance and quality assurance.

Conclusion: Embedding patient voice through PREMs and PROMs is reshaping nursing practice and healthcare quality evaluation. Nurses can strategically lead this transition toward equitable, sustainable, data-driven, and patient-centered systems.