Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home.

Details

Serval ID
serval:BIB_68D7C4B09257
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home.
Journal
Journal of advanced nursing
Author(s)
Mabire C., Dwyer A., Garnier A., Pellet J.
ISSN
1365-2648 (Electronic)
ISSN-L
0309-2402
Publication state
Published
Issued date
04/2018
Peer-reviewed
Oui
Volume
74
Number
4
Pages
788-799
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
To determine the effectiveness of nursing discharge planning interventions on health-related outcomes for older inpatients discharged home.
Inadequate discharge planning for the ageing population poses significant challenges for health services. Effective discharge planning interventions have been examined in several studies, but little information is available on nursing interventions for older people. Despite the research published on the importance of discharge planning, the impact on patient's health outcomes still needs to be evaluated in practice.
Systematic review and meta-analysis.
A systematic search was undertaken across 13 databases to retrieve published and unpublished studies in English between 2000-2015.
Critical appraisal, data extraction and meta-analysis followed the methodology of the Joanna Briggs Institute.
Thirteen studies were included in the review, 2 of 13 were pilot studies and one had a pre-post design. Included studies involved 3,964 participants with a median age of 77 years. Nurse discharge planning did not significantly reduce hospital readmission or quality of life, except readmission was lower across studies conducted in the USA. The overall effect score for nurse discharge planning on length of stay was statistically significant and positive.
Nursing discharge planning is a complex intervention and difficult to evaluate. Findings suggest that nursing discharge planning for older inpatients discharged home increases the length of stay yet neither reduces readmission rate nor improves quality of life.
Keywords
aged, discharge planning, hospitalization, meta-analysis, nursing, quantitative systematic review
Pubmed
Web of science
Create date
19/10/2017 14:44
Last modification date
04/10/2019 9:51
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