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

Détails

ID Serval
serval:BIB_68D7C4B09257
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home.
Périodique
Journal of advanced nursing
Auteur(s)
Mabire C., Dwyer A., Garnier A., Pellet J.
ISSN
1365-2648 (Electronic)
ISSN-L
0309-2402
Statut éditorial
Publié
Date de publication
04/2018
Peer-reviewed
Oui
Volume
74
Numéro
4
Pages
788-799
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
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A systematic search was undertaken across 13 databases to retrieve published and unpublished studies in English between 2000-2015.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.
Mots-clé
aged, discharge planning, hospitalization, meta-analysis, nursing, quantitative systematic review
Pubmed
Web of science
Création de la notice
19/10/2017 14:44
Dernière modification de la notice
04/10/2019 9:51
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