Association between continuity of nursing care and older adults' hospitalization outcomes: A retrospective observational study

Tonkikh, Orly; Zisberg, Anna; Shadmi, Efrat

doi:10.1111/jonm.13031

Cited by 10 publications

(22 citation statements)

References 35 publications

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“…Even though patients are informed about guidelines and lifestyles after hospital discharge, some key ways, such as prompt medication reconciliation, medication safety, disease management, patient education, and patient-provider communication, can improve the patient's care transition, finally being associated with reduced rates of readmission, emergency department visits, and death [ 12 , 13 ]. Therefore, promoting continuity of nurse care is necessary after discharge, mainly focusing on the needs and resources of the patients via taking advantage of active participation in self-care [ 14 , 15 ]. A care bundle is a set of interventions, which when used together, can achieve a better outcome than a single implementation [ 16 ], thus significantly improving patient outcomes [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

Pan

Chen

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. A continuing care bundle can achieve a better outcome than a single implementation after discharge. This study aims to investigate the effect of this intervention in elderly patients with rectal cancer after radical resection with a permanent stoma. Methods. Elderly patients diagnosed with rectal cancer underwent radical resection with permanent stoma, they were divided into the control group (n = 42) and bundle group (n = 42). The control group received the conventional care, and the bundle group received the continuing care bundle in addition to the conventional care. At 1- and 3-month after discharge, self-efficacy, self-care knowledge, ability to change stoma appliances, negative emotions, quality of life, and patient satisfaction were observed. Results. The increased levels of self-efficacy, self-care knowledge, and ability to change stoma appliances were displayed in the bundle group after discharge as compared with that in the control group, along with the enhanced score of SF-36 subscales, including physical function (PF), role physical (RP), global health (GH) and vitality (V), social function (SF), and mental health (MH). Furthermore, patients showed alleviated depression and anxiety after the continuing care bundle as compared to those after conventional care. Besides, the bundle groups had higher patient satisfaction than the control group. Conclusions. Continuing care bundle can serve as an effectiveness intervention in elderly rectal cancer patients after radical resection with permanent stoma via increasing self-efficacy and self-care knowledge, enhancing the ability to change stoma appliance, reliving the negative emotion, and improving quality of life and patient satisfaction.

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Section: Introductionmentioning

confidence: 99%

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

Pan

Chen

Zhang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…However, because the nursing intervention strategy focuses more on the “cramming” instillation of medical knowledge, while ignoring the internal demands of patients at the mental and psychological level, the intervention effect often fails to meet expectations, and it also causes patients to appear after discharge due to past bad behaviors ( 13 ). Therefore, under this background, some scholars have proposed a care model based on the concept of continuity ( 14 ). This model effectively connects the life and daily care in the hospital and the hospital, starting from the theoretical cognitive level and situational role-playing measures.…”

Section: Discussionmentioning

confidence: 99%

The effect of extended continuous nursing strategy applied to patients with mild brain injury on their quality of life and self-efficacy

Zhang¹,

Liu³

et al. 2022

Front. Surg.

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Postoperative rehabilitation of craniocerebral injury requires a long process and has many complications. In addition, patients with severe craniocerebral injury are usually accompanied by impaired nervous system function, which will affect the patients’ normal life and work in a period of time after surgery. Reasonable rehabilitation nursing plays an active role in restructuring central nervous system function and coordinating muscle and joint activities. Since the rehabilitation of cerebral trauma is a long process, how to ensure the patients to carry out limb and brain function as well as self-care ability and self-care skills according to the rehabilitation exercise plan and intervention measures formulated before discharge has aroused hot debate. This study analyzed the impact of out-of-hospital continuous nursing strategy applied to patients with mild cerebral trauma on their quality of life and self-efficacy level.

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“…Patients relate accessibility to the health system and the perception of continuity of care with their level of satisfaction [ 33 , 34 , 35 ], which increases when they participate in standardized hospital discharge programs [ 36 , 37 ]. Nurse perception of patients’ satisfaction with continuity of care was higher in PC.…”

Section: Discussionmentioning

confidence: 99%

Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain

Reig‐Garcia

Soler

Mantas-Jiménez

et al. 2021

IJERPH

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Chronic diseases are treated and cared for in different healthcare settings. Continuity of care and the case management model facilitate the integration of processes and care levels. However, there is little evidence regarding the satisfaction of nurses with this model. The purpose of this study was to examine nurses’ satisfaction with continuity of care and the case management model. A cross-sectional study was conducted. An ad hoc questionnaire was administrated to 437 Spanish nurses from the three health care settings that responded. This included items on socio-demographics, employment relationship, and satisfaction with continuity of care and case management. Descriptive analysis and linear regression models were performed. In total, 96.1% of the nurses expressed a high level of satisfaction with continuity of care and 80.7% with the case management model. Nurses in a primary care setting reported the greatest satisfaction with the case management model (B = 0.146, 95% CI = 0.139–0.694, p = 0.003). The nurses’ higher perception of patient satisfaction was associated with greater satisfaction with continuity of care (B = 0.466, 95% CI = −0.367–0.533, p < 0.000). Nurses identified the case management model as an optimal facilitator of continuity of care. While satisfaction with continuity is high, strategies are needed to improve it in primary care centers and aged care homes.

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Association between continuity of nursing care and older adults' hospitalization outcomes: A retrospective observational study

Cited by 10 publications

References 35 publications

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma

The effect of extended continuous nursing strategy applied to patients with mild brain injury on their quality of life and self-efficacy

Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain

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