Nurse vs. physician‐led care for obstructive sleep apnoea: A systematic review and meta‐analysis of randomized trials

Gong, Fengqiu; Chen, Xiaojun; Wu, Yaoye; Yao, Dianye; Xie, Lihong; Ouyang, Qiuyi; Wang, Ping; Niu, Gang

doi:10.1111/jan.13346

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…For asthma patients, there was comparable effect on number of exacerbations (Baker et al, 2017;Kuethe et al, 2013), quality of life, disease severity and symptoms as well as use of preventer medication (Baishnab et al, 2012;Kuethe et al, 2013) and levels of correct inhalation technique and wellcontrolled asthma (Martínez-González et al, 2015). Nurse-delivered home care and education for patients with obstructive sleep apnoea was shown to have no significant effect on continuous positive airway pressure and physical functioning compared with physician-delivered care (Gong et al, 2018).…”

Section: Martínezmentioning

confidence: 96%

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

Winkelmann¹,

Williams²,

Rijken³

et al. 2022

Skill-Mix Innovation, Effectiveness and Implementation

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The prevalence of chronic diseases and multimorbidity is rising across Europe, triggered by increasing life expectancy and changing lifestyles. Chronic conditions are now the leading causes of premature death and disability in high-income countries (IHME, 2018;Jakab et al., 2018). In European countries, the number of people with multimorbidity, defined as the co-existence of two or more chronic conditions, is growing and may be an even greater challenge (Rijken et al., 2017.The resulting pressures on health systems to address chronic and multimorbid conditions have become a major concern for policymakers and providers. Traditional care delivery models are insufficient to respond to the complexity of such health conditions, with some patients experiencing disrupted care pathways. Continuous, coordinated, person-centred care is essential. Yet, many health service delivery models remain fragmented and focused on a single disease. As a result, a variety of new care models responding to chronic conditions and multimorbidity have been developed over the last decades, including disease management programmes, integrated care and multiprofessional team collaboration (Nolte & Knai, 2015). However, implementation remains patchy, limited to stand-alone programmes or projects, certain regions or single health conditions. These new health care models require new professional skills from individual providers and new competencies. Skill gaps include coordination and communication among providers, digital health know-how, coordination and transition between care levels (home, community, ambulatory, hospital), and developing patients' self-management through self-care and independent decision-making.

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Section: Martínezmentioning

confidence: 96%

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

Winkelmann¹,

Williams²,

Rijken³

et al. 2022

Skill-Mix Innovation, Effectiveness and Implementation

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“…To date, sleep management strategies consisting of pharmacological, non‐pharmacological and surgical interventions have been reviewed (Videnovic, ). Critically, one systematic meta‐analysis and review demonstrated that nurse‐led care for sleep complaints is not inferior to physician‐led care (Gong et al., ). Here, we focused on non‐pharmacological therapies, more specifically, those that can be performed by Registered Nurses independently.…”

Section: Discussionmentioning

confidence: 99%

Non‐pharmacological therapies for sleep disturbances in people with Parkinson's disease: A systematic review

Kim

2018

Journal of Advanced Nursing

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The non-pharmacological intervention types and sleep-related measured outcomes were heterogeneous. Most therapies had inconsistent effects on sleep. The insufficient evidence for non-pharmacological treatments seems related to the unique motor-associated clinical features of PD, which restrict the use of physical exercise therapy, or to individual "wearing-off" periods, which limit group therapy. Further studies on non-pharmacological therapies are required to identify the best interventions for improving sleep quality in people with PD.

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“…[37] Four studies found no difference in outcomes with nurse and physician-led care of obstructive sleep apnoea. [38] A Cochrane review, comprising two studies assessing accuracy of nurse-led preoperative assessment (historically assigned to doctors), found no evidence of difference in performance or cost. [39]…”

Section: Substitution From Doctors To Nursesmentioning

confidence: 99%

The best person (or machine) for the job: Rethinking task shifting in healthcare

et al. 2020

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Nurse vs. physician‐led care for obstructive sleep apnoea: A systematic review and meta‐analysis of randomized trials

Abstract: Nurse-led care for adults with obstructive sleep apnoea is non-inferior to physician-led care. More research is needed to standardize nurse-led interventions and evaluate their long-term effectiveness and cost-effectiveness.

Cited by 7 publications

References 18 publications

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

Chronic conditions and multimorbidity: skill-mix innovations for enhanced quality and coordination of care

Non‐pharmacological therapies for sleep disturbances in people with Parkinson's disease: A systematic review

The best person (or machine) for the job: Rethinking task shifting in healthcare

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