The use of nurse‐led care intervention to improve self‐care abilities subsequently decreasing readmission in multimorbid hospitalized patients: A quasi‐experimental study in a real‐world setting

Abstract

Aim: Nurse-led care aims to optimize the discharge preparation with a focus on increasing patients' independency and self-care abilities. This study compared patients' improvements of self-care abilities and frequency of readmission rate between nurseled care and regular nursing care within the acute hospital setting.Design: A quasi-experimental design within a real-world setting was used for this work. Methods:We included a pool of 2501 patients from a control group (medically stable in usual care) and 420 patients from an intervention group (nurse-led care). After propensity score matching, the study cohort consisted of 612 patients. Results:From admission to discharge, nurse-led care patients showed superior improvements of total self-care abilities compared to usual care patients. In particular, we found improvements in the following categories: mobility, grooming and excretion.Patients with nurse-led care were furthermore less frequently readmitted to hospital compared with the control group patients.

Nurse-led self-care interventions for older adults with multiple chronic conditions: A protocol for a systematic review and network meta-analysis

“…Nurses have various roles in nurse-led interventions, including coordinators, case managers, consultants, educators, navigators, practitioners, and researchers [ 24 , 31 – 33 ]. Current evidence supports the positive impact of nurse-led interventions on managing chronic diseases, including systolic blood pressure, pain control, and health services utilization [ 11 , 34 , 35 ].…”