Cédric Mabire1,2,3, Andrew Dwyer1,3,4, Antoine Garnier3, Joanie Pellet1,2. 1. Institute of Higher Education and Research in Healthcare (IUFRS), Lausanne University and Lausanne University Hospital, Lausanne, Switzerland. 2. Bureau d'Echange des Savoirs pour des praTique exemplaires de soins: an Affiliate Center of the Joanna Briggs Institute, Lausanne, Switzerland. 3. Lausanne University Hospital (CHUV), Lausanne, Switzerland. 4. Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA.
Abstract
AIM: To determine the effectiveness of nursing discharge planning interventions on health-related outcomes for older inpatients discharged home. BACKGROUND: 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. DESIGN: Systematic review and meta-analysis. DATA SOURCES: A systematic search was undertaken across 13 databases to retrieve published and unpublished studies in English between 2000-2015. REVIEW METHODS: Critical appraisal, data extraction and meta-analysis followed the methodology of the Joanna Briggs Institute. RESULTS: 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. CONCLUSION: 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.
AIM: To determine the effectiveness of nursing discharge planning interventions on health-related outcomes for older inpatients discharged home. BACKGROUND: 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. DESIGN: Systematic review and meta-analysis. DATA SOURCES: A systematic search was undertaken across 13 databases to retrieve published and unpublished studies in English between 2000-2015. REVIEW METHODS: Critical appraisal, data extraction and meta-analysis followed the methodology of the Joanna Briggs Institute. RESULTS: 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. CONCLUSION: 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.
Authors: Gloria Reig-Garcia; Anna Bonmatí-Tomàs; Rosa Suñer-Soler; Mari Carmen Malagón-Aguilera; Sandra Gelabert-Vilella; Cristina Bosch-Farré; Susana Mantas-Jimenez; Dolors Juvinyà-Canal Journal: BMC Health Serv Res Date: 2022-05-28 Impact factor: 2.908
Authors: Anam Ahmed; Maria E T C van den Muijsenbergh; Janne C Mewes; Walter P Wodchis; Hubertus J M Vrijhoef Journal: BMJ Open Date: 2021-04-24 Impact factor: 2.692
Authors: Shazia Mehmood Siddique; Kelley Tipton; Brian Leas; S Ryan Greysen; Nikhil K Mull; Meghan Lane-Fall; Kristina McShea; Amy Y Tsou Journal: JAMA Netw Open Date: 2021-09-01
Authors: Alexander Kutz; Daniel Koch; Sebastian Haubitz; Antoinette Conca; Ciril Baechli; Katharina Regez; Claudia Gregoriano; Fahim Ebrahimi; Stefano Bassetti; Jens Eckstein; Juerg Beer; Michael Egloff; Andrea Kaeppeli; Tobias Ehmann; Claus Hoess; Heinz Schaad; James Frank Wharam; Antoine Lieberherr; Ulrich Wagner; Sabina de Geest; Philipp Schuetz; Beat Mueller Journal: JAMA Netw Open Date: 2022-09-01