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
Faessler, Lukas; Kofler, Sabine; Wenke-Zobler, Juliane; Brunner, Corinne; Schäfer-Keller, Petra; De Geest, Sabina; Schubert, Maria; Regez, Katharina; Schuetz, Philipp; Mueller, Beat; Conca, Antoinette
2023

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Abstract

Aim: Nurse-led care aims to optimize the discharge preparation with a focus on in- creasing patients' independency and self-care abilities. This study compared patients' improvements of self-care abilities and frequency of readmission rate between nurse- led 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 pro-pensity score matching, the study cohort consisted of 612 patients. Results: From admission to discharge, nurse-led care patients showed superior im- provements 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. Patient or public contribution: No patient or public contribution.

Details

Title
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
Author(s)
Faessler, Lukas (Department of Clinical Nursing Research and Development, Kantonsspital Aarau, Aarau, Switzerland)
Kofler, Sabine (Department of Clinical Nursing Research and Development, Kantonsspital Aarau, Aarau, Switzerland)
Wenke-Zobler, Juliane (Department of Clinical Nursing Research and Development, Kantonsspital Aarau, Aarau, Switzerland)
Brunner, Corinne (Pediatric Skin Center, Skin- and Wound Management, University Children's Hospital Zurich, Zurich, Switzerland)
Schäfer-Keller, Petra (School of Health Sciences Fribourg, HES-SO, University of Applied Science and Arts Western Switzerland)
De Geest, Sabina (Department Public Health, Institute of Nursing Science, University of Basel, Basel, Switzerland ; Department of Public Health and Primary Care, Academic Center for Nursing and Midwifery, KU Leuven, Leuven, Belgium)
Schubert, Maria (Department Public Health, Institute of Nursing Science, University of Basel, Basel, Switzerland ; Department of Public Health and Primary Care, Academic Center for Nursing and Midwifery, KU Leuven, Leuven, Belgium ; School of Health Professions, Institute of Nursing, University of Applied Sciences (ZHAW), Winterthur, Switzerland)
Regez, Katharina (Division of General Internal and Emergency Medicine, Medical University Department, Kantonsspital Aarau, Aarau, Switzerland)
Schuetz, Philipp (Division of General Internal and Emergency Medicine, Medical University Department, Kantonsspital Aarau, Aarau, Switzerland)
Mueller, Beat (Division of General Internal and Emergency Medicine, Medical University Department, Kantonsspital Aarau, Aarau, Switzerland)
Conca, Antoinette (Department of Clinical Nursing Research and Development, Kantonsspital Aarau, Aarau, Switzerland)
Date
2023-02
Published in
Nursing open
Volume
Online Version of Record before inclusion in an issue
Pagination
12 p.
DOI
https://doi.org/10.1002/nop2.1637
ISSN
2054-1058
Keywords
hospital setting ; intervention ; nurse-led care ; readmission ; self-care ability
Article Type
scientifique
Faculty
Santé
Branch
Soins infirmiers
School
HEdS-FR
Institute
Institut Santé
Record Appears in
Scientific Articles
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