Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home

Mabire, Cédric Healthcare (IUFRS), Lausanne University ; Lausanne University Hospital ; 2Bureau d’Echange des Savoirs pour des praTique exemplaires de soins: an Affiliate Center of the Joanna Briggs Institute, (Institute of Higher Education and Research in Healthcare (IUFRS), Lausanne University and Lausanne University Hospital ; Bureau d’Echange des Savoirs pour des praTique exemplaires de soins: an Affiliate Center of the Joanna Briggs Institute, Lausanne ; Lausanne University Hospital (CHUV)) ; Dwyer, Andrew (1Institute of Higher Education and Research in Healthcare (IUFRS), Lausanne University and Lausanne University Hospital ; Lausanne University Hospital (CHUV) ; Boston College William F. Connell School of Nursing, Chestnut Hill) ; Garnier, Antoine (Lausanne University Hospital (CHUV)) ; Pellet, Joanie (Institute of Higher Education and Research in Healthcare (IUFRS), Lausanne University and Lausanne University Hospital ; Bureau d’Echange des Savoirs pour des praTique exemplaires de soins: an Affiliate Center of the Joanna Briggs Institute, Lausanne)

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 Data Sources: A systematic search was undertaken across 13 databases to retrieve published and unpublished studies in English between 2000–2015.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.


Keywords:
Article Type:
scientifique
Faculty:
Santé
School:
La Source
Institute:
Secteur Recherche et Développement (Ra&D) de l'Institut et Haute Ecole de la Santé La Source
Subject(s):
Santé
Date:
2018-01
Pagination:
12 p.
Published in:
Journal of Advanced Nursing
Numeration (vol. no.):
2018, vol. 74, no. 4, pp. 788-799
DOI:
ISSN:
03092402
Appears in Collection:

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 Record created 2019-01-21, last modified 2019-10-07

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