Key result
Nurse-led care links to improved self-care and fewer readmissions vs usual care in multimorbid patients.
Why the study?
Nurse-led care aims to optimize discharge preparation, but its effects on self-care abilities and readmission rates compared with regular care in acute hospital settings required evaluation.
Does a nurse-led care intervention improve self-care abilities and decrease readmission in multimorbid hospitalized patients?
Does a nurse-led care intervention improve self-care abilities and decrease readmission in multimorbid hospitalized patients?
Nurse-led care interventions during acute hospitalization can significantly improve patients' self-care abilities and reduce subsequent hospital readmissions.
May support nurse-led models in multimorbid inpatients; leaves open confirmation in randomized trials before practice change.
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 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 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. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
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Faessler et al. (2023) studied Multimorbid hospitalized patients (n=612). Nurse-led care vs. Regular nursing care (usual care) was evaluated on Improvements of self-care abilities and frequency of readmission rate. Nurse-led care improved total self-care abilities from admission to discharge and reduced hospital readmission rates compared to usual care in multimorbid hospitalized patients.
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