A Systematic Review on Nurse-Led Transitional Care Programs for Discharged Patients from Hospital to Home
10.22650/JKCNR.2017.23.3.376
- Author:
Hyun Joo LEE
1
;
Yukyung KIM
;
Eui Geum OH
Author Information
1. Graduate Student, College of Nursing, Graduate School, Yonsei University, Korea.
- Publication Type:Meta-Analysis
- Keywords:
Patient Discharge;
Transitional Care;
Continuity of Patient Care
- MeSH:
Bias (Epidemiology);
Continuity of Patient Care;
Education;
Emergency Service, Hospital;
Humans;
Outcome Assessment (Health Care);
Patient Discharge;
Quality of Life;
Sample Size;
Transitional Care
- From:
Journal of Korean Clinical Nursing Research
2017;23(3):376-387
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was to systematically review the contents and effects of nurse-led transitional care programs for discharged patients from hospital to home. METHODS: Randomized controlled trials published between 2005 and 2015 were searched in Pubmed, Embase, Cochrane(Central Register of Controlled Trials) and CINAHL. Data were analyzed using Cochrane Review Manager(Revman) software 5.3. RESULTS: Nine studies were selected and analyzed. Patient assessment, education and discharge planning were included in pre-discharge phase. Referring, communication and care planning were performed by nurses in transition phase. Home and phone visits, monitoring and multidisciplinary advices were included in post-discharge phase. Various outcome measures such as hospital utilization(30 days readmission and emergency department visit), quality of life, and cost were used to identify effectiveness of nurse-led transitional care programs. 30 days readmission(OR=.73, 95% CI 0.54, 0.98; p=.03) and emergency department visit(OR=.67, 95% CI 0.50, 0.88; p=.005) were statistically significant in meta-analysis. However, participant blinding was not done in seven studies which put at the risk of performance bias. CONCLUSION: The results indicated that nurse-led transitional care program is effective in reducing unnecessary hospital utilization. Nevertheless, small sample size and risk at performance bias are the limitation of this study. Thus, we suggest that well-designed randomized controlled trials need to be conducted.
