当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF NURSING STUDIES期刊下所有文献 > Core components and impact of nurse-led integrated care models for home-dwelling older people: A systematic review and meta-analysis.

Core components and impact of nurse-led integrated care models for home-dwelling older people: A systematic review and meta-analysis.

Abstract：

BACKGROUND:Integrated care models are highly recommended to overcome care fragmentation in the multimorbid older population. Nurses are potentially ideally situated to fulfil the role as care coordinator to guide integrated care. No systematic review has been conducted specifically focusing on the impact of nurse-led integrated care models for older people in community settings. OBJECTIVES:To identify core components of nurse-led integrated care models for the home-dwelling older population; to describe patient, service and process outcomes; and to evaluate the impact of these care models on quality of life, activities of daily living, hospitalisation, emergency department visits, nursing home admissions and mortality. DESIGN:Systematic review and meta-analysis. DATA SOURCES:English, Dutch, French, German and Spanish articles selected from PubMed and CINAHL, hand-search of reference lists of the included articles and grey literature. REVIEW METHODS:A systematic search was conducted to identify prospective experimental or quasi-experimental studies detailing nurse-led integrated care models in the older home-dwelling population. Study characteristics and reported outcomes were tabulated. The core components of the models were mapped using the Sustainable intEgrated chronic care modeLs for multi-morbidity: delivery, FInancing, and performancE (SELFIE) framework. A random effects meta-analysis was conducted to study the overall effectiveness of the included care models on health-related quality of life, activities of daily living, hospitalisation, emergency department visits, nursing home admissions or mortality. Risk of bias was appraised using the revised Cochrane risk-of-bias tool for randomized trials and ROBINS-I tool for non-randomized studies. RESULTS:Nineteen studies were included studying a total of 22,168 patients. Core components of integrated care for multimorbid patients such as the involvement of a multidisciplinary team, high risk screening, tailored holistic assessment and an individualized care plan, were performed in a vast majority of the studies; however variability was observed in their operationalisation. Twenty-seven different patient, provider and service outcomes were reported, ranging from 1 to 13 per study. The meta-analyses could not demonstrate a beneficial impact on any of the predefined outcomes. Most included studies were of high risk for several biases. CONCLUSION:The summarized evidence on nurse-led integrated care models in home-dwelling older people is inconclusive and of low quality. Future studies should include key components of implementation research, such as context analyses, process evaluations and proximal outcomes, to strengthen the evidence-base of nurse-led integrated care.

journal_name

Int J Nurs Stud

journal_title

International journal of nursing studies

authors

Deschodt M,Laurent G,Cornelissen L,Yip O,Zúñiga F,Denhaerynck K,Briel M,Karabegovic A,De Geest S,INSPIRE consortium.

doi

10.1016/j.ijnurstu.2020.103552

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

103552

eissn

0020-7489

issn

1873-491X

pii

S0020-7489(20)30037-7

journal_volume

105

pub_type

杂志文章,评审

相关文献

INTERNATIONAL JOURNAL OF NURSING STUDIES文献大全
  • Need-based nutritional intervention is effective in improving handgrip strength and Barthel Index scores of older people living in a nursing home: a randomized controlled trial.

    abstract：BACKGROUND:Nutritional status is associated with physical functioning in older people. Protein-energy malnutrition can limit functional performance. OBJECTIVES:This study examined the effectiveness of a "need-based intervention" on improving the physical functioning of older adults living in nursing homes. DESIGN:A 2...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijnurstu.2015.01.008

    authors： Lee LC,Tsai AC,Wang JY

    更新日期：2015-05-01 00:00:00

  • Mental health nurses' attitudes towards the physical health care of people with severe and enduring mental illness: the development of a measurement tool.

    abstract：BACKGROUND:It is well established that people with schizophrenia and related serious mental illnesses die prematurely and have significantly higher medical co-morbidity compared with the general population. Mental health nurses have a key role in improving the physical health of patients but their attitudes to this asp...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2011.07.011

    authors： Robson D,Haddad M

    更新日期：2012-01-01 00:00:00

  • Patient assessment: validation of a nursing instrument.

    abstract：:The aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). The BPAF is a systems based checklist of physiological measurements, signs, and symptoms designed to structure and document the assessment of a patients physical condition by nursing staff. Initially th...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/s0020-7489(98)00042-x

    authors： Harris R,Wilson-Barnett J,Griffiths P,Evans A

    更新日期：1998-12-01 00:00:00

  • Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review.

    abstract：BACKGROUND AND OBJECTIVE:Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, r...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2015.09.010

    authors： Lee WW,Choi KC,Yum RW,Yu DS,Chair SY

    更新日期：2016-01-01 00:00:00

  • Antenatal health care policy, services and clients in urban Papua New Guinea.

    abstract：:This article describes the nurse-operated antenatal clinic services in Port Moresby, Papua New Guinea, and reports the findings of a survey of 365 women attending the Port Moresby General Hospital antenatal clinic. Only 9% of the women surveyed attended the clinic in the 1st trimester of their pregnancy, with the maj...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/0020-7489(84)90004-x

    authors： Marshall LB,Lakin JA

    更新日期：1984-01-01 00:00:00

  • Survey of nursing quality assurance programs in selected hospitals in Alberta, Canada.

    abstract：:This study represents a survey of the nursing quality assurance programs in 12 hospitals in Alberta. The objectives of the study were: to identify the nature, content and costs of the programs, to determine the extent of nurse involvement in the design and operation of the programs, and the value and importance nurses...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/0020-7489(92)90032-c

    authors： Giovannetti PB,Ratner PA,Buchan J,Bay K,Reid D

    更新日期：1992-08-01 00:00:00

  • The merging of participatory and analytical approaches to evaluation: implications for nurses in primary health care programs.

    abstract：:This paper addresses the need to make evaluation part of the nurse's expanded role within the Primary Health Care system. In a social policy and decision-making context, the nurse is an intermediary between political authorities and community groups. This requires diverse, but complementary, evaluation skills. The aut...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/0020-7489(86)90019-2

    authors： Rovers R

    更新日期：1986-01-01 00:00:00

  • Defining empowerment for older people living with dementia from multiple perspectives: A qualitative study.

    abstract：BACKGROUND AND OBJECTIVES:The concept of empowerment seems promising for people living with dementia to live their life as they want to for as long as possible. Therefore, this study aimed to explore what the concept of empowerment means and includes for people living with dementia from the perspectives of people livin...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2020.103823

    authors： van Corven CTM,Bielderman A,Wijnen M,Leontjevas R,Lucassen PLBJ,Graff MJL,Gerritsen DL

    更新日期：2021-02-01 00:00:00

  • Ethical awareness among first year medical, dental and nursing students.

    abstract：:Ethics is increasingly being included in the training curriculum for health-care professionals. However, debate continues around the appropriate content of ethics courses for such students and the most relevant teaching approaches which will enable students to apply their ethical knowledge in clinical settings. At a t...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/0020-7489(95)00012-m

    authors： Nolan PW,Smith J

    更新日期：1995-10-01 00:00:00

  • Nurses' reasoning process during care planning taking pressure ulcer prevention as an example. A think-aloud study.

    abstract：BACKGROUND:Nurses' clinical reasoning is of great importance for the delivery of safe and efficient care. Pressure ulcer prevention allows a variety of aspects within nursing to be viewed. OBJECTIVE:The aim of this study was to describe both the process and the content of nurses' reasoning during care planning at diff...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2006.04.016

    authors： Funkesson KH,Anbäcken EM,Ek AC

    更新日期：2007-09-01 00:00:00

  • The experiences of health care workers employed in an Australian intensive care unit during the H1N1 Influenza pandemic of 2009: a phenomenological study.

    abstract：BACKGROUND:The H1N1 Influenza A pandemic arrived in Australia in early May 2009. In Queensland, the highest number of H1N1 cases were admitted to the intensive care unit when compared with the other Australian states. While many recent studies examining the H1N1 pandemic have focussed on service delivery and disease ep...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2009.11.015

    authors： Corley A,Hammond NE,Fraser JF

    更新日期：2010-05-01 00:00:00

  • The effect of medication management training on community mental health nurse's clinical skills.

    abstract：:Background. There is evidence that compliance therapy improves treatment adherence and clinical outcomes in patients with schizophrenia. Community Mental Health Nurses (CMHNs) are ideally placed to deliver compliance therapy but require training to develop the necessary clinical skills.Aim. To explore whether a brief ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/s0020-7489(02)00045-7

    authors： Gray R,Wykes T,Gournay K

    更新日期：2003-02-01 00:00:00

  • The relationship between perceived role and appropriate use of peripherally inserted central catheters: A survey of vascular access nurses in the United States.

    abstract：BACKGROUND:The presence and proliferation of vascular access nursing in hospital settings has been identified as a potential contributor to growing demand, and possible overuse, of peripherally inserted central catheters (PICCs). OBJECTIVE:We examined vascular access nurses' perceived role related to use of PICCs and ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2017.03.001

    authors： Krein SL,Kuhn L,Ratz D,Winter S,Vaughn VM,Chopra V

    更新日期：2017-06-01 00:00:00

  • Carer mentoring: a mixed methods investigation of a carer mentoring service.

    abstract：BACKGROUND:Worldwide with ageing populations, the numbers of informal carers are likely to increase. Although being a carer is often satisfying, it can be challenging and require support. Volunteer-provided carer mentoring services where carers are supported by volunteer mentors are one such intervention. However, litt...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2013.06.011

    authors： Greenwood N,Habibi R

    更新日期：2014-03-01 00:00:00

  • Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study.

    abstract：BACKGROUND:Collaboration among healthcare providers has been considered a promising strategy for improving care quality and patient outcomes. Despite mounting evidence demonstrating the impact of collaboration on outcomes of healthcare providers, there is little empirical evidence on the relationship between collaborat...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2018.05.001

    authors： Ma C,Park SH,Shang J

    更新日期：2018-09-01 00:00:00

  • Barriers and facilitators in providing oral care to nursing home residents, from the perspective of care aides: A systematic review and meta-analysis.

    abstract：BACKGROUND:Oral health of nursing home residents is generally poor, with severe consequences for residents' general health and quality of life and for the health care system. Care aides in nursing homes provide up to 80% of direct care (including oral care) to residents, but providing oral care is often challenging. In...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.ijnurstu.2017.05.003

    authors： Hoben M,Clarke A,Huynh KT,Kobagi N,Kent A,Hu H,Pereira RAC,Xiong T,Yu K,Xiang H,Yoon MN

    更新日期：2017-08-01 00:00:00

  • Skin antiseptics in venous puncture site disinfection for preventing blood culture contamination: A Bayesian network meta-analysis of randomized controlled trials.

    abstract：OBJECTIVE:To compare the efficacy of several antiseptics in decreasing the blood culture contamination rate. DESIGN:Network meta-analysis. DATA SOURCE:Electronic searches of PubMed and Embase were conducted up to November 2015. Only randomized controlled trials or quasi-randomized controlled trials were eligible. We ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.ijnurstu.2016.04.004

    authors： Liu W,Duan Y,Cui W,Li L,Wang X,Dai H,You C,Chen M

    更新日期：2016-07-01 00:00:00

  • A 'good hospital': nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe--a mixed-methods qualitative study.

    abstract：BACKGROUND:Antiretroviral treatment for HIV is gradually being made available across sub-Saharan Africa. With antiretroviral treatment, HIV can be approached as a chronic, manageable condition rather than a shorter-term issue of palliative care. This treatment involves repeated interaction between health staff and pati...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2010.07.019

    authors： Campbell C,Scott K,Madanhire C,Nyamukapa C,Gregson S

    更新日期：2011-02-01 00:00:00

  • Older husbands as caregivers of their wives: a descriptive study of the context and relational aspects of care.

    abstract：:The purpose of this study was to describe the context and relational aspects that characterize male caregiving. The sample comprised 323 older husbands caring for their wives in Quebec (Canada). Nearly 60% of them spent at least 84 h/week caregiving and about 40% regularly performed personal care and instrumental task...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2005.07.007

    authors： Ducharme F,Lévesque L,Lachance L,Zarit S,Vézina J,Gangbè M,Caron CD

    更新日期：2006-07-01 00:00:00

  • Exploring the meaning of night shift placement in nursing education: A European multicentre qualitative study.

    abstract：BACKGROUND:An appropriate clinical learning environment has been identified as pivotal in nursing undergraduate education and should be planned responsibly. Specifically, night shifts placements have been documented as an important opportunity for developing a full understanding of the nursing profession and the whole ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2020.103687

    authors： Dobrowolska B,Visintini C,Pokorná A,Nascimento C,Ferrão S,Ziakova K,Solgajova A,Rybarova L,Machul M,Lunazzi Gorizza G,Palese A

    更新日期：2020-12-01 00:00:00

  • Nurses in Mauritius motivated by extrinsic rewards: a qualitative study of factors determining recruitment and career choices.

    abstract：BACKGROUND:International studies have shown that motivation and career considerations related to nursing reveal that the decision is determined by a multitude of factors, generally distinguishing between the extrinsic and intrinsic rewards and work values. Although changing values seem to be important with greater emph...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2012.05.011

    authors： Hollup O

    更新日期：2012-10-01 00:00:00

  • Children's participation in consultations and decision-making at health service level: a review of the literature.

    abstract：BACKGROUND:The past decade has seen a growing recognition in Ireland and internationally that children and young people have a right to participate in matters that affect their lives. OBJECTIVES:To critique the research literature on children's, parents and healthcare professionals' experiences of children's participa...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2008.05.002

    authors： Coyne I

    更新日期：2008-11-01 00:00:00

  • Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation: A randomised clinical trial.

    abstract：BACKGROUND:Weaning from mechanical ventilation is a frequent nursing activity in critical care. Nature-based sound as a non-pharmacological and nursing intervention effective in other contexts may be an efficient approach to alleviating anxiety, agitation and adverse effects of sedative medication in patients undergoin...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijnurstu.2013.08.003

    authors： Aghaie B,Rejeh N,Heravi-Karimooi M,Ebadi A,Moradian ST,Vaismoradi M,Jasper M

    更新日期：2014-04-01 00:00:00

  • Adolescents' and young adults' transition experiences when transferring from paediatric to adult care: a qualitative metasynthesis.

    abstract：OBJECTIVES:The objective of this study was to synthesize qualitative studies of how adolescents and young adults with chronic diseases experience the transition from paediatric to adult hospital care. DESIGN:The review is designed as a qualitative metasynthesis and is following Sandelowski and Barroso's guidelines for...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.ijnurstu.2013.02.001

    authors： Fegran L,Hall EO,Uhrenfeldt L,Aagaard H,Ludvigsen MS

    更新日期：2014-01-01 00:00:00

  • The association between 12-hour shifts and nurses-in-charge's perceptions of missed care and staffing adequacy: a retrospective cross-sectional observational study.

    abstract：BACKGROUND:Due to worldwide nursing shortages and difficulty retaining staff, long shifts for nursing staff (both registered nurses and nursing assistants) working in hospitals have been adopted widely. Because long shifts reduce the daily number of shifts from three to two, many assume that long shifts improve product...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2020.103702

    authors： Saville C,Dall'Ora C,Griffiths P

    更新日期：2020-06-30 00:00:00

  • The role of gender, affectivity and parenting in the course of disordered eating: a 4-year prospective case-control study among adolescents.

    abstract：BACKGROUND:Prolonged eating disturbances increase the risk for a full-blown eating disorder and lifelong health impairment. Screening will improve early detection of eating pathology, but the major question still remains: who will benefit from early treatment and who needs little or no intervention. To answer this ques...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2011.01.014

    authors： Hautala L,Helenius H,Karukivi M,Maunula AM,Nieminen J,Aromaa M,Liuksila PR,Räihä H,Välimäki M,Saarijärvi S

    更新日期：2011-08-01 00:00:00

  • Evaluation of a violence risk assessment system (the Alert System) for reducing violence in an acute hospital: a before and after study.

    abstract：OBJECTIVES:To investigate the effectiveness of a risk assessment system in reducing the risk of violence in an acute care hospital in the Canadian province of British Columbia. METHODS:Hospital violence incident rates (number of incidents/100,000 work hours) were calculated and compared pre, during and post implementa...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章

    doi：10.1016/j.ijnurstu.2010.10.006

    authors： Kling RN,Yassi A,Smailes E,Lovato CY,Koehoorn M

    更新日期：2011-05-01 00:00:00

  • Transition from children's to adult services for young adults with life-limiting conditions: A realist review of the literature.

    abstract：BACKGROUND:Improvements in care and treatment have led to more young adults with life-limiting conditions living beyond childhood, which means they must make the transition from children's to adult services. This has proved a challenging process for both young adults and service providers, with complex transition inter...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijnurstu.2017.06.013

    authors： Kerr H,Price J,Nicholl H,O'Halloran P

    更新日期：2017-11-01 00:00:00

  • "Pain talk" in hospice and palliative care team meetings: an ethnography.

    abstract：BACKGROUND:Specialist palliative care nurses have considerable expertise in pain management and this expertise can contribute to tension in the boundary between specialist nurses and non-specialist doctors. OBJECTIVES:This article reports on how specialist palliative care nurses contribute to team talk about pain and ...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ijnurstu.2006.04.002

    authors： Arber A

    更新日期：2007-08-01 00:00:00

  • The effectiveness of pelvic floor exercises, digital vaginal palpation and interpersonal support on stress urinary incontinence: an experimental study.

    abstract：BACKGROUND/AIMS:The objective of this study is to examine if interpersonal support and digital vaginal palpation (DVP) as part of the pelvic floor muscle exercise (PFME) training is more effective for stress urinary incontinence (SUI) than PFME with a printed handout instruction. METHODS:108 women who presented to the...

    journal_title：International journal of nursing studies

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijnurstu.2009.03.003

    authors： Tsai YC,Liu CH

    更新日期：2009-09-01 00:00:00