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

Nurs Open. 2023 Jun;10(6):3787-3798. doi: 10.1002/nop2.1637. Epub 2023 Feb 28.

Abstract

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.

Keywords: hospital setting; intervention; nurse-led care; readmission; self-care ability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Nurse's Role*
  • Nurse-Patient Relations
  • Patient Discharge
  • Patient Readmission
  • Self Care*