The Impact Of Nurse-Led Care Transitions On Reducing Hospital Readmissions

Abstract

The objective is to determine the various nurse-led treatments for multimorbidity and identify the specific outcomes that are favorably influenced by these types of measures. In October 2020, searches were conducted in Cochrane CENTRAL, CINAHL, Embase, and MEDLINE. The grey literature sources consisted of OpenGrey, the Journal of Multimorbidity and Comorbidity, and reference mining. English-language papers of nurse-led treatments for individuals with multiple chronic conditions were selected based on agreement among the authors. Two reviewers conducted separate quality assessment utilizing JBI tools. The data were gathered and synthesized by using a pre-established taxonomy of treatments and a core outcome set. The interventions mostly consisted of case-management or transitional healthcare interventions, led by advanced practice nurses. These interventions focused on supporting individuals in self-managing their diseases and placed a strong emphasis on ensuring continuity of treatment. The improvement of patient-centred outcomes, such as the standard of medical care and health-related quality of life, was mostly seen. However, the impacts on healthcare usage, costs, mortality, and other outcomes were varied. Patients generally find treatments such as case management to be acceptable, and transitional care interventions may have a modest beneficial effect on healthcare consumption. Treatments include both long-term patient care and short-term treatments specifically aimed at critical junctures with a high risk. These interventions include advanced practice nurses collaborating with patients to create care plans, aiming to streamline and enhance the quality of treatment in both the short and long term.