Nursing interventions and 30-day hospital readmissions: Scoping Review
DOI:
https://doi.org/10.62741/ahrj.v1i3.25Abstract
Introduction: Chronic diseases impact morbidity and mortality and are associated with frequent use of health services. Nursing interventions can contribute to reducing hospital readmissions.
Objectives: This study aims to map the literature on nursing interventions and their impact on 30-day hospital readmissions.
Methodology: A scoping review was conducted according to the Joanna Briggs Institute model, with the research question supported by the acronym PCC - population: adults readmitted within 30 days; concept: nursing care; context: hospital. Scielo, EBSCOhost, PubMED, and Web of Science were the databases used for the search, including articles published between 2019 and 2023, in Portuguese and English. The relevance of the studies, data extraction, and synthesis were performed by two independent blind reviewers.
Results: Of the 125 articles identified, 11 were included in the review. Nursing interventions were found for disease self-management, care transition, home hospitalization, and the bell test as a predictor of readmissions. Telehealth and case management were also utilized strategies. The interventions had an impact on reducing hospital readmissions, emergency visits, mortality, costs, and improving quality of life.
Conclusion: Nursing interventions reduce 30-day hospital readmissions.
References
OECD & EOHSP. Portugal: Country Health Profile 2023.; 2024. doi.org/https://doi.org/10.1787/6be7d83c-pt DOI: https://doi.org/10.1787/6be7d83c-pt
Tavares MG, Tedesco-Silva Junior H, Pestana JOM. Early Hospital Readmission (EHR) in kidney transplantation: a review article. Braz J Nephrol. 2020;42(2):231-237. doi:10.1590/2175-8239-jbn-2019-0089 DOI: https://doi.org/10.1590/2175-8239-jbn-2019-0089
Conner KO, Meng H, Marino V, Boaz TL. Individual and Organizational Factors Associated With Hospital Readmission Rates: Evidence From a U.S. National Sample. J Appl Gerontol. 2020;39(10):1153-1158. doi:10.1177/0733464819870983 DOI: https://doi.org/10.1177/0733464819870983
ACSS AC do S de S. Benchmarking Hospitals - Care Performance. 2024. https://benchmarking-acss.min-saude.pt/BH_DesempAssistencialDashboard/Print
Ozavci G, Bucknall T, Woodward‐Kron R, Hughes C, Jorm C, Manias E. Towards patient‐centred communication in the management of older patients’ medications across transitions of care: A focused ethnographic study. Journal of Clinical Nursing. 2022;31(21-22):3235-3249. doi:10.1111/jocn.16162 DOI: https://doi.org/10.1111/jocn.16162
Gonçalves ALP, Souza VL, Santos VB, Lopes C. Intervenções realizadas por enfermeiros para diminuição das readmissões hospitalares após síndrome coronariana aguda: revisão integrativa de literatura. Rev Soc Cardiol Estado de São Paulo. 2021;31(4):422-430. doi:10.29381/0103-8559/20213104422-30 DOI: https://doi.org/10.29381/0103-8559/20213104422-30
Peters MDJ, Marnie C, Tricco AC, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis. 2020;18(10):2119-2126. doi:10.11124/JBIES-20-00167 DOI: https://doi.org/10.11124/JBIES-20-00167
Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-473. doi:10.7326/M18-0850 DOI: https://doi.org/10.7326/M18-0850
Arcilla D, Levin D, Sperber M. Transitioning Patients to Independence. Home Healthcare Now. 2019;37(3):158-164. doi:10.1097/NHH.0000000000000741 DOI: https://doi.org/10.1097/NHH.0000000000000741
Cai S, Intrator O, Chan C, et al. Association of costs and days at home with transfer hospital in home. JAMA Network Open. 2021;4(6):e2114920-e2114920. doi:10.1001/jamanetworkopen.2021.14920 DOI: https://doi.org/10.1001/jamanetworkopen.2021.14920
Kripalani S, Chen G, Ciampa P, et al. A transition care coordinator model reduces hospital readmissions and costs. Contemporary Clinical Trials. 2019;81:55-61. doi:10.1016/j.cct.2019.04.014 DOI: https://doi.org/10.1016/j.cct.2019.04.014
McCants KM, Reid KB, Williams I, Miller DE, Rubin R, Dutton S. The Impact of Case Management on Reducing Readmission for Patients Diagnosed With Heart Failure and Diabetes. Professional Case Management. 2019;24(4):177-193. doi:10.1097/NCM.0000000000000359 DOI: https://doi.org/10.1097/NCM.0000000000000359
Schario ME, Bahner CA, Widenhofer TV, Rajaballey JI, Thatcher EJ. Chatbot-Assisted Care Management. Professional Case Management. 2022;27(1):19-25. doi:10.1097/NCM.0000000000000504 DOI: https://doi.org/10.1097/NCM.0000000000000504
Sheikh MA, Ngendahimana D, Deo SV, et al. Home health care after discharge is associated with lower readmission rates for patients with acute myocardial infarction. Coronary Artery Disease. 2021;32(6):481-488. doi:10.1097/MCA.0000000000001000 DOI: https://doi.org/10.1097/MCA.0000000000001000
Sullivan VH, Hays MM, Alexander S. Health Coaching for Patients With Type 2 Diabetes Mellitus to Decrease 30-Day Hospital Readmissions. Professional Case Management. 2019;24(2):76-82. doi:10.1097/NCM.0000000000000304 DOI: https://doi.org/10.1097/NCM.0000000000000304
Sousa JP, Santos M. Symptom Management and Hospital Readmission in Heart Failure Patients: A Qualitative Study From Portugal. Critical Care Nursing Quarterly. 2019;42(1):81-88. doi:10.1097/CNQ.0000000000000241 DOI: https://doi.org/10.1097/CNQ.0000000000000241
Liang HY, Hann Lin L, Yu Chang C, Mei Wu F, Yu S. Effectiveness of a Nurse‐Led Tele‐Homecare Program for Patients With Multiple Chronic Illnesses and a High Risk for Readmission: A Randomized Controlled Trial. Journal of Nursing Scholarship. 2021;53(2):161-170. doi:10.1111/jnu.12622 DOI: https://doi.org/10.1111/jnu.12622
Mo Y, Chu M, Hu W, Wang H. Association between the nurse-led program with mental health status, quality of life, and heart failure rehospitalization in chronic heart failure patients. Medicine. 2021;100(10). doi: 10.1097/MD.0000000000025052 DOI: https://doi.org/10.1097/MD.0000000000025052
Gunton JE, Nandal S, Jones J, Chew DP, Marwick TH, De Pasquale CG. Validation of the “Doorbell Test”: A Novel Functional Test of Frailty and Clinical Status After Acute Decompensated Heart Failure. Heart, Lung and Circulation. 2020;29(7):1054-1062. doi:10.1016/j.hlc.2019.08.010 DOI: https://doi.org/10.1016/j.hlc.2019.08.010
Li M, Li Y, Meng Q, et al. Effects of nurse-led transitional care interventions for patients with heart failure on healthcare utilization: A meta-analysis of randomized controlled trials. PLoS One. 2021;16(12):e0261300. doi: 10.1371/journal.pone.0261300 DOI: https://doi.org/10.1371/journal.pone.0261300
Patel A. Improving chronic disease self-management in high-risk patient populations. Translational Medicine Communications. 2022;7(1):4. doi:https://doi.org/10.1186/s41231-022-00112-w DOI: https://doi.org/10.1186/s41231-022-00112-w
World Health Organization. World health statistics 2023 – Monitoring health for the SDGs. Geneva, Switzerland: WHO; 2023.
Chartrand J, Shea B, Hutton B, et al. Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs. International Journal for Quality in Health Care. 2023;35(4):mzad102. doi:10.1093/intqhc/mzad102 DOI: https://doi.org/10.1093/intqhc/mzad102
Shade K, Hidalgo P, Arteaga M, Rowland J, Huang W. Intensive Case Management to Reduce Hospital Readmissions: A Pilot Quality Improvement Project. Professional Case Management. 2023;28(6):271-279. doi: 10.1097/NCM.0000000000000645 DOI: https://doi.org/10.1097/NCM.0000000000000645
World Health Organization. Therapeutic patient education: An introductory guide. Geneva, Switzerland: WHO; 2023.
Hudon C, Chouinard MC, Dumont-Samson O, et al. Integrated case management between primary care clinics and hospitals for people with complex needs who frequently use healthcare services in Canada: A multiple-case embedded study. Health Policy. 2023;132:104804. doi:10.1016/j.healthpol.2023.104804 DOI: https://doi.org/10.1016/j.healthpol.2023.104804
Joo JY. Nurse-led telehealth interventions during COVID-19: a scoping review. Computers, Informatics, Nursing. 2022;40(12):804-813. doi: 10.1097/CIN.0000000000000962 DOI: https://doi.org/10.1097/CIN.0000000000000962
Miranda R, Oliveira MD, Baptista FM, Albuquerque I. Telemonitoring in Portugal: where do we stand and which way forward? Health Policy. Published online 2023:104761. DOI: https://doi.org/10.1016/j.healthpol.2023.104761
Chan S. Hospitalização Domiciliária, uma Alternativa ao Internamento Convencional. Medicina Interna. Published online March 22, 2022:53-56. doi:10.24950/RSPMI.2022.01.288
Rocha JVM, Marques AP, Moita B, Santana R. Direct and lost productivity costs associated with avoidable hospital admissions. BMC Health Serv Res. 2020;20(1):210. doi:10.1186/s12913-020-5071-4 DOI: https://doi.org/10.1186/s12913-020-5071-4
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