Nursing Care Approach Research Articles

Studi Cross Sectional Komunikasi Orang Tua Membentuk Perilaku Seksual Remaja

Adolescent is a phase or stage where there is sicnificant developmental transition with many bewilderment and hesitation. Adolescent was in critical period of sexual development where they will experienced emotional dan social development, such as attraction to the opposite sex and dating. Open minded and comfort communication between adolescent and parent about sexuality will decrease negative risks of risky sexual behavior. This study aims was to determine the relationship between parental communication and risky sexual behavior in adolescent. This study was a quantitative study using correlative descriptive method with cross sectional design. This study used the SCS (Sexual Communication Scale) questionnaire. The results of the chi square statistical analysis showed significant value of p = 0.000 (p <0.05), it was concluded that there was a significant relationship between communication between parents and adolescents with risky sexual behavior. These study suggested nurses with a family nursing care approach have to begin improving appropriate parental communication in facilitating care of adolescent in order to control expected sexual behavior.

Pengaruh Intervensi Dukungan Pengambilan Keputusan Terhadap Masalah Manajemen Kesehatan Tidak Effektif Pada Keluarga Dengan Penyakit Kronis

Chronic disease is a degenerative disease that affects individuals for more than 6 months. Degenerative and chronic diseases that are common in Indonesian society today include hypertension. This disease requires continuous treatment. Treatment is not only done while in the hospital but also requires further medication and care at home. Families with family members who have a history of chronic disease, one of which is the problem of ineffective health management. One of the interventions that nurses can do is decision support. The purpose of this study is to determine the effect of decision-making support interventions on ineffective health management problems. The design of this research is a case study with a nursing care approach. The case study subjects were 2 families who had family members with a history of hypertension. Enforcement of the problem refers to the definition of major and minor symptoms. The results showed that there was an increase in health management from moderately declining to sufficiently increasing with 3 days of management. Effective decision-making support interventions to address health management problems are ineffective.Chronic diseaseineffective health managementDecision-making support

Predictors of Adult Patient Satisfaction with Inpatient Nursing Care in Public Hospitals of Eastern Amhara Region, Northeastern Ethiopia, 2020.

BackgroundProviding a holistic nursing care approach and meeting patients’ satisfaction has become a major health service performance indicator globally. Despite a number of efforts to improve patient satisfaction with nursing care, the practice is still insufficient to meet the required standard in the developing world including Ethiopia. Accordingly, this study was initiated to identify the gaps in adult patient satisfaction with inpatient nursing care practice in Eastern Amhara region, Ethiopia.ObjectiveTo assess the determinants of patient satisfaction with inpatient nursing care among public hospitals in Eastern Amhara region, northeastern Ethiopia.MethodsA facility-based cross-sectional study was conducted between June 5, 2020 and July 4, 2020 in three public hospitals in the eastern region of Amhara. Systematic random sampling technique was used to recruit 244 participants from the sampled study. Newcastle Satisfaction with the Nursing Scale was used for data collection. Multivariate logistic regression analysis was used to determine the association and a P<0.05 was deemed to be significant.ResultsThe overall proportion of admitted patient satisfaction with nursing care was 118 (48.4%). Besides, the capability of nurses at their job was the highest nursing care satisfaction parameter, 133 (54.5%), while nurse’s awareness of patients’ needs was the lowest parameter, 43 (17.6%), according to this study. Having primary education (AOR=8.575; 95% CI: 1.770, 14.532), being a farmer by occupation (AOR=3.702; 95% CI=1.047–13.087), and having a health insurance scheme (AOR=5.621; 95% CI=1.489–11.213) were the important predictors for patient satisfaction with inpatient nursing care.ConclusionThe overall patient satisfaction with nursing care in this study was found to be sub-standard and needs a great deal of effort. It is recommended that employees shall be included in the health insurance package.

Nurse Training in Gender-Based Violence Using Simulated Nursing Video Consultations during the COVID-19 Pandemic: A Qualitative Study.

Gender-based violence (GBV) is a serious global public health problem that becomes aggravated during public health emergencies that involve quarantine measures. It is important to train nursing students on GBV, especially in vulnerable situations, such as the current COVID-19 pandemic. The purpose of our study is to explore the perceptions of third-year nursing students about simulated nursing video consultations for providing assistance to potential cases of GBV victims using a high-fidelity clinical simulation methodology. After all of the simulated scenarios were completed, 48 scripted interviews were carried out following a guide composed of four open-ended questions to facilitate in-depth discussion. A descriptive qualitative study based on the interpretative paradigm was conducted. The nursing students indicated that they improved their knowledge on GBV victim management (mainly their awareness of the problem, recognition of the role of nursing professionals, and performance of non-technical skills), although they also mentioned the need for continuous training (particularly in socio-emotional skills, interview techniques, a holistic nursing care approach, and not presupposing). This innovative high-fidelity simulation methodology allows nursing students to improve their awareness of the GBV problem, acquire a realistic view about their role in addressing GBV, and build their non-technical skills (such as active listening, communication skills, empathy, and generating confidence) required to adequately care for victims of GBV.

Research on the effect of health care integration on patients' negative emotions and satisfaction with lung cancer nursing activities.

BACKGROUNDLung cancer is a clinical disease with multiple malignant tumors. Currently, it is difficult for patients to benefit from routine clinical nursing due to the lack of a pertinent and systematic approach.AIMTo investigate the effect of integrated nursing care on the negative emotions and satisfaction of lung cancer patients.METHODSFrom January 2018 to December 2019, 92 patients with lung cancer were selected and divided into the study group and the control group; there were 46 patients in each group. The control group received routine nursing, and the study group received integrated medical care in addition to the care received by the control group. Negative emotions before and after the intervention, the self-management ability score after the intervention, family care burden after the intervention and nursing satisfaction after the intervention were measured in the two groups.RESULTSAfter the intervention, the self-rating anxiety scale and self-rating depression scale scores in the study group were lower than those in the control group (P < 0.05); the scores for health knowledge, self-concept, self-responsibility and self-care skills in the study group were higher than those in the control group (P < 0.05); the scores for individual burden and responsibility burden in the study group were lower than those before the intervention (P < 0.05); and the nursing satisfaction in the study group (93.48%) was higher than that in the control group (78.26%, P < 0.05).CONCLUSIONAn integrated nursing care approach for lung cancer patients can effectively relieve the patient’s negative feelings, improve their self-management ability, help to reduce the burden of family care and improve patient satisfaction with nursing activities.

Trauma-informovaný přístup v paliativní ošetřovatelské péči o onkologicky nemocné

Mnozi onkologicti pacienti v preterminalnim nebo terminalnim stadiu onemocněni netrpi jen somatickými symptomy a psychickými potižemi souvisejicimi se zdravotnim stavem a adaptaci na tuto životni situaci. Nejednou jsou pro ně významnou soucasti jejich soucasne bolesti a utrpeni dlouhodobe nasledky davne narocne nebo traumaticke udalosti, dopad zdravotniho traumatu a s nemoci souvisejici posttraumaticka stresova porucha (PTSD) ci sekundarni ztraty, ktere s sebou diagnoza a prognoza přinesla. Tyto aspekty mohou do znacne miry ovlivňovat nejen vztah a komunikaci s osetřujicim personalem, ale take průběh samotne osetřovatelske pece. Trauma-informovaný přistup přinasi do oblasti paliativni pece nový pohled, jak lepe porozumět proživani a projevům těchto pacientů a jak přispět v ramci svých kompetenci a v kontextu holisticke pece k uplnějsimu naplněni jejich potřeb. Přispěvek je zaměřen nejen na teoreticke poznatky, ale take jejich využiti v praxi v cinnosti sester v ramci ambulantnich, terennich i pobytových služeb paliativni pece.

NURSING CARE IN MEETING PHYSICAL MOBILITY NEEDS INPATIENTS NON HEMORRHAGIC STROKE IN RSKD DADI MAKASSAR

Stroke is damage to brain tissue caused by a sudden reduction in or supply of oxygen in the blood. Brain tissue that has decreased oxygen supply will experience decreased function and cell death. The purpose of this study is to provide an overview of nursing care to meet the needs of physical mobility in stroke patients at RSKD Dadi Makassar. The study design was a case study in the form of a nursing care approach in two non-hemorrhagic stroke patients. The results showed both patients experienced weakness of the right limb which caused impaired physical mobility and total self-care deficit. Nursing interventions in patients include ambulation support, mobilization support, range of motion exercises and self-care assistance. Nurses should provide care and education to families about the care of stroke patients who experience physical mobility impairments and self-care deficits. Families also need to provide support to stroke patients undergoing treatment to increase motivation, speed up the recovery process and prevent complications.

Fenugreek seed poultice versus cold cabbage leaves compresses for relieving breast engorgement: An interventional comparative study

Background: Breast engorgement is an uncomfortable and painful condition affecting a large slid of mothers in their early postpartum period. Several approaches have been explored for pharmacological or non-pharmacological interventions applied to the treatment of breast engorgement. Some of the non-medical interventions include Fenugreek seed poultice and cold cabbage leaves compresses. Aim: Study the impact of nursing intervention on relieves of breast engorgement among puerperal breastfeeding women and compare Fenugreek seed poultice versus could cabbage leaves compresses as two different nursing care approaches of on relieving of breast-engorgement.Methods: Setting: Postnatal unit and outpatient clinic of Beni-Suef and El-Fayoum University Hospital. Design: A quasi-experimental comparative study. Subjects: A purposive sample of a total of 100 puerperal mothers; 50 in the Fenugreek group \&amp; 50 in the cold Cabbage group. Tools: A specialized designed structured interview schedule and Breast Engorgement Assessment Scale (Numerical rating scale, Modified Reeda Scale, Six-points engorgement scale, Fever Chart, and LATCH breastfeeding charting scale).Results: A significant improvement of breast condition after intervention for both groups regardless of the applied measure was found; however, the improvement was better and shorter time among Fenugreek group than Cabbage group (p &lt; .05). Conclusions: For the management of breast engorgement, both Fenugreek seed poultice and cold Cabbage leaves were effective. However, Fenugreek seed was more highly effective where breast engorgement was alleviated in a shorter time than cold Cabbage leaves. Recommendations: Further randomized controlled trials with possible placebo treatment should be carried out to elucidate the non-specific effects of Fenugreek seed poultice and cold Cabbage leaves application.

PEMENUHAN KEBUTUHAN NUTRISI DENGAN ADANYA PERAN KELUARGA TERHADAP KEPATUHAN DIET PADA PASIEN HIPERTENSI DI RUMAH SAKIT TK. II PUTRI HIJAU MEDAN

Hypertension is a non-infectious disease caused by modern lifestyle. Its main symptom is the increase in intracranial pressure which causes hypertrophy of heart muscle fibers do not function well. The objective of this case study was to find out the description of the need for nutrition in hypertension patients. It used descriptive design with nursing care approach in two hypertension patients and had problem with fulfilling the need for nutrition. It was done at Putri Hijau level II Hospital, Medan from January to July, 2018. The data were gathered by conducting interviews and physical examination and using studying format as its instrument. In the post-intervention with the role of family in adherence to dieting, the need for nutrition was fulfilled in the two patients. It is recommended that the hospital management and science and technology development providers in nursing motivate nurses to be independent in fulfilling the need for nutrition in hypertension patients. Families and health care providers should apply the adherence to dieting in hypertension patients.

Nurses’ Care Approach (NCAp): Connecting Differences to Islamic Believer Patients in the Arab World

Background: Nursing care approaches may vary from one patient to another. In the nursing profession, nurses are imbibed with the attributes of multicultural care competencies that would empower the nurses to be adaptive and mindful of how they provide and go with their carative nursing managements. This would entail that the non-Muslim nurses must be aware and be sensitive enough in their approaches and communicative exchanges with their Muslim patients. Objective: The study aims to identify the care approaches given by non-Muslim nurses working in the Arab world and how they elicit and provide a universal approach in caring Muslim patients. Methods: The study utilized a mixed methodology, specifically the explanatory sequential design, which involved a descriptive-comparative quantitative research design and eidetic qualitative research design. Results: Based on the result with the highest mean 3.63%, the respondents strongly agree that the non-Muslim nurse is aware of her own culture, 3.60% strongly agree that the non-Muslim Nurse does not discriminate the decisions of the patients regardless of gender, race, culture or belief and 3.58% still strongly agree that the non-Muslim nurse encourages patients to communicate as need arises. Here are three themes emerged from the study: understanding and respect of cultures, caring across borders, and caring calmness. In connecting the differences, non-Muslim nurses must be aware of their own culture, must not discriminate the decisions of the patients regardless of gender, race, culture or belief and must encourages patients to communicate as need arises. Conclusion: Knowing and understanding the scope of nursing practice with a high regard of respect to patients without discrimination will promote and provide holistic, safe and high-quality nursing care.

Research progress of nursing interventions for postintensive care syndrome

There were 30%-60% of patients undergoing postintensive care syndrome (PICS) after hospitalized stay in intensive care unit (ICU) , which seriously affected their qualities of life. The article aimed to review the current research status of physical and psychological nursing care approaches for PICS both in China and abroad, consider and prospect existing deficiencies, and provide academic suggestions for the establishment of physical and psychological care strategies to healthcare practitioners in China. Key words: Review; Rehabilitation; Postintensive care syndrome

Perceived Needs, Preparedness, and Emotional Distress of Male Caregivers of Postsurgical Women With Gynecologic Cancer

To describe the perceived needs, preparedness, and emotional distress of male caregivers of postsurgical patients with gynecologic cancer during the transition from hospital to home. . 50 male caregivers of patients with gynecologic cancer on an inpatient unit at University Hospitals Seidman Cancer Center in Cleveland, OH. . Caregiver needs, perceived preparedness, and emotional distress were measured at admission and at one week postdischarge. Instruments included the Comprehensive Needs Assessment Tool for Cancer Caregivers, Preparedness for Caregiving Scale, and National Comprehensive Cancer Network Distress Thermometer. The analysis consisted of descriptive statistics, Spearman's correlations, and univariate linear regressions. . At both time points, male caregivers' greatest needs were interaction with the healthcare staff and information. Perceived preparedness was not associated with emotional distress. Male caregivers who were young, were employed, were unmarried, and had a lower income had greater needs. . A relational nursing care approach that maintains effective communication with male caregivers is essential. Nurses should broaden the caregiver assessment beyond the practical care of the patient.

Coping Mechanism of Career Women with Breast Cancer

Introduction: Patients with cancer may experience psychological disorders such as depression, anxiety, anger, helplessness, and unappreciated, so in certain situations require defense mechanisms (coping mechanism) to oppose or resist feelings of anxiety, fear or stress that haunt her. The aim of this study was to know the coping mechanism of career women with breast cancer reviewed by phenomenology in Palembang 2016. Method: Type of this study was a qualitative study with a phenomenological approach. Total samples were 8 participants with inclusion criteria: career women, productive age range, health physic and physiologic. Independent variable was a coping mechanism, and the dependent variable was breast cancer. The instrument used the voice recorder, and interview guides. Data analyze used verbatim transcript with credibility, dependability, and confirmability. Result: The results showed that working women who have breast cancer have a coping strategy that is adjusted to the psychological condition and physical reactions of the therapy in progress. Psychologically, the coping mechanism is in the form of rejecting, drawing closer to Allah SWT, seeking the opinion of other health workers, discussing conditions with spouse and family, seeking alternative treatment and asking for doctor's direction. The coping mechanism of the body's reaction to therapy is done by taking medicine according to the rules and remember Allah SWT. Conclusions: Need the support of the coping mechanism in patients with breast cancer and nursing care approach with the pattern of coping mechanisms with the involvement of the family.

Pengaruh Home Visit Terhadap Penurunan Episode Penyakit Infeksi dan Peningkatan Angka Kecukupan Gizi pada Balita Malnutrisi Akut Berat

&lt;em&gt;Malnutrition is one of the principal causes of child mortality in developing countries including Indonesia. Severe Acute Malnutrition (SAM) is the most serious form of malnutrition affecting children under-five and is associated with many infectious diseases and nutrition intake. In the last few decades, there has been a paradigm shift in the management of acute malnutrition from a facility-based to community-centered approach. The purpose of this study was to evaluate effect of home care intervention in decreasing infectious diseases episode and increasing nutrition intake of severe acute malnutrition children aged 6-60 months. Quasi-experimental with pretest-posttest control group design was carried out for this study. The study was done in two district involving 32 health centers of Yogyakarta province. 56 children with SAM were selected using purposive sampling. The study was performed in three phases, intensive, strengthening and independent phase applying nursing care approach. Data analysis was done by SPSS software. Mean episodes of infectious diseases in the baseline at home care group was 2,64 days and after the intervention the mean was 0,21 days. Nutritional adequacy rate in the baseline only reached 83,65% and after intervention reached 106,23%. During the three months intervention of home care, there were significant decreases in infectious diseases episode and increases nutrition intake with p value 0,0003 and 0,003 respectively&lt;/em&gt;

The Improvement of The Self-Care Agency for Patients with Ischemic Stroke After Applying Self–Care Regulation Model in Nursing Care

Introduction: The patiens with ischemic stroke caused a dependence in a need of self-care for the aspect of physically, psychologically, socially and spiritually. Nursing care approach will encourage patiens to became independence in self-care. The purpose of this research was to examine the improvement of the self care agency of the patients with ischemic stroke after aplying a nursing care of self care regulation model.Method: An experimental research with quasy experimental design was applied in the study. The study was conducted in the area of Surabaya by selecting 40 patients of ischemic stroke being hospitalized in stroke Unit IRNA MEDIK RSUD Dr. Soetomo Surabaya and selected by consecutive sampling. Sample of 40 patients were divided equally into two groups, namely treatment and control groups. The selection of sample was matching based on age and sex. Independent variable in the study were self-care regulation: interpretation coping and appraisal. While dependent variable was self-care agency of the patients with ishemic stroke. Data was analysed by wilcoxon signed rank, Mann-Whitey test and modeling by SEM - PLS.Result: The result showed that there were significant differences on the increase of self care agency between the groups. The group model that aplying a nursing care of self-care regulation gained the value of R2 = 0.857 and the standart nursing care gained the value of R2 = 0.614, so it could be inferred that the best model was self care regulation model, with the differentiation R2 = 0.243.Discussion: It was concluded that the nursing care of self care regulation model could self-care agency up to 24.3% than the standard of nursing care. It is recomended that Self-care regulation model can be used as a standard of nursing care in health care institutions both in hospitals and in clinics.

Effect of two different nursing care approaches on reduction of breast engorgement among postnatal women

Background : Breast engorgement is a painful and unpleasant condition that affects huge numbers of women in the early postpartum period. It is associated with unsuccessful breastfeeding, early breastfeeding cessation, mastitis and inflammation of the breast. So, there is a need to increase awareness regarding efficiency of different nursing interventions as; warm compresses and cold cabbage leaves to treat breast engorgement. Aim: was to reduce the level of breast engorgement among postnatal mothers and to compare the effect of warm compresses versus cold cabbage leaves on breast engorgement. Subjects and methods : A Quasi-experimental (equivalent pre-posttest group) research design was adopted. Setting : this study was conducted at postnatal ward and outpatient clinic at El-Manial Maternity hospital, Cairo, Egypt. Subjects: A purposive sample of 90 postnatal women randomly assigned into two groups . Tools: Four tools were used:1)Structured interviewing questionnaire, 2) Six- points engorgement scale, 3)Visual Analog Scale and 4) LATCH breastfeeding scale. Results: The mean age of the sample was 26.6 ± 4.3 years old. More than twenty percent of each group was suffered from firm and tender breasts (22.2%& 28.9%). Also there was a statistical significant differences between the pre and post symptoms of breast engorgement, levels of breast engorgement, pain score and engorgement score for both groups ( p < .05*).Hence both the interventions were effective in relieving pain and reducing breast engorgement. Conclusion : an application of cold cabbage leaves and warm compresses are effective for relieving breast engorgement but the cold cabbage group was improved regarding symptoms and levels of engorgement better than the warm compresses group. In addition, there was a statistical significant difference between the pretest and posttest of pain score and engorgement score for both groups ( p < .001*). Recommendations: Nurses should be trained to include different nursing approaches for managing breast engorgement in their discharge plan. Also early detection and nursing care to prevent breast complications should be done for all postnatal women.

EVALUATION OF THE NURSING CARE ADMINISTERED TO PSYCHOACTIVE SUBSTANCE DEPENDENT PATIENTS MATHARI HOSPITAL IN NAIROBI- KENYA

Different nursing care approaches have been used in the care of psychoactive substance dependent patients as shown by literature. Nurses form a core component of many healthcare systems so their role in responding to problems related to psychoactive substance use is crucial (Murray &amp; Andrews, 2002). The aim of the study was to evaluate the nursing Care approach administered to Psychoactive Substance Dependent Patients admitted in substance dependence rehabilitation unit at Mathari hospital in Nairobi. This was a cross sectional descriptive study conducted in November 2010. 22 nurses taking care of psychoactive substance depedend patients were purposively included. Pretest was done in Asumbi rehabilitation centre in Nairobi. Data analysis methods included use of descriptive and inferential statistics. The findings were presented using charts, tables, and narrative form. Results indicated that 45% manage withdrawal symptoms, while 41% do routine nursing care to the psychoactive substance dependent patient. The nurses could not identify exactly their role in the care of psychoactive substance dependent patients after detoxification period. Therefore it was recommended that psychoactive substance dependent patients and their relatives should be actively involved in the plan of care.

The Characteristics of Diabetic Residents in European Nursing Homes: Results from the SHELTER Study

ObjectivesThe objectives of this study were to describe the prevalence of diabetes mellitus (DM) in European nursing homes (NHs), and the health and functional characteristics of diabetic residents (DMR) aged 60 years and older. DesignBetween 2009 and 2011, the Services and Health for Elderly in Long TERm care (SHELTER) project, a 12-month prospective cohort study, was conducted to assess NH residents across different health care systems in 7 European countries and Israel. MethodsThe study included 59 NHs in 8 countries with a total of 4037 residents living in or admitted to a NH during the 3-month enrollment period. The multidimensional InterRAI instrument for Long-Term Care Facilities (InterRAI-LTCF) was used to assess health and functional status among residents. Descriptive statistics and linear, ordinal, and logistic regression were used to perform the analyses. ResultsWe found a 21.8% prevalence of DM among NH residents. Residents with DM (DMRs) were significantly younger compared with non-DMRs (82.3, SD ± 7.7; 84.6, SD ± 8.4; P < .001). DMRs were more frequently overweight or obese, and presented more often with ischemic heart disease, congestive heart failure, hypertension, and stroke than residents without DM. DMRs also took more drugs, had pressure ulcers (PU) or other wounds more often, and more frequently had urinary incontinence (UI); they also reported worse self-perceived health. DM independently of other factors increased risk of PU occurrence (odds ratio 1.38; 95% confidence interval [CI] 1.02–1.86; P = .036) and decreased probability of higher pain scores (B = −0.28; 95% CI −0.41 to −0.14; P < .001). DM was not associated with ADL dependency, cognitive impairment, and depression in NH residents. ConclusionPrevalence of DM in European NH residents is comparable to US national NH surveys, and to UK and German NH data based on glucose-level testing. DMRs compared with non-DMRs have more comorbid conditions, and a particularly higher incidence of cardiovascular diseases and obesity, PU, and severe UI. DMRs should be regarded as a specific group of residents who require an interdisciplinary approach in medical and nursing care.

The effectiveness of telephone-based post-discharge nursing care in decreasing readmission rate in patients with heart failure: a systematic review

Background The importance of comprehensive discharge planning plus post discharge support intervention studies have been advocated for patients with heart failure. Telephone-based post-discharge nursing care was reported as a significant nursing care approach that is believed to promote continuity of care. However, there is a lack of systematically examined evidence to support the effectiveness of nurse-led telephone-based post-discharge care for the heart failure patients. Objective The purpose of this study was to examine the best available evidence to determine the effectiveness of telephone-based post-discharge nursing care of patient with HF and to quantify the effect on all-cause readmission rates of these patients. Search strategy A thorough search of published and unpublished literature was conducted from 1990 to 2009. First, computer databases such as CINAHL, MEDLINE, COCHRANE EMBASE, and Dissertation Abstracts International were included and then, reference search was conducted with relevant studies. Initial keywords were “readmission,” “heart failure,” “*tele*”, “nurs*, “post-discharge”, telephone-based.” Selection criteria Randomized controlled trial studies using the telephone-based post-discharge nursing care was selected. Outcome was defined as frequency of unplanned HF symptoms associated all-cause hospital readmission rate during the 6 months after discharge. Data collection and analysis Included studies were critically evaluated for methodological quality by independent two reviewers. Data were extracted and then analyzed using the JBI-MASTARI and the RevMan 5 program. Main results A total of 10 randomized controlled trial studies were included for this study. The study result showed that telephone-based post-discharge nursing care was a significant intervention especially decreasing hospital readmission rate among HF patients. Conclusion The findings of this review suggest a positive effect of telephone-based post-discharge nursing care and that it is an effective intervention in decreasing readmission rate among HF patients. Implications for practice/ research The results of this systematic review indicate the need for well designed studies that examine other aspects of post-discharge nursing telephone interventions to decrease hospital readmission rate among HF patients including: cost-effectiveness, feasibility and appropriateness.

The effectiveness of telephone-based post-discharge nursing care in decreasing readmission rate in patients with heart failure: A systematic review

BACKGROUND: The importance of comprehensive discharge planning plus post discharge support intervention studies have been advocated for patients with heart failure. Telephone-based post-discharge nursing care was reported as a significant nursing care approach that is believed to promote continuity of care. However, there is a lack of systematically examined evidence to support the effectiveness of nurse-led telephone-based post-discharge care for the heart failure patients. OBJECTIVE: The purpose of this study was to examine the best available evidence to determine the effectiveness of telephone-based post-discharge nursing care of patient with HF and to quantify the effect on all-cause readmission rates of these patients. SEARCH STRATEGY: A thorough search of published and unpublished literature was conducted from 1990 to 2009. First, computer databases such as CINAHL, MEDLINE, COCHRANE EMBASE, and Dissertation Abstracts International were included and then, reference search was conducted with relevant studies. Initial keywords were "readmission," "heart failure," "*tele*", "nurs*, "post-discharge", telephone-based." SELECTION CRITERIA: Randomized controlled trial studies using the telephone-based post-discharge nursing care was selected. Outcome was defined as frequency of unplanned HF symptoms associated all-cause hospital readmission rate during the 6 months after discharge. DATA COLLECTION AND ANALYSIS: Included studies were critically evaluated for methodological quality by independent two reviewers. Data were extracted and then analyzed using the JBI-MASTARI and the RevMan 5 program. MAIN RESULTS: A total of 10 randomized controlled trial studies were included for this study. The study result showed that telephone-based post-discharge nursing care was a significant intervention especially decreasing hospital readmission rate among HF patients. CONCLUSION: The findings of this review suggest a positive effect of telephone-based post-discharge nursing care and that it is an effective intervention in decreasing readmission rate among HF patients. IMPLICATIONS FOR PRACTICE/ RESEARCH: The results of this systematic review indicate the need for well designed studies that examine other aspects of post-discharge nursing telephone interventions to decrease hospital readmission rate among HF patients including: cost-effectiveness, feasibility and appropriateness.