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
Lukas Faessler,
Sabine Kofler,
Juliane Wenke‐Zobler,
Corinne Brunner,
Petra Schäfer‐Keller,
Sabina De Geest,
Maria Schubert,
Katharina Regez,
Philipp Schuetz,
Beat Mueller,
Antoinette Conca
Affiliations
Lukas Faessler
Department of Clinical Nursing Research and Development Kantonsspital Aarau Aarau Switzerland
Sabine Kofler
Department of Clinical Nursing Research and Development Kantonsspital Aarau Aarau Switzerland
Juliane Wenke‐Zobler
Department of Clinical Nursing Research and Development Kantonsspital Aarau Aarau Switzerland
Corinne Brunner
Pediatric Skin Center, Skin‐ and Wound Management University Children's Hospital Zurich Zurich Switzerland
Petra Schäfer‐Keller
School of Health Sciences University of Applied Sciences and Arts Western Switzerland HES‐SO Fribourg Switzerland
Sabina De Geest
Department Public Health, Institute of Nursing Science University of Basel Basel Switzerland
Maria Schubert
Department Public Health, Institute of Nursing Science University of Basel Basel Switzerland
Katharina Regez
Division of General Internal and Emergency Medicine, Medical University Department Kantonsspital Aarau Aarau Switzerland
Philipp Schuetz
Division of General Internal and Emergency Medicine, Medical University Department Kantonsspital Aarau Aarau Switzerland
Beat Mueller
Division of General Internal and Emergency Medicine, Medical University Department Kantonsspital Aarau Aarau Switzerland
Antoinette Conca
Department of Clinical Nursing Research and Development Kantonsspital Aarau Aarau Switzerland
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.
