Effectiveness of a Nurse-Led Home Care Model
Author Information
Author(s): Morales-Asencio JM, Gonzalo-Jiménez E, Martin-Santos FJ, Morilla-Herrera JC, Celdráan-Mañas M, Carrasco A Millán, García-Arrabal JJ, Toral-López I
Primary Institution: Andalusian School of Public Health, Granada, Spain
Hypothesis
The study aims to determine the effectiveness of a new case-management based home care delivery model in Andalusia, Spain.
Conclusion
A home care service model that includes nurse-led case management improves access to healthcare services and resources, positively impacting patients' functional ability and caregiver burden, while increasing satisfaction.
Supporting Evidence
- Patients in the intervention group received more physiotherapy and required fewer home care visits.
- Caregiver burden decreased in the intervention group while it increased in the control group.
- Patients in the intervention group reported higher satisfaction levels compared to the control group.
Takeaway
This study shows that having nurses manage home care helps patients get better care and makes it easier for their families to help them.
Methodology
A quasi-experimental, controlled, non-randomised, multi-centre study comparing outcomes of a new nurse-led case management model versus a conventional model.
Potential Biases
Differences in data collection methods between intervention and control groups may have led to assessment discrepancies.
Limitations
The sample size after drop-outs limited the ability to draw conclusions on specific sub-groups, and the data collection process may have introduced bias.
Participant Demographics
Participants were primarily elderly patients with high dependency and their caregivers, mostly female, aged around 57 years.
Statistical Information
P-Value
p = 0.0016
Confidence Interval
95% CI: 1.05–2.21
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website