The Effectiveness and Efficiency of Home-Based Nursing Health Promotion for Older People: A Review of the Literature

Abstract

Sammendrag:Despite the large potential role that community nurses have in providing individualized health promotion to older people, there is a lack of consensus in the literature regarding this role's effectiveness and efficiency. This article presents a literature review and synthesis of 12 randomized controlled trials selected from 344 published studies on preventive home visitation programs for older people. The findings suggest that a diversity of home visiting interventions carried out by nurses can favorably affect health and functional status, mortality rates, use of hospitalization and nursing homes, and costs. Further research is needed that focuses on the outcomes of quality of life, mental health, social support, caregiver burden, the acceptability of intervention, and specific subgroups of clients who benefit most. Findings also indicate the need for a theoretical foundation, increased emphasis on health-promotion strategies, and more research using a more complete economic evaluation to establish efficiency.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.Relevant lenke: https://doi

Effects on healthcare utilization of case management for frail older people: A randomized controlled trial (RCT)

“…Because of the inconsistent results more research is needed to understand if, and under what circumstances, case management can be effective (Latour et al, 2007;Lupari et al, 2011;Oeseburg et al, 2009;Onder et al, 2007). Reasons for the inconclusive results could be the lack of an established definition and content of the concept of case management and that the interventions are rarely described in detail, making it difficult to compare different case management interventions (Markle-Reid et al, 2006;van Haastregt et al, 2000). Another source of differences in outcomes may be due to differences in samples and settings (Hallberg & Kristensson, 2004).…”

Development of a home visitation programme for the early detection of health problems in potentially frail community-dwelling older people by general practices

“…Several of the included components have been postulated in reviews as promising components of interventions to prevent functional decline in communitydwelling older people (Daniels et al 2010;Markle-Reid et al 2006). The [G]OLD-protocol applies a stepwise approach.…”

The clinical effectiveness and cost-effectiveness of home-based, nurse-led health promotion for older people: a systematic review.

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