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Related Experiment Videos

Nurse specialist care for bronchiectasis.

J French1, D Bilton, F Campbell

  • 1Papworth Hospital, Papworth Everard, Cambridge, UK, CB3 8RE.

The Cochrane Database of Systematic Reviews
|August 15, 2003
PubMed
Summary

Nurse-led care in specialist bronchiectasis clinics showed no significant differences in patient outcomes compared to doctor-led care. However, increased healthcare resource utilization was noted, warranting further investigation.

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Area of Science:

  • Respiratory Medicine
  • Nursing Practice
  • Healthcare Management

Background:

  • Nurses are increasingly adopting advanced roles to meet patient needs.
  • This review assesses nurse-led autonomous practice in specialized bronchiectasis clinics.

Purpose of the Study:

  • To evaluate the effectiveness of nurse-led care for managing bronchiectasis patients.

Main Methods:

  • A systematic search of the Cochrane Airways Group specialized register was conducted.
  • Inclusion criteria focused on randomized controlled trials.
  • Data extraction and analysis were performed by two independent reviewers.

Main Results:

  • One randomized controlled trial met the inclusion criteria.
  • No statistically significant differences were found in infective exacerbations, lung function, exercise capacity, quality of life, or hospital admissions.
  • Nurse-led care was associated with higher healthcare resource utilization in the initial phase.

Conclusions:

  • The single included trial did not demonstrate significant clinical outcome differences between nurse-led and doctor-led care in specialist bronchiectasis clinics.
  • Potential increased cost implications require consideration.
  • Further research is needed to explore nurse-led care outcomes in community and secondary care settings.

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