Related Experiment Video

Updated: Jul 19, 2026

Home-Based EEG Hyperscanning for Infant-Caregiver Social Interactions
08:08

Home-Based EEG Hyperscanning for Infant-Caregiver Social Interactions

Published on: May 31, 2024

Specialist home-based nursing services for children with acute and chronic illnesses

C Cooper1, D M Wheeler, S R Woolfenden

  • 1Fairfield Health Service, P.O. Box 5, Fairfield, New South Wales, Australia. CCooper@nsccahs.health.nsw.gov.au

The Cochrane Database of Systematic Reviews
|October 21, 2006
PubMed

Insights

Specialist home-based nursing services for children show no adverse health effects and improve patient satisfaction. Further research is needed to confirm benefits like reduced hospital stays and long-term costs.

Area of Science:

  • Pediatric Nursing
  • Home Healthcare
  • Health Services Research

Background:

  • Specialist pediatric home-based nursing services aim to reduce hospital admission trauma.
  • These services are proposed to enhance primary care and shorten hospital stays.

Purpose of the Study:

  • To evaluate the effectiveness of specialist home-based nursing services for children with acute and chronic illnesses.

Main Methods:

  • Conducted comprehensive electronic searches of multiple databases (CENTRAL, MEDLINE, EMBASE, PsycINFO, CINAHL, Sociological Abstracts) from inception to August 2005.
  • Included randomized controlled trials (RCTs) of children aged 0-18 receiving specialist home-based nursing compared to conventional care.
  • Focused on outcomes such as healthcare utilization, physical and mental health, satisfaction, adverse events, and costs; meta-analysis was not feasible due to clinical diversity.

Main Results:

  • Five RCTs with 771 participants were identified, exhibiting diverse interventions and outcomes.
  • No significant differences were found in overall health outcomes.
  • Improvements in child and parental anxiety, increased patient satisfaction, and reduced bed days were noted in some studies. Home care was more costly for providers but less expensive for parents.

Conclusions:

  • Current evidence does not definitively support specialist home-based nursing services for reducing hospital access or length of stay.
  • Preliminary findings indicate no adverse impact on physical health and suggest improved satisfaction.
  • Further trials are recommended to comprehensively assess health outcomes, satisfaction, service utilization, and long-term costs.
Abstract

Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...