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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
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Home-based primary care visits by nurse practitioners.
Chun-An Sun1, Chad Parslow1, Ja'Lynn Gray1
1The Johns Hopkins University, School of Nursing, Baltimore, Maryland.
Journal of the American Association of Nurse Practitioners
|April 19, 2022
Summary
Nurse practitioners (NPs) provide essential home-based primary care, reducing hospitalizations and emergency visits for older adults. Further research is needed to evaluate diverse patient outcomes and care models.
Area of Science:
- Gerontology
- Health Services Research
- Nursing Practice
Background:
- The number of homebound older adults is growing, increasing the demand for effective home-based health interventions.
- Advanced practice registered nurses (NPs) are key providers of home-based primary care, yet their scope and outcomes are not well-documented.
Purpose of the Study:
- To synthesize existing research on nurse practitioner (NP)-led home-based primary care interventions.
Main Methods:
- A systematic review of six electronic databases (PubMed, CINAHL, Embase, Cochrane, Web of Science, Scopus) was conducted.
- 17 relevant articles from 14 unique studies were included after independent screening.
Main Results:
- NP-led home care primarily involves face-to-face visits for assessments, education, and care coordination.
- NP-led home-based primary care was generally linked to reduced hospitalizations and emergency department visits.
- Evidence on patient-reported outcomes (subjective health, function, symptoms) and satisfaction was mixed.
Conclusions:
- NP-led home-based primary care shows promise in decreasing healthcare utilization.
- Further evaluation of NP care models in diverse populations, focusing on patient-reported and caregiver outcomes, is recommended.
- Policy changes enabling NPs to independently manage home care services impact program delivery.
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