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Evidence-based interventions and nurse-sensitive outcomes in district nursing care: A systematic review
J D Veldhuizen1, T B Hafsteinsdóttir1,2, M C Mikkers3,4
1Research Centre for Healthy and Sustainable Living, Faculty of Health Care, University of Applied Sciences Utrecht, Utrecht, 3584 CS, the Netherlands.
International Journal of Nursing Studies Advances
|May 15, 2024
Summary
District nurses provide essential care, but evidence on their interventions and outcomes for older adults is unclear. This review highlights the need for more rigorous research to establish effective district nursing practices and measurable outcomes.
Area of Science:
- Gerontology
- Nursing Science
- Public Health
Background:
- Standardized measurement of nursing interventions and outcomes is crucial for assessing care quality.
- A systematic overview of district nursing interventions, their evidence base, and relevant nurse-sensitive outcomes is lacking.
Purpose of the Study:
- To overview district nursing interventions for community-dwelling older adults and their evidence.
- To identify nurse-sensitive outcomes used in district nursing, their measurement, and patient groups.
Main Methods:
- Systematic literature review of experimental studies.
- Searches conducted in MEDLINE, CINAHL, PsycInfo, and EMBASE.
- Methodological quality assessed using the Joanna Briggs Institute critical appraisal tool.
Main Results:
- 22 studies were included, with variable methodological quality (scores 6-11/13).
- Interventions were heterogeneous in components, delivery, and target populations.
- 44 outcomes were identified, categorized by Nursing Outcome Classification, with varied measurement methods.
Conclusions:
- This is the first systematic review on district nurse interventions for older adults.
- Effectiveness of interventions and appropriate outcome measures remain unclear.
- Further methodologically strong research is needed to substantiate district nursing care effectiveness.
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