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Published on: June 21, 2010
Understanding the Association Between Comprehensive Nursing Care Service Policy and Patient Outcomes: A Systematic
1Author Affiliation: College of Nursing, Graduate Program in System Health Science and Engineering, Ewha Womans University, Seoul, Republic of Korea.
Background:
To reduce the burden of care and prevent health care-associated infections, the comprehensive nursing care services (CNCSs) model was implemented in South Korea.
Purpose:
The purpose of this study was to review and synthesize the association between CNCS units and patient outcomes.
Methods:
This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement guidelines. Articles published between 2013 and March 2025 were searched.
Results:
Online searches yielded 9417 articles; 23 articles were included in the review. Multivariate analyses evaluating the impact of CNCS units on 7 patient outcomes were conducted in 8 studies. Approximately half the relationships between CNCS units and patient outcomes were positive and significant.
Conclusion:
Inconclusive relationships between CNCSs and patient outcomes were found. Future studies should investigate the consequences of CNCSs using a longitudinal study design and other covariates to draw a causal relationship.
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