Is the Active Involvement of Family Caregivers in Adult Hospital Care Effective to Improve Patient Outcomes? A Systematic Review
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Active family caregiver involvement in adult hospital care shows mixed results on patient outcomes like readmissions and quality of life. More research is needed to confirm benefits, but it aligns with patient-centered care principles.
Area Of Science
- Healthcare Research
- Patient Care Studies
- Family Caregiver Support
Background
- Family caregivers play a crucial role in adult in-hospital care.
- Understanding the impact of their active involvement is essential for improving patient outcomes and care delivery.
- Current evidence on the benefits of active family caregiver involvement is not fully established.
Purpose Of The Study
- To systematically review the effects of active family caregiver involvement in adult in-hospital care.
- To assess impacts on patient readmissions, complications, mortality, length of hospital stay, quality of life, psychological distress, and activities of daily living.
- To evaluate patient, healthcare professional (HCP), and family caregiver satisfaction.
Main Methods
- Systematic review of prospective controlled studies.
- Searches conducted in Ovid Medline, Embase, CINAHL, and Cochrane Library (up to February 2024).
- Study selection, quality assessment, and data extraction performed by two independent teams, adhering to PRISMA 2020 guidelines.
Main Results
- Thirteen studies, including 11 randomized controlled trials, were included; heterogeneity precluded meta-analysis.
- Some studies indicated significant benefits of active family involvement on readmission rates, hospital length of stay (LOS), activities of daily living (ADL), psychological distress, quality of life (QoL), and caregiver satisfaction.
- No significant differences were found for complication rates, mortality, or patient/HCP satisfaction.
Conclusions
- The current evidence is inconclusive regarding the benefits of active family caregiver involvement in improving adult hospitalized patient outcomes.
- Further well-designed research is necessary to draw firm conclusions due to study limitations and heterogeneity.
- Active family caregiver involvement aligns with patient- and family-centered care, warranting continued investigation.
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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
• Purpose: Documentation in long-term care facilities is critical for interprofessional resident assessment and planning. It ensures that all aspects of a resident's care - from medical needs to daily living assistance - are thoroughly...
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...