The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review

Helena Rice; Richard Say; Vasiliki Betihavas

doi:10.1016/j.pec.2017.10.002

The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review

Patient Educ Couns. 2018 Mar;101(3):363-374. doi: 10.1016/j.pec.2017.10.002. Epub 2017 Oct 5.

Authors

Helena Rice¹, Richard Say², Vasiliki Betihavas³

Affiliations

¹ School of Health Sciences, University of Tasmania, Locked Bag No 5052, Alexandria, NSW 2015, Australia. Electronic address: hsrice@utas.edu.au.
² School of Health Sciences, University of Tasmania, Locked Bag No 5052, Alexandria, NSW 2015, Australia.
³ Sydney Nursing School, University of Sydney, Australia.

PMID: 29102442
DOI: 10.1016/j.pec.2017.10.002

Abstract

Objective: The purpose of this systematic review was to highlight the effect of nurse-led 1:1 patient education sessions on Quality of Life (QoL), readmission rates and healthcare costs for adults with heart failure (HF) living independently in the community.

Method: A systematic review of randomised control trials was undertaken. Using the search terms nurse, education, heart failure, hospitalisation, readmission, rehospitalisation, economic burden, cost, expenditure and quality of life in PubMed, CINAHL and Google Scholar databases were searched. Papers pertaining to nurse-led 1:1 HF disease management of education of adults in the community with a history of HF were reviewed.

Result: The results of this review identified nurse-led education sessions for adults with HF contribute to reduction in hospital readmissions, reduction in hospitalisation and a cost benefit. Additionally, higher functioning and improved QoL were also identified.

Conclusion: These results suggest that nurse-led patient education for adults with HF improves QoL and reduces hospital admissions and readmissions.

Practice implications: Nurse-led education can be delivered utilising diverse methods and impact to reduce readmission as well as hospitalisation.

Keywords: Cost; Heart failure; Hospital readmission; Nurse-led; Patient education; Quality of life.

Publication types

Systematic Review

MeSH terms

Adult
Cost-Benefit Analysis
Female
Heart Failure / psychology
Heart Failure / therapy*
Hospitalization / statistics & numerical data*
Humans
Male
Nurse's Role*
Patient Education as Topic*
Patient Readmission / statistics & numerical data*
Quality of Life*