Effectiveness of home visit nursing on improving mortality, hospitalization, institutionalization, satisfaction, and quality of life among older people: Umbrella review.

This umbrella review followed the JBI methodology and synthesized systematic reviews of the effectiveness of long-term home visit nursing for older people (≥ 60 years) on improving mortality, hospitalization, institutionalization, patient satisfaction, and quality of life. Eight bibliographic databases were searched, and 10 reviews with 22 distinct relevant trials (n = 10,765 participants) were included. Mortality was the most frequently examined outcome and satisfaction was the least examined (n = nine and one reviews, respectively). Home visit nursing had a favorable effect on reducing the number of admissions to hospital (n = 1,152 participants in two trials vs. 788 participants in three trials) and no effect on other outcomes. The evidence of the effectiveness of long-term home visit nursing for older people is minimal. Future research needs to be based on a theoretical foundation that explains how interventions are expected to work.

Effectiveness of home visit nursing for improving patient-related clinical outcomes in older people: an umbrella review protocol.

OBJECTIVE: The objective of this review is to synthesize systematic reviews on the effectiveness of home visit nursing for improving patient-related outcomes in older people. INTRODUCTION: Home care for older people covers a wide range of services and is provided by an array of health professionals. Reviews on the effectiveness of home care services differ in definition and scope, and the unique contribution of home visit nursing services for older people has not been clearly identified. INCLUSION CRITERIA: This review will consider systematic reviews of quantitative studies assessing the effectiveness of home visit nursing for older people. Home visit nursing will include the provision of preventive, promotive, curative, or rehabilitative services in the home. This will be compared with usual care, alternative therapeutic interventions, or no intervention. The outcomes of interest are hospitalization, institutionalization, mortality, patient satisfaction, and quality of life. Systematic reviews with and without meta-analyses will be eligible for inclusion. METHODS: This review will follow the JBI methodology. MEDLINE, CINAHL Plus with Full Text, PsycINFO, the Cochrane Database of Systematic Reviews, Epistemonikos, ProQuest Dissertations and Theses, PROSPERO, and Grey Literature Report will be searched. The authors will hand-search reference lists of the included reviews. There will be no restrictions on the publication date or country of origin of the review. Only systematic reviews with full text published in English will be considered. Screening of articles, assessment of methodological quality, and data extraction will be performed independently by two reviewers. Quality of evidence will be assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Data will be summarized in a narrative format with supporting tables. SCOPING REVIEW REGISTRATION: Open Science Framework (https://osf.io/3fexj).