Community case management and unplanned hospital admissions in patients with heart failure: A systematic review and qualitative evidence synthesis

Journal of Advanced Nursing
Anna J L KingAlyson L Huntley

Abstract

The aim of this study was to describe case management as experienced by patients with heart failure and their health professionals with the aim of understanding why case management might contribute in reducing hospital admissions. Heart failure is a common cause of unplanned hospital admission. The evidence for case management in patients with heart failure for reducing admissions is promising. Systematic review and qualitative evidence synthesis. Searches were conducted in Medline, Psychinfo, Kings Fund database and Cinahl from inception of each database to 16 February 2017. Robust systematic review methodology was used to identify qualitative studies describing the experiences of patients with heart failure and healthcare providers of case management. Data were synthesized thematically, and analytic themes were developed. Five studies (six papers) from which nine descriptive themes were used to determine three analytic themes. This synthesis showed that case management provides positive quality of care for patients, increases perceived access to services and creates more time to ask questions and develop trusted relationships. For health professionals, case management enhanced care by improved relationships with both patients...Continue Reading

References

May 30, 2001·European Journal of Heart Failure·S StewartJ J McMurray
Aug 19, 2007·Heart·Arend Mosterd, Arno W Hoes
Jul 12, 2008·BMC Medical Research Methodology·James Thomas, Angela Harden
Aug 18, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Frank Peters-KlimmJoachim Szecsenyi
Oct 7, 2010·Circulation. Cardiovascular Quality and Outcomes·Simon StewartAnnika Rosengren
Sep 1, 2009·International Journal of Evidence-based Healthcare·Suzanne Austin BorenDouglas S Wakefield
Aug 22, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lena M NäsströmAnna E Strömberg

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Citations

Mar 7, 2020·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Eva Timonet-AndreuJosé Carlos Canca-Sanchez

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