Evidence map›Paper›PMID 32718756›Full record

SynthesisGeriatric nursing (New York, N.Y.)

The outcomes of nurse practitioner (NP)-Provided home visits: A systematic review.

Zainab Toteh Osakwe, Sainfer Aliyu, Olukayode Ayodeji Sosina, Lusine Poghosyan

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05225818 (Preparing Successful Aging Through Dementia Literacy Education And Navigation), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05225818 nawithdrawnnot on this map

Preparing Successful Aging Through Dementia Literacy Education And Navigation (PLAN)-Home Pilot

TypeinterventionalSponsorJohns Hopkins UniversityRan2022 to 2024Enrolled0ConditionsDementiaArmsPLAN - Home
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Home-based primary care visits by nurse practitioners.Journal of the American Association of Nurse Practitioners · 2022
    Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zainab Toteh OsakweAdelphi University College of Nursing and Public Health, 1 South Avenue, Garden City, New York 11530, United States. Electronic address: zosakwe@adelphi.edu.
Sainfer AliyuWashington Hospital Center. 110 Irving Street, NW. Washington, DC 20010, United States. Electronic address: sainfer.e.aliyu@medstar.net.
Olukayode Ayodeji SosinaJohns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, United States. Electronic address: ksosina1@jhu.edu.
Lusine PoghosyanColumbia University, School of Nursing, 560W 168th St, New York, New York 10032, United States. Electronic address: lp2475@columbia.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the shortage of primary care providers to provide home-based care to the growing number of homebound older adults in the U.S. Nurse Practitioners (NPs) are increasingly utilized to meet the growing demand for home-based care and are now the largest type of primary care providers delivering home-visits. PURPOSE: The purpose of this study was to systematically examine the current state of the evidence on health and healthcare utilization outcomes associated with NP-home visits.

methodFive Databases (PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature and the Cochrane Library) were systematically searched to identify studies examining NP-home visits. The search focused on English language studies that were published before April 2019 and sought to describe the outcomes associated with NP-home visits. We included experimental and observational studies.  Quality appraisal was performed with the Kmet, Lee & Cook tool, and results summarized qualitatively. The impact of NP-home visits on clinical (functional status, quality of life [QOL]), and healthcare utilization (hospitalization, Emergency department(ED) visits) outcomes was evaluated. RESULTS/DISCUSSION: A total of 566 citations were identified; 7 met eligibility criteria and were included in the review. The most commonly reported outcomes were emergency department (ED) visits and readmissions. Given the limited number of articles generated by our search and wide variation in intervention and outcomes measures. NP-home visits were associated with reductions in ED visits in 2 out of 3 studies and with reduction in readmissions in 2 out of 4 studies.

conclusionPublished studies evaluating the outcomes associated with NP-home visits are limited and of mixed quality. Limitations include small sample size, and variation in duration and frequency of NP-home visits. Future studies should investigate the independent effect of NP-home visits on the health outcomes of older adults using large and nationally representative data with more rigorous study design.

Indexed as

Homebound PersonsHome Care ServicesNurse PractitionersAgedHouse CallsHumansQuality of LifeHomebound Older AdultHome VisitsHouse CallsMedicare HomeboundNurse Practitioners

Identifiers

PMID32718756
PMCPMC7380935

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.