Evidence map›Paper›PMID 35122238›Full record

ArticleJournal of the American Geriatrics Society2022

Positive effect of the INTERCARE nurse-led model on reducing nursing home transfers: A nonrandomized stepped-wedge design.

Franziska Zúñiga, Raphaëlle-Ashley Guerbaai, Sabina de Geest, Lori L Popejoy, Jana Bartakova, Kris Denhaerynck, Diana Trutschel, Kornelia Basinska, Dunja Nicca, Reto W Kressig and 6 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06473051 (Sustainable Improvement of INTERprofessional Care for Better Resident Outcomes), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
13.1field-weighted citation impact, top 1% of its field
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.

NCT06473051 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Sustainable Improvement of INTERprofessional Care for Better Resident Outcomes: SCAling up an Evidence-based Care Model for Nursing Homes (INTERSCALE)

TypeinterventionalSponsorUniversity of BaselRan2024 to 2027Enrolled40ConditionsUnplanned HospitalizationsArmsOriginal set, Adapted set
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 4 countries.

Franziska ZúñigaDepartment of Public Health, Faculty of Medicine, Institute of Nursing Science, University of Basel, Basel, Switzerland.ORCID 0000-0002-8844-4903
Raphaëlle-Ashley GuerbaaiDepartment of Public Health, Faculty of Medicine, Institute of Nursing Science, University of Basel, Basel, Switzerland.
Sabina de GeestDepartment of Public Health, Faculty of Medicine, Institute of Nursing Science, University of Basel, Basel, Switzerland.
Lori L PopejoyUniversity of Missouri, Sinclair School of Nursing, Columbia, USA.ORCID 0000-0002-3701-7231
Jana BartakovaDepartment of Public Health, Faculty of Medicine, Institute of Nursing Science, University of Basel, Basel, Switzerland.
Kris DenhaerynckDepartment of Public Health, Faculty of Medicine, Institute of Nursing Science, University of Basel, Basel, Switzerland.
Diana TrutschelDepartment of Computational Biology, Institut Pasteur, Paris, France.
Kornelia BasinskaDepartment of Public Health, Faculty of Medicine, Institute of Nursing Science, University of Basel, Basel, Switzerland.
Dunja NiccaInstitut of Epidemiology, Biostatistics and Prevention, University of Zürich, Zürich, Switzerland.
Reto W KressigUniversity Department of Geriatric Medicine FELIX PLATTER, Basel, Switzerland.
Andreas ZellerCentre for Primary Health Care, University of Basel, Basel, Switzerland.
Nathalie I H WellensDirectorate General of Health, Department of Public Health and Social Affairs of the Canton of Vaud, Lausanne, Switzerland.
Carlo de PietroThe department of Business economics, Health and Social Care at the University of Applied Sciences and Arts of Southern Switzerland, Lugano, Switzerland.
Mario DesmedtFoundation Asile des Aveugles, Lausanne, Switzerland.
Christine SerdalySerdaly & Ankers snc, Chêne-Bougeries, Switzerland.
Michael SimonDepartment of Public Health, Faculty of Medicine, Institute of Nursing Science, University of Basel, Basel, Switzerland.
University of Basel · CHFondation Asile des Aveugles · CHHES-SO University of Applied Sciences and Arts Western Switzerland · CHInstitut Pasteur · FRSinclair Community College · USUniversity of Applied Sciences and Arts of Southern Switzerland · CHUniversity of Zurich · CH

Funding

Ebnet StiftungNational Research Program of the Swiss National Foundation 407440_167458Stiftung Pflegewissenschaft 2165-2017
6 · The paper itself

Abstract

backgroundUnplanned nursing home (NH) transfers are burdensome for residents and costly for health systems. Innovative nurse-led models of care focusing on improving in-house geriatric expertise are needed to decrease unplanned transfers. The aim was to test the clinical effectiveness of a comprehensive, contextually adapted geriatric nurse-led model of care (INTERCARE) in reducing unplanned transfers from NHs to hospitals.

methodsA multicenter nonrandomized stepped-wedge design within a hybrid type-2 effectiveness-implementation study was implemented in 11 NHs in German-speaking Switzerland. The first NH enrolled in June 2018 and the last in November 2019. The study lasted 18 months, with a baseline period of 3 months for each NH. Inclusion criteria were 60 or more long-term care beds and 0.8 or more hospitalizations per 1'000 resident care days. Nine hundred and forty two long-term NH residents were included between June 2018 and January 2020 with informed consent. Short-term residents were excluded. The primary outcome was unplanned hospitalizations. A fully anonymized dataset of overall transfers of all NH residents served as validation. Analysis was performed with segmented mixed regression modeling.

resultsThree hundred and three unplanned and 64 planned hospitalizations occurred. During the baseline period, unplanned transfers increased over time (β

conclusionA complex intervention with six evidence-based components demonstrated effectiveness in significantly reducing unplanned transfers of NH residents to hospitals. INTERCARE's success was driven by registered nurses in expanded roles and the use of tools for clinical decision-making.

Indexed as

Nurse's RolePatient TransferAgedHospitalizationHospitalsHumansNursing Homesimplementation sciencenurse-led modelsnursing homesstepped-wedge designunplanned transfers

Identifiers

PMID35122238
PMCPMC9305956
OpenAlexW4210306241

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.