The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐Analysis
ABSTRACT Aim To evaluate the effectiveness of nurse‐led Transition Care (TC) on quality of life, mortality and readmission among adult stroke survivors. Design Systematic review and meta‐analysis using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness. Methods Dat...
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| Format: | Article |
| Language: | English |
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Wiley
2025-03-01
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| Series: | Nursing Open |
| Online Access: | https://doi.org/10.1002/nop2.70140 |
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| author | Nyagwaswa Athanas Michael Lilian Teddy Mselle Edith Mroso Tarimo Yingjuan Cao |
| author_facet | Nyagwaswa Athanas Michael Lilian Teddy Mselle Edith Mroso Tarimo Yingjuan Cao |
| author_sort | Nyagwaswa Athanas Michael |
| collection | DOAJ |
| description | ABSTRACT Aim To evaluate the effectiveness of nurse‐led Transition Care (TC) on quality of life, mortality and readmission among adult stroke survivors. Design Systematic review and meta‐analysis using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness. Methods Databases were searched from 1st January 2000 to 31st December 2023. Search was done in Medline, Science Direct, Scopus, EBSCOhost, Web of Science and Cochrane Library and Central Registry of Clinical Trials. The randomised controlled trials that assessed the effectiveness of nurse‐led TC for adult stroke survivors were included. The primary outcome was 1‐year quality of life, whereas the secondary outcomes were mortality and readmission. Two independent reviewers performed data extraction and quality appraisal by using the JBI methodology. Random effect models and pre‐specified subgroup analyses were performed using Review Manager Software Version 5.3. and STATA Version 17. Results Of 1093 studies retrieved from database search, only 18 studies met the review inclusion criteria. The pooled results show that stroke survivors who were allocated to nurse‐led TC programs had a 1‐year better quality of life compared to those allocated to usual care (12 studies; SMD = 0.52; 95% CI = 0.20, 0.85; p = 0.002; I2 = 94%). However, no significant differences in the odds of mortality and readmission were observed. No patient or public contribution. |
| format | Article |
| id | doaj-art-40ca554de7534ac2921f4b3c36df27fa |
| institution | DOAJ |
| issn | 2054-1058 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj-art-40ca554de7534ac2921f4b3c36df27fa2025-08-20T02:40:40ZengWileyNursing Open2054-10582025-03-01123n/an/a10.1002/nop2.70140The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐AnalysisNyagwaswa Athanas Michael0Lilian Teddy Mselle1Edith Mroso Tarimo2Yingjuan Cao3School of Nursing and Rehabilitation Shandong University Jinan People's Republic of ChinaSchool of Nursing Muhimbili University of Health and Allied Sciences Dar es Salaam TanzaniaSchool of Nursing Muhimbili University of Health and Allied Sciences Dar es Salaam TanzaniaSchool of Nursing and Rehabilitation Shandong University Jinan People's Republic of ChinaABSTRACT Aim To evaluate the effectiveness of nurse‐led Transition Care (TC) on quality of life, mortality and readmission among adult stroke survivors. Design Systematic review and meta‐analysis using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness. Methods Databases were searched from 1st January 2000 to 31st December 2023. Search was done in Medline, Science Direct, Scopus, EBSCOhost, Web of Science and Cochrane Library and Central Registry of Clinical Trials. The randomised controlled trials that assessed the effectiveness of nurse‐led TC for adult stroke survivors were included. The primary outcome was 1‐year quality of life, whereas the secondary outcomes were mortality and readmission. Two independent reviewers performed data extraction and quality appraisal by using the JBI methodology. Random effect models and pre‐specified subgroup analyses were performed using Review Manager Software Version 5.3. and STATA Version 17. Results Of 1093 studies retrieved from database search, only 18 studies met the review inclusion criteria. The pooled results show that stroke survivors who were allocated to nurse‐led TC programs had a 1‐year better quality of life compared to those allocated to usual care (12 studies; SMD = 0.52; 95% CI = 0.20, 0.85; p = 0.002; I2 = 94%). However, no significant differences in the odds of mortality and readmission were observed. No patient or public contribution.https://doi.org/10.1002/nop2.70140 |
| spellingShingle | Nyagwaswa Athanas Michael Lilian Teddy Mselle Edith Mroso Tarimo Yingjuan Cao The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐Analysis Nursing Open |
| title | The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐Analysis |
| title_full | The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐Analysis |
| title_fullStr | The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐Analysis |
| title_full_unstemmed | The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐Analysis |
| title_short | The Effectiveness of Nurse‐Led Transition Care on Post‐Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta‐Analysis |
| title_sort | effectiveness of nurse led transition care on post discharge outcomes of adult stroke survivors a systematic review and meta analysis |
| url | https://doi.org/10.1002/nop2.70140 |
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