Nurse-led services are safe and effective in the ambulatory care setting
Citation: Chan RJ, Marx W, Bradford N, Gordon L, Bonner A, Douglas C, Schmalkuche D, Yates P. Clinical and economic outcomes of nurse-led services in the ambulatory care setting: A systematic review. International journal of nursing studies 2018 May 1;81:61-80.
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What is this? The COVID-19 pandemic is placing a strain on healthcare services. Existing research on nurse-led services may provide useful information for policy makers.
In this systematic review, the authors searched for comparative effectiveness studies of nurse-led services in the ambulatory or community care setting. They restricted their searches to articles published in English up to April 2016. They included 19 randomised trials, 5 pre-post studies and 1 non-randomised controlled trial. The studies were from Asia (3 studies), Australia (4), Europe (15) and USA (3).
What was found: Nurse-led care is a safe and feasible model of care for consideration across various ambulatory care settings.
With appropriate training and support, nurse-led care can lead to similar or better health-related quality of life compared to physician-led care or standard care for patients with chronic conditions.
The economic impact of nurse-led care is uncertain.
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