Background: Stroke causes long-term disability, affecting physical, cognitive, and psychological aspects. A nurse-led bundle care approach is proposed to provide comprehensive post-acute care, enhancing recovery and quality of life for stroke patients and their caregivers.
Methods: The study conducted a thorough literature search in major databases, identifying relevant studies that met eligibility criteria. The PICO framework was used to guide the review, and the included studies were evaluated for bias risk and evidence quality.
Results: The final analysis of 12 studies revealed that nurse-led bundle care interventions significantly reduced post-acute stroke complications, including functional decline ( < 0.05), cognitive impairment ( < 0.01), and psychosocial distress ( < 0.001), compared to standard care.
Conclusion: The nurse-led bundle approach, which is coordinated and comprehensive, has shown positive outcomes in stroke patients transitioning from acute to post-acute settings, indicating potential benefits.
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http://dx.doi.org/10.4103/jpbs.jpbs_989_24 | DOI Listing |
J Pharm Bioallied Sci
December 2024
Professor, Department of Neuroloy, Neuro Sciences Centre, AIIMS, New Delhi, India.
Background: Stroke causes long-term disability, affecting physical, cognitive, and psychological aspects. A nurse-led bundle care approach is proposed to provide comprehensive post-acute care, enhancing recovery and quality of life for stroke patients and their caregivers.
Methods: The study conducted a thorough literature search in major databases, identifying relevant studies that met eligibility criteria.
BMC Palliat Care
March 2025
School of Nursing and School of Preventive Medicine, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 2029, Kansas City, KS, 66160, USA.
Background: Heart failure (HF) is the leading cause of mortality, morbidity, and rehospitalization in Appalachia. Rural areas have the highest HF mortality rates. Rural Appalachians lack access to health services and end-of-life palliative care (EOLPC) and have extreme inequities in health.
View Article and Find Full Text PDFAm J Nurs
March 2025
Bernice D. Mowery and Rebecca Babb are nurse scientists at Inova Health System in Falls Church, VA, where Abhi Bhuvanesh is system director of quality improvement and Kathleen Russell-Babin is vice president of professional practice. Erin Brand is an RN unit supervisor at Inova Loudoun Hospital in Leesburg, VA. Demeke Gisila is an RN unit supervisor at Inova Alexandria Hospital in Alexandria, VA. Katie Healy is a staff nurse at Inova Fairfax Medical Campus in Falls Church, VA. Tigist A. Mannaye is an RN unit supervisor at Inova Mount Vernon Hospital in Alexandria, VA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Contact author: Kathleen Russell-Babin, . The authors have disclosed no potential conflicts of interest, financial or otherwise.
The emerging field of implementation science (IS) facilitates the sustainment of evidence-based practice in clinical care. This article, the fourth in a series on applying IS, describes how a nurse-led team at a multisite health system used IS concepts, methods, and tools to implement a discharge education bundle for patients with heart failure at two community hospitals, with the aim of decreasing readmissions and improving patient functioning and satisfaction.
View Article and Find Full Text PDFAm J Nurs
November 2024
Robin R. Jackson is a clinical nurse specialist at Inova Alexandria Hospital in Alexandria, VA. Donna Thomas is a critical care nursing program manager at Inova Health System in Falls Church, VA, where Kathleen Russell-Babin is vice president of professional practice. Kimberly Winter is wound ostomy coordinator and Julia Gordon is an RN unit supervisor at Inova Fair Oaks Hospital in Fairfax, VA. Patricia M. Green, Sarah Lemaster, and Jenny R. Fox are staff nurses at Inova Fairfax Medical Campus in Falls Church, VA. Dejon M. Wright is an RN unit supervisor at Inova Loudoun Hospital in Leesburg, VA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Contact author: Kathleen Russell-Babin, The authors have disclosed no potential conflicts of interest, financial or otherwise.
The emerging field of implementation science (IS) facilitates the sustainment of evidence-based practice in clinical care. This article, the third in a series on applying IS, describes how a nurse-led team at a multisite health system used IS concepts, methods, and tools to implement a hospital-acquired pressure injury (HAPI) prevention bundle on six critical care units, with the aim of decreasing HAPI incidence.
View Article and Find Full Text PDFAdv Neonatal Care
December 2024
Division of Nursing, Rush University Medical Center, Chicago, Illinois (Ms Caprio and Dr Niewinski); Department of Cardiopulmonary Sciences, Division of Respiratory Care, Rush University Medical Center, Chicago, Illinois (Mss Murphy and Geistkemper); and Department of Pediatrics, Division of Neonatology, Rush University Medical Center, Chicago, Illinois (Dr Seske).
Background: Unplanned extubations (UEs) continue to be one of the most common adverse events in the neonatal intensive care unit (NICU). Management of endotracheal tubes (ETTs) can be particularly challenging in neonates due to the unique needs and physical characteristics of this patient population.
Purpose: The purpose of this quality improvement project was to decrease the rate of UEs from 0.
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