Outcomes of acutely ill older hospitalized patients following implementation of tailored models of care: A repeated measures (pre- and post-intervention) design

Elsevier Ltd
Publication Type:
Journal Article
International Journal of Nursing Studies, 2007, 44 (7), pp. 1079 - 1092
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Background: There is a lack of research investigating models of nursing care for older hospitalised patients that address the nursing needs of this group. Objectives: The objective of this study is to evaluate the efficacy of models of care for acutely older patients tailored to two contexts: an aged care specific ward and a medical ward. Design: This is a repeated measures design. Efficacy of the models was evaluated in terms of: patient and nursesâ satisfaction with care provided; increased activities of daily living; reduced unplanned hospital readmissions; and medication knowledge. Settings: An aged care specific ward and a medical ward in two Sydney teaching hospitals. Participants: There were two groups of patients aged 65 years or older who were admitted to hospital for an acute illness: those admitted prior to model implementation (n ¼ 232) and those admitted during model implementation (n ¼ 116). Patients with moderate or severe dementia were excluded. The two groups of nurses were the pre-model group (n ¼ 90) who were working on the medical and aged care wards for the study prior to model implementation, and the post-model group (n ¼ 22), who were the nurses working on the wards during model implementation. Methods: Action research was used to develop the models of care in two wards: one for an aged care specific ward and another for a general medical ward where older patients were admitted. The models developed were based on empirical data gathered in an earlier phase of this study.
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