The effect of nurse-led education on hospitalisation, readmission, quality of life and cost in adults with heart failure. A systematic review

Abstract

Objective: The purpose of this systematic review was to highlight the effect of nurse-led 1:1 patient education sessions on Quality of Life (QoL), readmission rates and healthcare costs for adults with heart failure (HF) living independently in the community.

Method: A systematic review of randomised control trials was undertaken. Using the search terms nurse, education, heart failure, hospitalisation, readmission, rehospitalisation, economic burden, cost, expenditure and quality of life in PubMed, CINAHL and Google Scholar databases were searched. Papers pertaining to nurse-led 1:1 HF disease management of education of adults in the community with a history of HF were reviewed.

Result: The results of this review identified nurse-led education sessions for adults with HF contribute to reduction in hospital readmissions, reduction in hospitalisation and a cost benefit. Additionally, higher functioning and improved QoL were also identified.

Conclusion: These results suggest that nurse-led patient education for adults with HF improves QoL and reduces hospital admissions and readmissions.

Practice implications: Nurse-led education can be delivered utilising diverse methods and impact to reduce readmission as well as hospitalisation.

Keywords: Cost; Heart failure; Hospital readmission; Nurse-led; Patient education; Quality of life.