Author Identifier

Amineh Rashidi

ORCID : 0000-0001-7355-5216

Lisa Whitehead

ORCID : 0000-0002-6395-0279

Document Type

Journal Article

Publication Title

Journal of Clinical Nursing

Publisher

Wiley

School

School of Nursing and Midwifery

RAS ID

40346

Funders

Edith Cowan University - Open Access Support Scheme 2021

Comments

Rashidi, A., Whitehead, L., & Glass, C. (2021). Factors affecting hospital readmission rates following an acute coronary syndrome: A systematic review. Journal of Clinical Nursing, 31(17-18), 2377-2397.

https://doi.org/10.1111/jocn.16122

Abstract

Aim

To synthesise quantitative evidence on factors that impact hospital readmission rates following ACS with comorbidities.

Design

Systematic review and narrative synthesis.

Data Sources

A search of eight electronic databases, including Embase, Medline, PsycINFO, Web of Science, CINAHL, Cochrane Library, Scopus and the Joanna Briggs Institute (JBI).

Review Methods

The search strategy included keywords and MeSH terms to identify English language studies published between 2001 and 2020. The quality of included studies was assessed by two independent reviewers, using Joanna Briggs Institute (JBI) critical appraisal tools.

Results

Twenty-four articles were included in the review. All cause 30-day readmission rate was most frequently reported and ranged from 4.2% to 81%. Reported factors that were associated with readmission varied across studies from socio-demographic, behavioural factors, comorbidity factors and cardiac factors. Findings from some of the studies were limited by data source, study designs and small sample size.

Conclusion

Strategies that integrate comprehensive discharge planning and individualised care planning to enhance behavioural support are related to a reduction in readmission rates. It is recommended that nurses are supported to influence discharge planning and lead the development of nurse-led interventions to ensure discharge planning is both coordinated and person-centred.

DOI

10.1111/jocn.16122

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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Nursing Commons

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