Is the Active Involvement of Family Caregivers in Adult Hospital Care Effective to Improve Patient Outcomes? A Systematic Review.
Aim: To investigate the effects of active involvement of family caregivers in adult in‐hospital care on patients' readmissions, complications, mortality, length of hospital stay, quality of life, psychological distress and activities of daily living, as well as on the satisfaction of patients, HCPs...
| Publicado en: | Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 35; no. 2; pp. 565 - 585 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Feb2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190718847&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190718847 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09621067 LVDZ jtl: Journal of Clinical Nursing (John Wiley & Sons, Inc.) issn: 09621067 maglogo: N pubinfo: dt: Feb2026 vid: 35 iid: 2 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 190718847 187083831 190718847 190718847 10.1111/jocn.70059 190718847 ppf: 565 ppct: 20 formats: tig: atl: Is the Active Involvement of Family Caregivers in Adult Hospital Care Effective to Improve Patient Outcomes? A Systematic Review. aug: au: Bloemberg, Daphne van Zuylen, Mark L. Musters, Selma C. W. de Jong, Demi Schreuder, Anne Marthe Jamaludin, Faridi S. Preckel, Benedikt Nieveen van Dijkum, Els Eskes, Anne M. affil: Department of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands sug: subj: Family Support Psychosocial Factors Inpatients Multidisciplinary Care Team Family Support Evaluation Readmission Mortality Length of Stay Quality of Life Psychological Distress Activities of Daily Living Patient Satisfaction Health Personnel Caregivers Outcome Assessment Evaluation Human Systematic Review Medline Embase CINAHL Database Cochrane Library Funding Source Patient Centered Care Family Centered Care Skill Acquisition Home Visits Professional-Patient Relations Caregiver Burden Stroke Patients Implementation Science ab: Aim: To investigate the effects of active involvement of family caregivers in adult in‐hospital care on patients' readmissions, complications, mortality, length of hospital stay, quality of life, psychological distress and activities of daily living, as well as on the satisfaction of patients, HCPs and family caregivers. Design: Systematic review. Data Sources: Ovid Medline, Ovid Embase, EBSCO CINAHL, Cochrane Library (from inception to February 2024). Methods: The PRISMA 2020 statement was followed. Prospective controlled studies focusing on active involvement of family caregivers in adult in‐hospital care were included. Two independent teams of authors conducted study selection, quality assessment and data extraction. Results: Thirteen studies were included, comprising 11 randomised controlled trials. The clinical and methodological heterogeneity precluded a meta‐analysis. Six of these studies were performed in stroke patients. Some studies reported statistically significant benefits of active family involvement on readmission rates, hospital LOS, ADL, psychological distress for patients and family members, QoL and satisfaction of family caregivers. However, others did not observe differences in these outcomes. For complication rates, mortality and satisfaction of patients and HCPs, no studies demonstrated significant differences between groups. Conclusion: Further research is needed to provide a conclusive answer as to whether active family caregiver involvement improves outcomes of adult hospitalised patients. Implications for Patient Care: Despite the inconclusive findings of this review, advocating for active involvement of family caregivers in adult in‐hospital care fits the perspective of patient‐ and family‐centred care. Impact: As the care of hospitalised adults is shifting to a more family‐centric approach, investigating the effects of an active role of family caregivers in adult in‐hospital care is necessary. However, the small number of studies available and heterogeneity between studies included in this review hamper firm conclusions. Further evaluations through well‐designed studies are required. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|