Effectiveness of Nurse Led Advance Care Planning Intervention for Chronic Respiratory Diseases: A Meta-Analysis.
Yumei Yan
PMID 41124373WHAT IT FOUND
Nurse-led advance care planning for chronic respiratory disease did not significantly improve quality of life, anxiety, depression, hospital admissions, or length of stay.
Completion of advance directives showed a positive trend that failed to reach statistical significance.
Key findings
01Pooled analysis showed no significant effect of nurse-led ACP on quality of life, anxiety, depression, hospital admissions, or length of stay.
02The completion of advance directives showed a positive trend with an odds ratio of 1.856, but the result was not statistically significant.
03Discussions with physicians about treatment choices showed a moderate improvement in odds, but this finding was also not statistically significant.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review was not pre-registered in PROSPERO. Several outcomes relied on a small number of studies, limiting generalizability. Heterogeneity was moderate to high for key outcomes like quality of life and communication. Three of the included studies were rated as high risk of bias.
Declared interests
The author declares no conflicts of interest.
The easy way to misread this
Do not interpret the positive trend for advance directive completion as evidence of effectiveness. The statistical test failed to reach significance, meaning the observed increase could be due to chance.