Effectiveness of the Comprehensive-Humanized Care Model in nursing consultation: a case study with older adults.
Jessica Belen Rojas Espinoza, Beatriz Elizabeth Martínez Talavera, Daniela Mejía Medinal and 1 others
PMID 41294163WHAT IT FOUND
In six older adults receiving nursing consultation, nutrition and family scores changed, spirituality rose, and anxiety increased from 6.8 to 13.8.
Gait and social resources were reported as unchanged. This is not proof the model works.
Key findings
01Six older adults completed the nursing consultation, and pre-post scores showed mixed changes: nutrition averaged 6.3 before and 4.8 after, family functioning averaged 12.3 before and 14.3 after, spirituality averaged 134 before and 138.6 after, and anxiety averaged 6.8 before and 13.8 after.
02Tinetti gait and balance scores showed no significant changes, averaging between 24.6 and 25 points, and social resources showed no significant changes.
03Older adults rated the nursing care received as excellent on Kristen Swanson's Professional Care Scale, with an average score of 58.3.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only six older adults completed the intervention, and the study had no comparison group, so pre-post changes cannot be separated from time, selection or other factors. The paper does not name a single primary outcome, so the reported changes are across several geriatric scales. Participants were functionally independent older women without altered consciousness who could attend weekly, so results may not apply to older adults who are less independent or cannot attend. The nursing consultation bundled six care axes and many activities, including education, exercise, nutrition, social, spiritual and reminiscence work, so the contribution of any single component cannot be separated. Anxiety increased from 6.8 to 13.8, and the authors link this to reminiscence but do not test it. Of 14 potential participants, 11 completed assessment and 6 completed intervention, so attrition and exclusion may shape the results.
The easy way to misread this
Do not read this as evidence that the Comprehensive-Humanized Care Model improves older adult well-being. It was a single group with no control, only six older adults completed the intervention, and many nursing activities were delivered together. Anxiety scores increased from 6.8 to 13.8, while gait and social resources were reported as unchanged.