Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review.
Luciana Aparecida da Cunha Borges, Rodrigo Guimarães Dos Santos Almeida, Elton Santo Barboza and 1 others
PMID 38055488WHAT IT FOUND
In six included studies, caregiver training that included simulation was reported to improve confidence and procedural skills, mainly for child and newborn home care, with limited adult chronic disease evidence.
Key findings
01Caregiver training that included simulation was reported to improve performance and technical skills for home care.
02In one tracheostomy study where all caregivers also received standard classroom training, the group that also received simulation had higher confidence after training, and mortality in family homes was nearly five times higher for children whose caregivers did not participate.
03In one included breast drainage study, 84.8% of women kept the system patent after classroom education and simulation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only six studies were included after screening 3,218 studies, so the evidence base is small. Some relevant studies could not be freely accessed. Most studies involved caregivers of children, newborns or technology-dependent children. There is little evidence for adult chronic disease discharge. Included studies were mainly qualitative, methodological or single-site, with evidence levels IV and VI, not strong randomized trials. One included study used a mannequin representing a 5-year-old child while the patients' mean age was 11.5 months, and it was conducted in a single center. One included study focused only on caregivers of children using oxygen therapy, tracheostomy, gastrostomy or nasojejunal tube.
Declared interests
The work was funded by CAPES - Funding Code 001 and UFMS/MEC - Brazil. The supplied text does not report author competing interests.
The easy way to misread this
Do not read the reported reductions in complications or readmissions as proven effects for adult chronic disease. The review included only six studies, mostly about caregivers of children and newborns, and one readmission result was only a trend in a single-center project.