Systematic reviews suggest nurse-led services achieve outcomes at least as good as traditional physician-led models, with some evidence of cost-effectiveness¶
Claim · All claims
Evidence · 1 study · reviewr2·q2
Currency · newest study 2020 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q2 i? Nurse-led services where nurses autonomously review and treat patients are associated with outcomes at least as good as traditional medical models in acute hospital settings. → Pollard D 2020
q2 i? Nurse-led services are at least as effective and less or equally expensive than traditional or physician-led models, though resource consumption is variable. → Pollard D 2020
Evidence¶
Pollard D 2020¶
Pollard D, Harrison C, Dodgson S, Holland M, Khair K. (2020). The UK haemophilia specialist nurse: Competencies fit for practice in the 21st century. Haemophilia. https://doi.org/10.1111/hae.14002
q2 · i? · review · r2
Narrative synthesis of several systematic reviews of advanced nursing practice (nurse practitioners and clinical nurse specialists) across specialties, reported in the article's review section. The article states nurse-led services are "at least as effective and less or equally expensive" but notes methodological shortcomings.
"The overall trend suggests that nurse‐led services, where nurses can autonomously review and treat patients are associated with outcomes at least as good as those associated with traditional medical models in other acute hospital settings."
Discussion¶
Related Claims¶
- A systematic review of haemophilia comprehensive care suggests it reduced mortality, emergency and walk-in visits, admissions, length of stay and days missed from school or work
- A UK NHS survey estimated each haemophilia nurse specialist's work was associated with minimum annual savings of £83,000 in avoided emergency visits and £50,000–£100,000 in replaced consultant appointments — a narrower finding that bears on this claim
- A systematic review of 13 articles found nurses achieved higher satisfaction in patient self-care and adherence than physicians — related
- Nurse-led biologics practices improve monitoring, therapy appropriateness, and quality of life while reducing costs — a narrower finding that bears on this claim
- Success rate after USG-PVC training does not differ significantly between nurses, physicians, and ED-technicians — related
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