Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review

Dufour, Emilie; Bolduc, Jolianne; Leclerc-Loiselle, Jérôme; Charette, Martin; Dufour, Isabelle; Roy, Denis; Poirier, Andrée-Anne; Duhoux, Arnaud

doi:10.1186/s12875-023-02089-3

BMC Primary Care

Table 1 Summary of included systematic reviews and reporting of methodological quality assessment

From: Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review

Author and year, type of synthesis	Study period	Number of included studies and designs	Number of participants	Population and health condition	Main nursing process	Overall confidence in the results based on AMSTAR 2
Backhouse et al. (2017) Meta-analysis	1999–2014	14 RCTs	10,372	Adults with a dementia diagnosis of any type living at home	Case management	Moderate
Baker et Fatoye (2017) Descriptive	2004–2016	26 articles describing 20 RCTs	3384	Adults with COPD	Self-management program	Low-Moderate
Caro-Bautista et al. (2020) Meta-analysis	2005–2016	21 articles describing 20 RCTs	12,018	Adults with type 2 diabetes	Self-care programmes	High
Clark et al. (2010) Meta-analysis	1979–2008	33 RCTs	19,069	Adults aged 18 or over with hypertension	Nurse-led care Community monitoring	High
Crowe et al. (2019) Descriptive	2003–2018	18 studies: 10 RCTs 3 Open Label Designs 2 Qualitatives 1 historical control 1 audit 1 retrospective cohort study	33,971	Adults witih type 2 diabetes	Nurse-led interventions	Low - Moderate
Deschodt et al. (2020) Meta-analysis	2004–2018	21 articles reporting 19 studies: 5 Cluster-RCT 4 RCTs 3 NR controlled trial 1 BA 2 Controlled BA 1 Cluster RCT 1 Pseudo cluster-randomized controlled trial 2 Cluster NR controlled trial	22,168	Adults aged ≥ 65 or a reported mean age of ≥ 75 years	Nurse-led services	Moderate
Dhar et al. (2020) Descriptive	2009–2018	1 Quantitative judgement analysis 1 Quasi experimental 1 Pre/ postintervention 1 Nonrandomized controlled trial 1 Randomised controlled trial 1 Retrospective audit 2 Descriptive 1 Quantitative cost analysis 1 Comparative	1062	Adults with a chronic wound	Nurse-led care	Critically low
Ekers et al. (2013) Meta-analysis	2003–2013	14 RCTs	4440	Adults with a primary diagnosis of depression and one or more long-term physical health problems	Case management	High
Facchinetti et al. (2020) Meta-analysis	1994–2018	30 RCTs	8920	65 years and over patients with one or more chronic diseases who were discharged home from hospital	Continuity of care	High
Gorina et al. (2018) Descriptive	2004–2015	20 RCTs	15,439	Adults with type 2 diabetes, hypertension and hypercholoesterolemia	Educational interventions	Moderate-High
Halcomb et al. (2019) Descriptive	1998–2016	9 RCTs	2404	Adults with a diagnosis of mental illness	Case management	Moderate
Han et al. (2019) Descriptive	1991–2016	28 studies: 12 RCTs 5 NR controlled studies 7 Single group BA 1 Cross-sectional study 1 Qualitative 1 Mixed-methods	27,055	Community-dwelling individuals with CVD and/or CVD risk factors	Nurse-led services	Moderate
Huntley et al. (2016) Meta-analysis	1993–2012	32 articles reporting 22 studies: 17 RCTs 5 NRCTs	8626	Adults with heart failure	Case management	Moderate
Latour et al. (2007) Descriptive		10 studies: 8 RCTs 2 controlled before/ after studies	5092	Patients over 18 years of age and were defined as complex; patients with acute or chronic medical condition(s) and described other vulnerabilities	Case management	Moderate
Massimi et al. (2017) Meta-analysis	2000–2013	29 articles reporting 23 RCTs	10,162	Patients > 18 years old with a diagnosis of chronic disease or multiple morbidity	Educational intervention	High
Oeseburg et al. (2009) Descriptive	1997–2004	8 RCTs	14,587	Frail older people	Case management intervention	Moderate
Osakwe et al. (2020) Descriptive	1995–2018	7 studies: 2 RCTs 3 Quasi-experimental 1 Observational cohort study 1 Mixed-methods program evaluation	1748	Adults ≥ 65 years old post hospital discharge	Nurse-led services	Low - Moderate
Parker et al. (2016) Meta-analysis	2003–2013	7 studies: 2 Cluster RCTs 2 RCTs 1 Cluster observational cohort study 1 Cluster controlled BA study	18,379	Adult participants (aged above 18 years) with T2D	Nurse-led services	Moderate
Rice et al. (2018) Descriptive	1967–2010	7 RCTs	3549	Adults 18 years and older with HF	Nurse-led education	Low - Moderate
Schadewaldt et Schultz (2011) Meta-analysis	1998–2007	13 articles reporting 7 RCTs	3246	Adults (aged > 18 years) admitted to a hospital or a general practice with newly diagnosed or existing coronary heart disease	Nurse-led care	Low
Tabesh et al. (2018) Descriptive	2002–2011	9 RCTs	1974	Adults aged 18 years with T2D	Nurse prescribing	Moderate
Taylor et al. (2005) Meta-analysis	1987–2003	9 RCTs	1057	Patients with COPD	Case management	Low
Vermeire et al. (2005) Meta-analysis		21 studies: 14 RCTs 4 controlled BA 1 epidemiological study 1 cross-over study 1 controlled trial	4135	Participants with type 2 diabetes	Interventions for improving the adherence to treatment recommendations	Moderate
Wang et al. (2019) Meta-analysis	1998–2015	17 RCTs	2701	Adults with type 2 diabetes	Nurse prescribing	Critically low
Wong et al. (2012) Meta-analysis	1987–2006	9 RCTs	1498	Participants with COPD	Nurse-led care	Moderate
Yu-Mei Chen et al. (2019) Meta-analysis	1995–2016	12 RCTs	3030	Adults (age 18 & above) with T2D	Nurse-led tele-coaching	Low

BA, before-after; COPD, Chronic Obstructive Pulmonary Disease; CVD, Cardiovascular disease; HF, Heart failure; RCT, Randomized Controlled Trial; T2D, Type 2 diabetes

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