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Shaw RJ, McDuffie JR, Hendrix CC, et al. Effects of Nurse-Managed Protocols in the Outpatient Management of Adults with Chronic Conditions [Internet]. Washington (DC): Department of Veterans Affairs (US); 2013 Aug.
Effects of Nurse-Managed Protocols in the Outpatient Management of Adults with Chronic Conditions [Internet].
Show detailsTable 3Summary of inclusion and exclusion criteria
| Study Characteristic | Inclusion Criteria | Exclusion Criteria |
|---|---|---|
| Population | Adults (≥18 years of age) with diabetes, hypertension, hyperlipidemia, congestive heart failure, or combinations of these chronic medical conditions. In mixed samples, ≥ 80% of the sample must be selected for one of the 4 target conditions. Outpatients in a primary care setting or specialty clinic/practice. Studies with patients enrolled during a hospitalization if the majority of the intervention is delivered on an outpatient basis. | Gestational diabetes |
| Intervention | Intervention must involve an RN or LPN functioning beyond the usual scope of practice, which must include adjustment of medications. Activities must be based on a written protocol that specifies the scope of practice and is designed to support longitudinal care for chronic conditions. Interventions may be delivered by telephone or face-to-face visits. | Care plans Protocols limited to telephone triage Telecare limited to symptom or vital sign monitoring and information support Disease management protocols limited to educational interventions or assessment of treatment response |
| Comparator | Usual outpatient care or other quality-improvement strategy | None |
| Outcome | KQ 1: Study must report at least 1 of the following relevant outcomes:
KQ 3: Adverse effects, particularly drug-related adverse effects including drug-drug interactions | No relevant outcomes |
| Timing | Outcomes reported ≥3 months from randomization and initiation of intervention | Outcomes reported <3 months from randomization and initiation of intervention |
| Setting | Outpatient setting Studies conducted in North America, Western Europe, Australia/New Zealand, and selected Caribbean countriesa | Care model where the intervention is delivered primarily in the patient's home or community setting (e.g., community centers, workplace settings) |
| Study design | Study designs recommended by the Cochrane Effective Practice and Organization of Care Group:
| Cross-sectional studies and other observational study designs not specifically listed as “included” study designs |
| Publications | English-language only Published from 1980 to presentb Peer-reviewed, full publication | Non-English language Published before 1980 Abstract only |
- a
Rationale is to include economically developed countries with sufficient similarities in health care system and culture to be applicable to U.S. medical care.
- b
Rationale is that prior to 1980, nursing education differed importantly from contemporary training; e.g., physical examination was not taught.
Abbreviations: KQ=key question; HbA1c=glycosylated hemoglobin; LPN=licensed practical nurse; RN=registered nurse
- Table 3, Summary of inclusion and exclusion criteria - Effects of Nurse-Managed ...Table 3, Summary of inclusion and exclusion criteria - Effects of Nurse-Managed Protocols in the Outpatient Management of Adults with Chronic Conditions
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