{
  "abstract": "Objective: To explore and describe the components and underpinning theories of nurse-initiated transitional (hospital-to-home) care and to evaluate the effects of interventions on activities of daily living (ADLs), quality of life (QoL), depression, anxiety, self-efficacy, stroke-related knowledge, patient satisfaction and healthcare service utilisation in older stroke survivors and self-efficacy, caregiver burden, QoL and satisfaction with care in caregivers.\n\nData sources: MEDLINE, CINAHL, Cochrane Library, Health and Medical Collection, Nursing and Allied Health, Web of Science, Health Source: Nursing/Academic Edition and Scopus databases were searched in February 2024 and updated in March 2026.\n\nReview methods: Randomised controlled trials (RCTs) and cluster-RCTs were included. Risk of bias was assessed using the Cochrane Risk of Bias tool, and evidence quality was rated with GRADE. Meta-analysis was undertaken using random-effects models.\n\nResults: Seventeen trials were included. Transitional care interventions were guided by various theoretical frameworks and had multiple components. Interventions improved ADLs at 1 month (standardised mean difference (SMD) 0.54; 95% CI 0.12–0.97, four studies) and 3 months (SMD 0.43; 95% CI 0.12–0.74, seven studies), increased patient satisfaction and reduced hospital readmissions up to 3 months. Interventions may improve the Mental Component Score at 1 month, Role Limitations due to Physical Problems and General Health of QoL at 6 months. The certainty of evidence was low to very low.\n\nConclusion: Nurse-initiated transitional care can improve ADLs and QoL, while reducing hospital readmissions among older stroke survivors during the hospital-to-home transition. Multicomponent interventions combining home visits and follow-up phone calls may enhance improvements in ADLs. High-quality studies are needed to clarify long-term effects.\n\nPROSPERO ID: CRD42024517619.",
  "abstract_shown": true,
  "affiliations": [
    "School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK",
    "School of Health and Life Sciences, Research Centre for Health (ReaCH), Glasgow Caledonian University, Glasgow, UK"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Usanee Ankanawin",
      "orcid": "0009-0007-1451-6998"
    },
    {
      "affs": [
        1
      ],
      "name": "Lisa Kidd",
      "orcid": "0000-0003-2709-4011"
    },
    {
      "affs": [
        1
      ],
      "name": "Dawn A Skelton",
      "orcid": "0000-0001-6223-9840"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/drq3z27k9j2vm.bib",
  "cited_by": 1,
  "doi": "10.1177/02692155261430092",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13736524/",
  "id": "drq3z27k9j2vm",
  "issns": [
    "0269-2155",
    "1477-0873"
  ],
  "landing_url": "https://doi.org/10.1177/02692155261430092",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Evaluative Studies"
    ],
    [
      "openalex",
      "2742|Stroke Rehabilitation and Recovery"
    ]
  ],
  "openalex": "W7164125898",
  "pdf_url": null,
  "pmcid": "PMC13736524",
  "pmid": "42267682",
  "published": "2026-06-10",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/drq3z27k9j2vm.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:21:57Z",
      "native_id": "PMC13736524",
      "source": "pmc",
      "url": "https://doi.org/10.1177/02692155261430092"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2742|Stroke Rehabilitation and Recovery",
      "subfield": "general"
    }
  ],
  "title": "Nurse-initiated transitional care interventions to support the transition from hospital to home amongst older stroke survivors and caregivers: A systematic review and meta-analysis",
  "title_text": "Nurse-initiated transitional care interventions to support the transition from hospital to home amongst older stroke survivors and caregivers: A systematic review and meta-analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:21:57Z",
  "url": "https://research.draconitic.com/paper/drq3z27k9j2vm",
  "venue": "Clinical Rehabilitation",
  "versions": []
}