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Peer-reviewedCC BY 4.0Research in Nursing & Health

Effects of Interprofessional Collaborative Practice in Older Adults’ Hip Fractures Care: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials

  • Santo Imanuel Tonapa1,2
  • I‐Chin Huang3
  • Bih‐O Lee2,4,5,6
  • Wendy Chaboyer7,8
8 affiliations
  1. 1School of Nursing, Galuh University Ciamis Indonesia
  2. 2College of Nursing, Kaohsiung Medical University Kaohsiung Taiwan
  3. 3Biomedical Artificial Intelligence Academy, Kaohsiung Medical University Kaohsiung Taiwan
  4. 4Graduate Institute of Medicine, Kaohsiung Medical University Kaohsiung Taiwan
  5. 5Center for Medical Education and Humanizing Health Professional Education Kaohsiung Medical University Kaohsiung Taiwan
  6. 6Department of Nursing Chung Hwa University of Medical Technology Tainan Taiwan
  7. 7School of Nursing and Midwifery, Griffith University Brisbane Queensland Australia
  8. 8NHMRC Centre of Research Excellence in Wiser Wound Care Griffith University Queensland Queensland Australia
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Abstract

This study aimed to evaluate the effectiveness of interprofessional collaborative practice interventions in improving activities of daily living, quality of life, length of stay, and in reducing mortality among older adults with hip fractures. Systematic review and meta‐analysis of randomized controlled trials. Eight databases including AgeLine, PubMed, Embase, CINAHL Ultimate, Scopus, MEDLINE Ultimate, Web of Science, and the Cochrane Library were searched from inception to November 2025. Two reviewers independently screened studies and assessed risk of bias using Cochrane Risk‐of‐Bias 2.0. Random‐effects meta‐analyses were performed. Certainty of evidence was evaluated using GRADE. Twelve randomized controlled trials met inclusion criteria. Interventions typically involved nurses working alongside geriatricians, orthopedic surgeons, and physiotherapists within structured co‐management pathways. Interprofessional collaborative practice was associated with a shorter hospital stay by a mean of 2.26 days. Activities of daily living improved by 4.86 points at 6 months and 3.92 points at 12 months on the Barthel Index. Health‐related quality of life improved modestly (Hedges’ G = 0.194), though this was not robust to sensitivity analysis. Mortality evidence was inconclusive at in‐hospital and 6‐month follow‐up. Certainty of evidence ranged from very low to low across outcomes. Interprofessional collaborative practice appears to improve functional recovery and may shorten hospital stay among older adults with hip fractures, though any mortality benefit remains unproven. Clinicians should consider adopting interprofessional hip fracture pathways spanning team rounds, early mobilization, medication reconciliation, and discharge planning, while future trials clarify effects on survival.

Trial Registration: PROSPERO registration number: CRD42024573834

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Cite

BibTeXRIS
BibTeX
@article{tonapa2026effects,
  title = {{Effects of Interprofessional Collaborative Practice in Older Adults’ Hip Fractures Care: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials}},
  author = {Santo Imanuel Tonapa and I‐Chin Huang and Bih‐O Lee and Wendy Chaboyer},
  journal = {Research in Nursing \& Health},
  year = {2026},
  month = sep,
  doi = {10.1002/nur.70125},
  url = {https://doi.org/10.1002/nur.70125},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Effects of Interprofessional Collaborative Practice in Older Adults’ Hip Fractures Care: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials
AU  - Santo Imanuel Tonapa
AU  - I‐Chin Huang
AU  - Bih‐O Lee
AU  - Wendy Chaboyer
PY  - 2026
DA  - 2026/09/08
JO  - Research in Nursing & Health
DO  - 10.1002/nur.70125
UR  - https://doi.org/10.1002/nur.70125
AB  - This study aimed to evaluate the effectiveness of interprofessional collaborative practice interventions in improving activities of daily living, quality of life, length of stay, and in reducing mortality among older adults with hip fractures. Systematic review and meta‐analysis of randomized controlled trials. Eight databases including AgeLine, PubMed, Embase, CINAHL Ultimate, Scopus, MEDLINE Ultimate, Web of Science, and the Cochrane Library were searched from inception to November 2025. Two reviewers independently screened studies and assessed risk of bias using Cochrane Risk‐of‐Bias 2.0. Random‐effects meta‐analyses were performed. Certainty of evidence was evaluated using GRADE. Twelve randomized controlled trials met inclusion criteria. Interventions typically involved nurses working alongside geriatricians, orthopedic surgeons, and physiotherapists within structured co‐management pathways. Interprofessional collaborative practice was associated with a shorter hospital stay by a mean of 2.26 days. Activities of daily living improved by 4.86 points at 6 months and 3.92 points at 12 months on the Barthel Index. Health‐related quality of life improved modestly (Hedges’ G = 0.194), though this was not robust to sensitivity analysis. Mortality evidence was inconclusive at in‐hospital and 6‐month follow‐up. Certainty of evidence ranged from very low to low across outcomes. Interprofessional collaborative practice appears to improve functional recovery and may shorten hospital stay among older adults with hip fractures, though any mortality benefit remains unproven. Clinicians should consider adopting interprofessional hip fracture pathways spanning team rounds, early mobilization, medication reconciliation, and discharge planning, while future trials clarify effects on survival.  Trial Registration: PROSPERO registration number: CRD42024573834
SN  - 0160-6891
SN  - 1098-240X
ER  -