De-implementation of low-value home-based nursing care: an effect and process evaluation.

ABSTRACT:

Background

The demand for homecare is increasing, and reducing low-value care is essential for achieving sustainable healthcare. Low-value care refers to practices that are ineffective, inefficient, unwanted, or potentially harmful to the client. This study aimed to evaluate the effects of a tailored, multifaceted de-implementation strategy in reducing low-value home-based nursing care.

Methods

A prospective, multicenter, convergent parallel mixed method design was employed, including a before-and-after study, using the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) framework. The effect of reducing low-value home-based nursing care was assessed from client records, focusing on the number of clients receiving care, minutes of care per week, frequency of vis

SUBMITTER: Cremers M 

PROVIDER: S-EPMC12487625 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature