Examining The Impact Of Nursing Interventions On Patient Outcomes, Satisfaction, And Care Continuity Across Healthcare Settings: A Systematic Review
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Amal Awwadh Mesfer Alqurashi, Ghunyah Abdullah Awadh Alsoufany, Basim Ahmed Alsobhi, Abdulqader Saeed Alwadie, Asma Hamdan Ali Al tory
Hazmiah Hmdan Ali, Wafa Saad Alhawaiti, Halah Saleem Alatawi, Norah Mahja Hassan Albalawi, Alshikha Mohja Albalawi
Abstract
Background: Nursing interventions play a central role in shaping patient outcomes, satisfaction, and continuity of care across healthcare settings. Despite growing evidence, findings remain fragmented across clinical environments and intervention types.
Objective: This systematic review aims to synthesize evidence on the impact of nursing interventions on patient clinical outcomes, patient satisfaction, and care continuity across acute, chronic, and community healthcare settings.
Methods: A systematic search was conducted across major databases (e.g., PubMed, Scopus, CINAHL, Web of Science) following PRISMA guidelines. Studies published between 2016 and 2025 examining nurse-led or nurse-implemented interventions were included. Quality appraisal was performed using standardized tools.
Results: The review demonstrates consistent associations between structured nursing interventions and improvements in clinical outcomes, patient satisfaction, reduced readmissions, and strengthened transitional care. Interventions emphasizing patient education, care coordination, and continuity showed the greatest system-level benefits.
Conclusion: Nursing interventions exert a measurable and multidimensional impact across healthcare settings. Strengthening nursing roles in care continuity and patient-centered strategies is essential for improving healthcare quality and system efficiency.
Keywords :
Nursing interventions; patient outcomes; patient satisfaction; continuity of care; systematic review.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty