» Articles » PMID: 10756470

A Decade of Transitional Care Research with Vulnerable Elders

Overview
Date 2000 Apr 11
PMID 10756470
Citations 20
Authors
Affiliations
Soon will be listed here.
Abstract

This article describes the contributions to knowledge development and clinical practice during the past decade resulting from testing and refining a transitional care model with hospitalized elders by a multidisciplinary research team. A major goal of this research program has been to improve the postdischarge outcomes of older adults admitted to hospitals for an acute exacerbation of a chronic cardiovascular illness. In addition to demonstrating positive outcomes for elders while reducing costs, findings from the testing of the transitional care model have advanced knowledge of important patient and caregiver issues including the effects of the model of elders with medical versus surgical conditions, the profile of elders at risk for poor outcomes, predictors of caregiver burden, the unique needs of elders and the contributions of advanced practice nurses in meeting these needs, and decision making regarding home care referrals.

Citing Articles

Vulnerability to functional decline is associated with noncardiovascular cause of 90-day readmission in hospitalized patients with heart failure.

Trochez R, Barrett J, Shi Y, Schildcrout J, Rick C, Nair D J Hosp Med. 2024; 19(5):386-393.

PMID: 38402406 PMC: 11824873. DOI: 10.1002/jhm.13316.


The Advanced Practice Registered Nurse Leadership Role in Nursing Homes: Leading Efforts Toward High Quality and Safe Care.

Bakerjian D Nurs Clin North Am. 2022; 57(2):245-258.

PMID: 35659986 PMC: 9066344. DOI: 10.1016/j.cnur.2022.02.011.


Development and psychometric properties of surveys to assess provider perspectives on the barriers and facilitators of effective care transitions.

Johnson Jr M, Liu H, Sorra J, Brock J, Gass B, Li J BMC Health Serv Res. 2021; 21(1):478.

PMID: 34016113 PMC: 8136156. DOI: 10.1186/s12913-021-06369-5.


Transitional Care Experiences of Patients with Hip Fracture Across Different Health Care Settings.

Brooks L, Stolee P, Elliott J, Heckman G Int J Integr Care. 2021; 21(2):2.

PMID: 33867897 PMC: 8034406. DOI: 10.5334/ijic.4720.


Improving evidence-based grouping of transitional care strategies in hospital implementation using statistical tools and expert review.

Li J, Du G, Clouser J, Stromberg A, Mays G, Sorra J BMC Health Serv Res. 2021; 21(1):35.

PMID: 33413334 PMC: 7791839. DOI: 10.1186/s12913-020-06020-9.