A Qualitative Analysis of an Advanced Practice Nurse-Directed Transitional Care Model Intervention

Autor/inn/en	Bradway, Christine; Trotta, Rebecca; Bixby, M. Brian; McPartland, Ellen; Wollman, M. Catherine; Kapustka, Heidi; McCauley, Kathleen; Naylor, Mary D.
Titel	A Qualitative Analysis of an Advanced Practice Nurse-Directed Transitional Care Model Intervention
Quelle	In: Gerontologist, 52 (2012) 3, S.394-407 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
DOI	10.1093/geront/gnr078
Schlagwörter	Older Adults; Patients; Caregivers; Intervention; Barriers; Influences; Nurses; Health Services; Content Analysis; Qualitative Research + Suchen Sie Ihr Suchwort? Älterer Erwachsener; Patient; Caregiver; Carer; Betreuungsperson; Pfleger; Influence; Einfluss; Einflussfaktor; Health service; Gesundheitsdienst; Gesundheitswesen; Inhaltsanalyse; Qualitative Forschung
Abstract	Purpose: The purpose of this study was to describe barriers and facilitators to implementing a transitional care intervention for cognitively impaired older adults and their caregivers lead by advanced practice nurses (APNs). Design and Methods: APNs implemented an evidence-based protocol to optimize transitions from hospital to home. An exploratory, qualitative directed content analysis examined 15 narrative case summaries written by APNs and fieldnotes from biweekly case conferences. Results: Three central themes emerged: patients and caregivers having the necessary information and knowledge, care coordination, and the caregiver experience. An additional category was also identified, APNs going above and beyond. Implications: APNs implemented individualized approaches and provided care that exceeds the type of care typically staffed and reimbursed in the American health care system by applying a Transitional Care Model, advanced clinical judgment, and doing whatever was necessary to prevent negative outcomes. Reimbursement reform as well as more formalized support systems and resources are necessary for APNs to consistently provide such care to patients and their caregivers during this vulnerable time of transition. (As Provided).
Anmerkungen	Oxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://gerontologist.oxfordjournals.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10