Ensure smooth, safe care transitions from hospital to home with evidence-based discharge models and nursing interventions.
Resource 1
Naylor, M. D., Aiken, L. H., Kurtzman, E. T., Olds, D. M., & Hirschman, K. B. (2011).
The Care Span: The Importance of Transitional Care in Achieving Health Reform. Health Affairs, 30(4), 746–754.
• Description: Explores compelling evidence demonstrating how transitional care models significantly improve health outcomes and reduce care fragmentation.
• Nursing Application: Offers practical strategies for nurses to optimize structured discharge planning and follow-up care, ensuring smoother patient transitions from hospital to home.
• Use Case: Serves as a comprehensive guide for developing or refining discharge protocols, particularly for high-risk patient populations.
Resource 2
Coleman, E. A., & Boult, C. (2003). Improving the quality of transitional care for individuals with complex healthcare needs. Journal of the American Geriatrics Society, 51(4), 556–557.
• Description: Explores the Care Transitions Intervention (CTI), a model designed to enhance the quality of transitional care.
• Nursing Application: Provides practical coaching strategies to empower patients in managing their own care.
• Use Case: Ideal for training new nurses in implementing best practices for transitional care.
Resource 3
Jack, B. W., Chetty, V. K., Anthony, D., et al. (2009). A reengineered hospital discharge program to decrease rehospitalizations. Annals of Internal Medicine, 150(3), 178–187.
• Description: An overview of Project RED, a program designed to improve hospital discharge processes.
• Nursing Application: Provides insights into patient-centered discharge education to enhance care quality.
• Use Case: A valuable resource for revising and improving hospital discharge teaching protocols.