ArticleThe Gerontologist2012
A qualitative analysis of an advanced practice nurse-directed transitional care model intervention.
Article in The Gerontologist, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00294307 (Hospital to Home), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Hospital to Home: Cognitively Impaired Elders/Caregivers
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Type of Transitional Care Effectively Reduced Mortality and Improved ADL of Stroke Patients? A Meta-Analysis.International journal of environmental research and public health · 2017Pooled it
- Comparison of evidence-based interventions on outcomes of hospitalized, cognitively impaired older adults.Journal of comparative effectiveness research · 2014Trial
- Context and determinants for implementing a sepsis survivor care transition intervention reported from five health systems and home health agencies.Frontiers in medicine · 2025Article
- [Advanced practice nurses in geriatric traumatology : A scoping review].Zeitschrift fur Gerontologie und Geriatrie · 2024Article
- Mapping implementation strategies of evidence-based interventions for three preselected phenomena in people with dementia-a scoping review.Implementation science communications · 2023Article
- From FITT to FISTT: The task-skills fit before the introduction of assistive, digital health technologies.Heliyon · 2023Article
- Unique Care Needs of People with Dementia and Their Caregivers during Transitions from Skilled Nursing Facilities to Home and Assisted Living: A Qualitative Study.Journal of the American Medical Directors Association · 2022Article
- Article
- Family caregivers for older persons with dementia offer recommendations to current caregivers: a qualitative investigation.Journal of research in nursing : JRN · 2021Article
- A myriad of factors influencing the implementation of transitional care innovations: a scoping review.Implementation science : IS · 2021Article
- Understanding experiences of patients and family caregivers in the Mayo Clinic Care Transitions program: a qualitative study.Clinical interventions in aging · 2019Article
- A qualitative study of older adults' and family caregivers' perspectives regarding their preoperative care transitions.Journal of clinical nursing · 2018Article
- Toward a process-level view of distributed healthcare tasks: Medication management as a case study.Applied ergonomics · 2017Observational
- Article
- TRACER: an 'eye-opener' to the patient experience across the transition of care in an internal medicine resident program.Journal of community hospital internal medicine perspectives · 2015Article
- A review of family carers' experiences of hospital discharge for people with dementia, and the rationale for involving service users in health research.Journal of healthcare leadership · 2015Review
- Studying nursing interventions in acutely ill, cognitively impaired older adults.The American journal of nursing · 2014Article
- Care of the older adult in the emergency department: nurses views of the pressing issues.The Gerontologist · 2013Article
- Optimizing a Nurse-led Transitional Home Visit Program in Preparation for a Randomized Control Trial.Pediatric quality & safetyArticle
- Case study: Transitional care for a patient with benign prostatic hyperplasia and recurrent urinary tract infections.Urologic nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
purposeThe 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
methodsAPNs 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.
resultsThree 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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.