ArticleInternational journal of integrated care
The Evolving Roles of Nurses Providing Care at Home: A Qualitative Case Study Research of a Transitional Care Team.
Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Improving transitional care through online communication skills training.Aging clinical and experimental research · 2022Trial
- Challenges of community health nursing practice in the Primary Health Care network of Iran: a qualitative study.BMC health services research · 2026Article
- Hybrid Hospital-at-Home Program in Singapore: Ethnographic Study.Journal of medical Internet research · 2025Article
- Development and validation of competencies for home-based nursing care: an e-Delphi study.International journal of nursing studies advances · 2025Article
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3 authors.
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Abstract
purposeTo examine the roles of transitional care nurses in an integrated healthcare system and how the integrated healthcare system influences their evolving roles.
backgroundTransitional care teams have been introduced to enable the seamless transfer of patients from acute-care to the home settings. A qualitative case study of the transitional care team was conducted to understand the changing roles of these nurses in an integrated Regional Health System (RHS) in Singapore.
methodsA hospital transitional team of an integrated RHS was studied. Purposive sampling was used. Non-participant observations and follow-up interviews were conducted with four nurses. Data were triangulated with the interviews of two managers and three healthcare professionals, and the analysis of documents. Within-case thematic analysis was carried out.
resultsThree themes were identified: 'Coming together to meet the needs of all'; 'Standing strong amidst the stormy waves'; and 'Searching for the right formula in handling complexity'. These themes have explained on the atypical roles taken on by nurses in their attempts to close the gaps and meet the patients' needs. Various factors influencing the evolving roles were revealed.
conclusionThe roles of nurses have 'emerged differently' from their traditional counterparts. Various nursing roles have been undertaken to facilitate care integration. The findings emphasised the important balance between formal structural practices and informal processes in facilitating and supporting the nurses in their role development.
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