Relevant bibliographies by topics / Transitions of Care

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Transitions of Care'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 January 2023

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Journal articles on the topic "Transitions of Care"

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de Boer, Bram, Hilde Verbeek, and Joseph Gaugler. "Transitions to Long-Term Residential Care Settings." Innovation in Aging 5, Supplement_1 (December 1, 2021): 221–22. http://dx.doi.org/10.1093/geroni/igab046.855.

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Abstract During their life course, many older adults encounter a transition between care settings, for example, a permanent move into long-term residential care. This care transition is a complex and often fragmented process, which is associated with an increased risk of negative health outcomes, rehospitalisation, and even mortality. Therefore, care transitions should be avoided where possible and the process for necessary transitions should be optimised to ensure continuity of care. Transitional care is therefore a key research topic. The TRANS-SENIOR European Joint Doctorate (EJD) network builds capacity for tackling a major challenge facing European long-term care systems: the need to improve care for an increasing number of care-dependent older adults by avoiding unnecessary transitions and optimising necessary care transitions. During this symposium, four presenters from the Netherlands and Switzerland will present different aspects of transitions into long-term residential care. The first speaker presents the results of a co-creation approach in developing an intervention aimed at preventing unnecessary care transitions. The second speaker presents an overview of interventions aiming to improve a transition from home to a nursing home, highlighting the clear mismatch between theory and practice. The third speaker presents the impact of the COVID-19 pandemic on transitions into long-term residential care using an ethnographic study in a long-term residential care facility in Switzerland. The final speaker discusses the results of a recent Delphi study on key factors influencing implementing innovations in transitional care. The discussant will relate previous findings on transitional care with a U.S. perspective.
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Shin, Ji Youn, Nkiru Okammor, Karly Hendee, Amber Pawlikowski, Grace Jenq, and David Bozaan. "Development of the Socioeconomic Screening, Active Engagement, Follow-up, Education, Discharge Readiness, and Consistency (SAFEDC) Model for Improving Transitions of Care: Participatory Design." JMIR Formative Research 6, no. 4 (April 12, 2022): e31277. http://dx.doi.org/10.2196/31277.

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Background Transition to home after hospitalization involves the potential risk of adverse patient events, such as knowledge deficits related to self-care, medication errors, and readmissions. Despite broad organizational efforts to provide better care transitions for patients, there are challenges in implementing interventions that effectively improve care transition outcomes, as evidenced by readmission rates. Collaborative efforts that require health care professionals, patients, and caregivers to work together are necessary to identify gaps associated with transitions of care and generate effective transitional care interventions. Objective This study aims to understand the usefulness of participatory design approaches in identifying the design implications of transition of care interventions in health care settings. Through a series of participatory design workshops, we have brought stakeholders of the health care system together. With a shared understanding of care transition and patient experience, we have provided participants with opportunities to generate possible design implications for care transitions. Methods We selected field observations in clinical settings and participatory design workshops to develop transitional care interventions that serve each hospital’s unique situation and context. Patient journey maps were created and functioned as tools for creating a shared understanding of the discharge process across different stakeholders in the health care environment. The intervention sustainability was also assessed. By applying thematic analysis methods, we analyzed the problem statements and proposed interventions collected from participatory design workshops. The findings showed patterns of major discussion during the workshop. Results On the basis of the workshop results, we formalized the transition of care model—the socioeconomic, active engagement, follow-up, education, discharge readiness tool, and consistency (Integrated Michigan Patient-centered Alliance in Care Transitions transition of care model)—which other organizations can apply to improve patient experiences in care transition. This model highlights the most significant themes that should necessarily be considered to improve the transition of care. Conclusions Our study presents the benefits of the participatory design approach in defining the challenges associated with transitions of care related to patient discharge and generating sustainable interventions to improve care transitions.
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Taylor, Genevieve, Melissa Smith, Sarah Dotters-Katz, Arlene Davis, Wayne Price, and Jacquelyn Patterson. "Transitions in Care for Infants with Trisomy 13 or 18." American Journal of Perinatology 34, no. 09 (March 16, 2017): 887–94. http://dx.doi.org/10.1055/s-0037-1600912.

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Background and Objectives The scope of interventions offered to infants with trisomy 13 (T13) or trisomy 18 (T18) is increasing. We describe the spectrum of care provided, highlighting transitions in care for individual patients. Patients and Methods This is a single-center, retrospective cohort of infants with T13 or T18 born between 2004 and 2015. Initial care was classified as comfort care or intervention using prenatal counseling notes. Transitions in care were identified in the medical record. Results In this study, 25 infants were divided into two groups based on their care: neonates who experienced no transition in care and neonates who experienced at least one transition. Eleven neonates experienced no transition in care with 10 receiving comfort care. Fourteen neonates experienced at least one transition: three transitioned from comfort care to intervention and 11 from intervention to comfort care. The three initially provided comfort care were discharged home with hospice and readmitted. Among the 11 cases who transitioned from intervention to comfort care, 9 transitioned during the birth hospitalization, 6 had no prenatal suspicion for T13 or T18, and 5 experienced elective withdrawal of intensive care. Conclusion The spectrum of care for infants with T13 or T18 illustrates the need for individualized counseling that is on-going, goal directed, collaborative, and responsive.
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Harvey, Desley, Michele Foster, Rachel Quigley, and Edward Strivens. "Care transition types across acute, sub-acute and primary care." Journal of Integrated Care 26, no. 3 (July 2, 2018): 189–98. http://dx.doi.org/10.1108/jica-12-2017-0047.

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PurposeThe purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types and areas for improvements.Design/methodology/approachA longitudinal case study design was used to examine care transitions of 19 older people and their carers as a series of transitions and a whole-of-system experience. Case study accounts synthesising semi-structured interviews with function and service use data from medical records were compared.FindingsThree types of care transitions were derived from the analysis: manageable, unstable and disrupted. Each type had distinguishing characteristics and older people could experience elements of all types across the system. Transition types varied according to personal and systemic factors.Originality/valueThis study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole.
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Smith, Audris D., and Judith Treschuk. "Disconnects and Silos in Transitional Care: Single-Case Study of Model Implementation in Home Health Care." Home Health Care Management & Practice 30, no. 3 (March 22, 2018): 130–39. http://dx.doi.org/10.1177/1084822318765737.

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Transitional care incorporates actions to ensure the coordination and continuity of care between provider settings (ie, hospitals, nursing homes, home health care, patients’ home, and physician offices) occurs to meet the patient’s goals relative to their disease management. The evolution of transitional care over the past decade has facilitated the emergence of several transitional care models. However, there is a dearth of understanding related to the collaboration between nurse transition coaches and home care nurses when implementing transitional care model activities to achieve desired patient outcomes in the home health care setting. This case study describes the enactment of a specific transitional care model’s conceptual framework to derive an in-depth understanding of the collaborations between nurse transition coaches and home health nurses in the unique context of home health care. The case is a specific patient-centered Care Transitions Intervention (CTI) model with 4 embedded subunits: (1) the experiences and actions of the nurse transitions coach, (2) the experiences and actions of the home health nurse, (3) document and artifacts review, and (4) the experiences and observations of key leadership stakeholders involved in transitional care activities in one home health care organization located in Michigan.
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Sheikh, Fatima, Evelyn Gathecha, Alicia I. Arbaje, and Colleen Christmas. "Internal Medicine Residents’ Views About Care Transitions: Results of an Educational Intervention." Journal of Medical Education and Curricular Development 8 (January 2021): 238212052098859. http://dx.doi.org/10.1177/2382120520988590.

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Problem: Suboptimal care transitions can lead to re-hospitalizations. Intervention: We developed a 2-week “Transitions of Care Curriculum” to train first-year internal medicine residents to improve their knowledge and skills to deliver optimal transitional care. Our objective was to use reflective writing essays to evaluate the impact of the curriculum on the residents. Methods: The rotation included: Transition of Care Teaching modules, Transition Audit, Transitional Care Site Visits, and Transition of Care Conference. Residents performed the above elements of care transitions during the curriculum and wrote reflective essays about their experiences. These essays were analyzed to assess for the overall impact of the curriculum on the residents. Qualitative analysis of reflective essays was used to evaluate the impact of the curriculum. Of the 20 residents who completed the rotation, 18 reflective essays were available for qualitative analysis. Results: Five major themes identified in the reflective essays for improvement were: discharge planning, patient-centered care, continuity of care, goals of care discussions, and patient safety. The most discussed theme was continuity of care, with following subthemes: fragmentation of the healthcare system, disjointed care to the patients, patient specific factors contributing to lack of continuity of care, lack of primary care provider role as a coordinator of care, and challenges during discharge process. Residents also identified system-based gaps and suggested solutions to overcome these gaps. Conclusions: This experiential learning and use of reflective writing enhanced the residents’ self-identified awareness of gaps in care transitions and prompted them to generate ideas for systems improvement and personal actions to improve their practice during care transitions.
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DUCKETT, KATHY. "Care Transitions." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 29, no. 10 (November 2011): 590–91. http://dx.doi.org/10.1097/nhh.0b013e3182373069.

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Dusek, Brenda, Nancy Pearce, Anastasia Harripaul, and Monique Lloyd. "Care Transitions." Journal of Nursing Care Quality 30, no. 3 (2015): 233–39. http://dx.doi.org/10.1097/ncq.0000000000000097.

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Dreyer, Theresa. "Care Transitions." Home Healthcare Nurse 32, no. 5 (May 2014): 309–16. http://dx.doi.org/10.1097/nhh.0000000000000069.

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Geary, Carol R., and Karen L. Schumacher. "Care Transitions." Advances in Nursing Science 35, no. 3 (2012): 236–48. http://dx.doi.org/10.1097/ans.0b013e31826260a5.

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Dissertations / Theses on the topic "Transitions of Care"

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Manogaran, Myuri. "Managing Transitions of Care: An Examination of Parents’ and Providers’ Perspectives on the Transitions of Care of Neonatal Patients from the Neonatal Intensive Care Unit." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35751.

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Objectives: Transitions of care (ToC) for a high-risk neonatal population, and in some cases inappropriate and early discharge, can have important implications for community and broader population health. As it is a key indicator of the efficiency of the system of health services, the ease of ToC has been a priority for improving care outcomes across all settings in our nation’s healthcare system. Research shows that inappropriate discharges can lead to negative outcomes for patients and their families, health professionals, and the health system. Collaboration amongst the health care professionals, the community, and the patient’s family is needed for an efficient transition. This research examined how interprofessional collaboration (IPC) can act as a catalyst for efficient and effective ToC from a high-risk neonatal unit to care back in the community. Approach: Twelve infants were observed from their admission on the Neonatal Intensive Care Unit (NICU) until their discharge home. The 12 consisted of four patients discharged directly home, four to another unit within the same hospital, and four to another institution. Stage one involved a document analysis of documents related to ToC policy on the NICU. Stage two involved observation. Stage three involved interviews with healthcare professionals (HCPs) in the hospital and community (n=30) and family members (n=12). Stage four consisted of deliberative workshops with the hospital management and research participants to share the results and obtain their feedback. Results: Including parents early in the ToC planning process helps parents feel they’re a part of the interprofessional care team, in-charge of their infant’s care and thus better equipped mentally to handle their infant’s ToC. Knowing early on their infant’s discharge plan allows parents the opportunity to ask questions regarding caring for the infant at home or to meet the new healthcare team at the new site (hospital/floor) prior to the transfer. Mechanisms need to be in place to ensure that communication regarding ToC is consistent and clear to and between all HCPs whether in the hospital (e.g. bedside nurse) or in the community (e.g. family doctor). Having a clear understanding of what information should be transferred during a ToC will prevent unnecessary tests and misunderstandings. Increasing HCPs’ knowledge of available community resources will aide in transitioning infants to community care and thus freeing bed space and decreasing unnecessary costs at the hospital (i.e. A feeding and growing baby can be weighed by family doctor or Rapid Response Nurse and not necessarily the neonatologist). A consistent ToC policy across all NICUs would also be beneficial to ensuring a smoother ToC of infants. Conclusion: It is believed that communication and education in an interprofessional context is critical for more efficient and effective ToC of neonates.
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Bristol, Alycia, and Alycia Bristol. "Family Caregivers' Experiences during Transitions Occurring within an Acute Care Facility." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/621796.

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Background: Family caregivers represent a critical component in the management of the health of older adults. The inclusion of family caregivers during transitions occurring between hospital and community settings has been previously considered. However, the experience of family caregivers during transitions occurring within the same setting remains unclear. The purpose of this study was to describe the experiences of family caregivers during transitions occurring within an acute care setting. Method: A qualitative description study was conducted. Semi-structured interviews were conducted with 10 family caregivers. Interviews were audio-recorded and occurred in person or over the telephone. Analysis included coding of interview data and the development of overarching themes. Findings: In this study, family caregivers reported the following themes. These themes included: "a lack of central brain during hospitalization," "muddling through transitions alone" and "wariness towards the care delivery system. The environmental influence of the hospital setting influenced family caregivers' view of the care provided by healthcare professionals and the transitions occurring between different units. Furthermore, half of the family caregiver participants (n=5) identified as having a background in healthcare. Healthcare professionals as family caregivers (HCP-FCs) reported unique experiences from other non-healthcare family caregivers. Interviews and field notes from HCP-FC participants were analyzed separately following the same procedures as the larger study. Three themes emerged including, "seeking inclusion," "insider perspectives," and "role struggle." Conclusion: Experiences of HCP-FCs and family caregivers during hospitalization of older adults have the potential to influence perceptions regarding transitional events occurring within acute care settings. Additionally, family caregivers' and HCP-FCs' perceptions of care coordination among healthcare professionals had the potential to negatively influence perceptions of transitions occurring within the acute care setting.
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Campbell, Nancy, and University of Lethbridge School of Health Sciences. "Transitions in death : the lived experience of critical care nurses." Thesis, Lethbridge, Alta. : University of Lethbridge, School of Health Sciences, 2008, 2008. http://hdl.handle.net/10133/653.

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Critical care nurses often face the ordeal of witnessing a patient's death in a tense and stressful environment. Anecdotal stories shared among nurses reveal that unusual experiences often occur at the time of or after a patient's death. This hermeneutic phenomenological study explored the meaning of these experiences for critical care nurses. Using Parse's research method, in-depth interviews were conducted with six critical care nurses who described their experiences at the time of a patient's death as well as during the post-death period. These experiences brought a sense of peace and comfort to each individual as well as reinforced their individual belief patterns about life after death. A distinctive sense of nursing knowing at the time of death was also identified. The findings of this study indicate that the experiences of the phenomenon of death by critical care nurses have a significant impact on each individual and that further research and understanding of this impact is needed.
ix, 113 leaves ; 29 cm.
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John, Jaison, Jessie Feathers, Tyler Morgan, Neha Barakam, and Jodi Polaha. "Utility of Incorporating Behavioral Therapy in Transitions of Care Clinics." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/14.

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TCC (Transitions of care clinic) is a specialized clinic visit where patients present to their primary clinic after a hospital stay. TCC deploys an interprofessional team to address a gamult of patient concerns. Traditionally, TCC interprofessional team includes a nurse and a doctor. The nurse calls the patient’s house within 2 days to check up on the patient and then they schedule a clinic visit, usually within 7-14 days. However it has been proposed that addition of team members from other disciplines could contribute to better health outcomes for patients seen in TCC. We studied a TCC model with an interprofessional team of not only physicians and nurses but also pharmacists and behavioral therapists for two months. Our aim was to uncover the utility of having a behavioral health team member in TCC visits. This was a prospective study of patients who attended a TCC clinic in a residency setting. An observer collected data on the time the behavioral health provider was in the patient room and the interventions/consultations he/she provided. Data collection is ongoing. We expect to find the following: the percentage of patients within TCC who utilized some form of behavioral therapy in their TCC visits; the percentage of common interventions that were used; average time spent in each visit; average age of patients; and average number of hospitalizations per patient. We expect that these results will demonstrate how behavioral health providers function on interprofessional TCC teams.
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McDonald, Kate. "Transitions to Adulthood for Children with Special Health Care Needs." Diss., The University of Arizona, 2011. http://hdl.handle.net/10150/202697.

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Background: Every year in the United States approximately half a million youth with special health care needs (SHCN) turn 18. Little is known about how this population fares during the transition to adulthood. Purpose: To examine transitions to adulthood for young adults with SHCN. Methods: Using data from two national longitudinal surveys: the Panel Study of Income Dynamics and the Survey of Adult Transitions and Health, I built linear and logistic regression models to evaluate the relationship between having a history of SHCN during childhood and key transitional outcomes during young adulthood (e.g., mental health status, educational attainment, employment, financial independence and subjective indicators of adulthood). A second set of logistic models examined associations between hypothesized risk and protective factors during childhood (e.g. family financial burden, care in a medical home and access to adequate insurance) and physical health outcomes during young adulthood for youth with SHCN. Multivariate models were adjusted for key confounders. Results: The majority of youth with a history of SHCN were doing well during the transition to adulthood. That said, compared to young adults without a history of SHCN, young adults with a history of SHCN were in significantly worse mental health (adjusted OR of experiencing a non-specific psychological disorder 3.90, 95% CI 1.78-8.53) and had significantly lower odds of graduating from high school (adjusted OR 0.55, 95% CI 0.32-0.96), attending college (adjusted OR 0.61, 95% CI 0.38-0.96), and receiving financial assistance from their families (adjusted OR 0.56, 95% CI 0.38-0.83). Amongst young adults with a history of SHCN, family financial burden during childhood significantly decreased the odds of being in good physical health during the transition to adulthood. There was limited evidence that receipt of care in a medical home or access to adequate insurance during childhood increased the odds of being in good physical health for young adults with a history of SHCN. Conclusions: These findings have important policy implications for programs serving youth with SHCN. Specifically, mental health and educational services may need to be expanded and more emphasis placed on addressing the non-medical determinants of health, like family financial burden.
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Morgan, Héloïse Dominique. "How children in care cope with transitions : child and adult perspectives." Thesis, University College London (University of London), 2010. http://discovery.ucl.ac.uk/10019948/.

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Holup, Amanda A. "Care Setting of the Last Resort: Care Transitions for Nursing Home Residents Directly Admitted from the Community." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6257.

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Since the late 1980s, policymakers have attempted to reduce the institutional bias of their long-term services and supports by investing in more accessible home and community-based services for older adults with long-term care needs and adults with disabilities. To further advance rebalancing discussions, this study examined the resident, facility, and state characteristics associated with the admission of community-dwelling older adults to the nursing home and the subsequent discharge of this population back to community settings. Data from the Minimum Data Set (MDS) 2.0 were used to construct episodes of care for all newly-admitted residents aged 65 and older to any free-standing U.S. nursing home. Several secondary datasets including the Online Survey, Certification, and Reporting Database (OSCAR), LTCFocus.org website, Nursing Home Compare, Nursing Home Data Compendium, and U.S. census estimates were used in the study analyses. On average, approximately 5.3% of all newly admitted nursing home residents were admitted directly from home with substantial variations across states. Most residents admitted directly from home had limited to extensive dependency in activities of daily living and moderate cognitive impairment. The most common diagnoses on admission included dementia and diabetes. While 31% of residents admitted from home remained in the facility at least 365 days after admission, 32% were discharged to the community, 15% were discharged to the hospital, and 21% died. Most residents admitted from assisted living communities, either remained in the facility or died by the end of the study. Findings from multivariate analyses suggest that resident-level factors, including demographics and health status, influenced the community transition of nursing home residents. Facility characteristics, including ownership, deficiency scores, the ratio of Medicare and Medicaid residents, and urban location were associated with discharge to the community but the effect of these factors differed according to length of stay. The commitment of a state to home and community-based services was also predictive of community discharge. Collectively, findings suggest that resident, facility, and state characteristics influence the community discharge of residents admitted from home or assisted living communities. By understanding the reasons for admission to the nursing home and the factors influencing discharge from the facility, policymakers and administrators can better anticipate and care for community-dwelling older adults with long-term care needs.
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Huyer, Gregory. "Transitions of Care for People with Dementia: Predictive Factors and Health Workforce Implications." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37330.

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As the population ages, policymakers struggle to cope with the increasing demands for home care and institutional long-term care. This thesis project focuses on factors associated with the transition from home to institutional care for people with dementia. Using health administrative data at a population level, we construct a multivariable model that estimates the time between home care initiation after dementia diagnosis and placement in a long-term care home. From the model, we identify protective factors that allow people with dementia to remain at home for longer, with a particular emphasis on the health workforce and the contribution of formal and informal caregivers to delaying the transition from home to institutional care. Together, these results inform policymakers in capacity planning and in determining where investments should be targeted to maintain people with dementia at home, along with the associated health workforce implications.
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McLain, Heather Mae. "Improving Care Transitions in Patients with Heart Failure: An Integrative Literature Review." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5376.

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Heart failure (HF) hospital readmission reductions are linked to nursing interventions that include scheduling a hospital follow-up appointment with the patient's health care provider within a week of discharge. Yet, patients often leave the hospital without an appointment scheduled. The focus of this integrative literature review was on analyzing data that associated follow-up within 7 days with reduced 30-day readmissions. A search of articles using CINAHL, MEDLINE, Cochrane Database of Systematic Reviews, and ProQuest databases resulted in 4,813 articles retrieved using the following search terms: heart failure, readmissions, follow-up appointments, and heart failure guidelines. Scholarly articles selected for inclusion were published between January 1, 2007, and June 30, 2017, in the English language, regarding studies completed in the United States, available online in full text, and specific to patients with HF. The Melnyk Critical Appraisal Guide was used for the appraisal, evaluation, and synthesis of the evidence. The transitional care model served as the theoretical framework for the project. A key finding of the review was that follow-up appointment scheduling within 7 days was associated with a modest reduction in readmissions; more research is needed to produce additional evidence on this topic. Project dissemination may result in positive social change by raising awareness of health disparities and empowering patients and staff to work collaboratively. Through improved communication and follow-up between patients and the interdisciplinary team, patients with HF may be able to experience improved disease management and a reduced number of hospitalizations.
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Hardy, Darla P. "Developing a Clinical Practice Guideline for Improving Communication During Transitions of Care." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6790.

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Transition of care refers to the movement of patients between health care settings; it occurs each time patients move between providers within the same setting or between settings based on the patient's acute or chronic health care needs. Care transition includes the efficient and accurate exchange of information needed to provide high-quality continuity of care. A rural community hospital in in the northeastern region of the United States has a skilled nursing facility and an acute care hospital on one campus. This project focused on the development of a clinical practice guideline (CPG) for the hospital to improve communication during transitions of care. The Iowa model of evidence-based practice informed the development of the guideline. A project team developed the CPG. Five multidisciplinary experts reviewed the CPG using the appraisal of guidelines for research and evaluation (AGREE II) evaluative tool. Results for the 6 domains of the AGREE II tool showed experts' agreement greater than 90% with the guideline as developed. The creation of a CPG to improve communication during care transition could benefit nurses with improved clinical decision making and patients with improved outcomes. The CPG could impact social change by supporting the application of the principles of evidence-based nursing practice, which could result in improved care and patient outcomes.
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Books on the topic "Transitions of Care"

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Karmel, Rosemary. Transitions between aged care services. Canberra: Australian Institute of Health and Welfare, 2005.

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Aase, Karina, Justin Waring, and Lene Schibevaag, eds. Researching Quality in Care Transitions. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-62346-7.

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Laverick, DeAnna M., and Mary Renck Jalongo, eds. Transitions to Early Care and Education. Dordrecht: Springer Netherlands, 2011. http://dx.doi.org/10.1007/978-94-007-0573-9.

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Barrett, Patrick, Beatrice Hale, and Mary Butler. Family Care and Social Capital: Transitions in Informal Care. Dordrecht: Springer Netherlands, 2014. http://dx.doi.org/10.1007/978-94-007-6872-7.

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(Firm), HCPro, ed. Handoff communication: Safe transitions in patient care. Marblehead, MA: HCPro, 2007.

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Ferrari, Joseph A. Children and youth transitions from foster care. Hauppauge, N.Y: Nova Science Publishers, 2011.

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Transitions: A nurse's education about life and death. [Place of publication not identified]: Lady Hawk Publishing, 2011.

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White, E. Jayne, Helen Marwick, Niina Rutanen, Katia Souza Amorim, and Laura K. M. Herold, eds. First Transitions to Early Childhood Education and Care. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-08851-3.

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Bond, Christina Pavetto. Reducing readmissions: A blueprint for improving care transitions. Marblehead, MA: HCPro, 2010.

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Mercurio, Carl. Rethinking the PPM industry: Physician organizations in transitions. New Rochell, NY: Corporate Research Group, 1998.

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Book chapters on the topic "Transitions of Care"

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Baek, Danielle Y., and Nidhi Goel. "Transitions of Care." In Hospital Medicine, 105–16. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-49092-2_11.

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Powers, James S. "Transitions of Care." In Value Driven Healthcare and Geriatric Medicine, 115–28. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-77057-4_8.

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Cioffi, William G., Michael D. Connolly, Charles A. Adams, Mechem C. Crawford, Aaron Richman, William H. Shoff, Catherine T. Shoff, et al. "Transitions of Care." In Encyclopedia of Intensive Care Medicine, 2281. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_2325.

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Brown, Mallory McClester. "Transitions of Care." In Chronic Illness Care, 369–73. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-71812-5_30.

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O’Hara, Jane K., Ruth Baxter, and Jenni Murray. "‘Muddling Through’ Care Transitions." In Resilient Health Care, 147–64. First edition. | Boca Raton, FL : CRC Press, 2021. | Series: Resilient health care ; volume 6: CRC Press, 2021. http://dx.doi.org/10.4324/9781003095224-19.

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Gross, Jacob P. "Transitions Out of Care." In Former Foster Youth in Postsecondary Education, 61–88. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99459-8_4.

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Rosenbek, Susan, and Eric A. Coleman. "The Care Transitions Intervention." In Comprehensive Care Coordination for Chronically III Adults, 261–75. West Sussex, UK: John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118785775.ch13.

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Ong, Mei-Sing, and Enrico Coiera. "Handoff and Care Transitions." In Patient Safety, 35–51. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7419-7_3.

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Schmidt, Konrad, and Sabine Gehrke-Beck. "Transitions to Primary Care." In Improving Critical Care Survivorship, 207–27. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-68680-2_17.

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Espinoza, Kimberly. "Healthcare Transitions and Dental Care." In Health Care Transition, 339–49. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-72868-1_34.

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Conference papers on the topic "Transitions of Care"

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Tanzer, Matthew W., and Eric M. Heil. "Rethinking Automation for Care Transitions." In 2013 IEEE International Conference on Healthcare Informatics (ICHI). IEEE, 2013. http://dx.doi.org/10.1109/ichi.2013.90.

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Ademi, B., T. Smith, T. Rusher, T. Pham, A. S. Gillet, M. Moore, M. Brown, et al. "Resident Transitions of Care and Antimicrobial Use Among Patients in the Intensive Care Unit." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2827.

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Denson, J. L., J. Knoeckel, S. Kjerengtroen, R. Johnson, B. Mcnair, O. Thornton, I. S. Douglas, M. Wechsler, and R. Burke. "A Novel Intervention to Improve Intensive Care Unit End of Rotation Transitions in Care." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a2703.

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Moore, M. H., T. Smith, T. Pham, A. S. Gillet, B. Ademi, M. R. Flanagan, M. P. Mahendran, et al. "Resident Transitions of Care and Length of Invasive Mechanical Ventilation in the Intensive Care Unit." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2796.

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Kuusinen, Maggie Mae, James G. Kaferly, and Anne Frank. "Aging Out—Quality Improvement in Transitions of Care for Adolescents Leaving the Foster Care System." In AAP National Conference & Exhibition Meeting Abstracts. American Academy of Pediatrics, 2021. http://dx.doi.org/10.1542/peds.147.3_meetingabstract.85.

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Kuusinen, Maggie Mae, James G. Kaferly, and Anne Frank. "Aging Out—Quality Improvement in Transitions of Care for Adolescents Leaving the Foster Care System." In AAP National Conference & Exhibition Meeting Abstracts. American Academy of Pediatrics, 2021. http://dx.doi.org/10.1542/peds.147.3_meetingabstract.611.

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Sharma, S. "136 Internationally educated healthcare professionals: supporting transitions to new healthcare environments." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.136.

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Bollinger, Daan, Peter de Jong, Theo van der Voordt, and Alexander Brand. "Real estate implications of transitions in Dutch health care institutions." In 24th Annual European Real Estate Society Conference. European Real Estate Society, 2017. http://dx.doi.org/10.15396/eres2017_65.

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Jaeel, Pooja, and Amy Y. Huang. "Creating a Transitions of Care Curriculum at a Federally Qualified Health Care Center- A QI project." In AAP National Conference & Exhibition Meeting Abstracts. American Academy of Pediatrics, 2021. http://dx.doi.org/10.1542/peds.147.3_meetingabstract.621.

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Rusher, T., T. Smith, J. Oh, J. Leonard, T. John, H. Kaprielian, M. Brown, et al. "ICU Service Transitions of Care and the Effect on Patient Outcomes." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a7817.

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Reports on the topic "Transitions of Care"

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Parsons, Helen M., Hamdi I. Abdi, Victoria A. Nelson, Amy M. Claussen, Brittin L. Wagner, Karim T. Sadak, Peter B. Scal, Timothy J. Wilt, and Mary Butler. Transitions of Care From Pediatric to Adult Services for Children With Special Healthcare Needs. Agency for Healthcare Research and Quality (AHRQ), May 2022. http://dx.doi.org/10.23970/ahrqepccer255.

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Objective. To understand the evidence base for care interventions, implementation strategies, and between-provider communication tools among children with special healthcare needs (CSHCN) transitioning from pediatric to adult medical care services. Data sources. We searched Ovid MEDLINE, Ovid Embase, the Cochrane Central trials (CENTRAL) registry, and CINAHL to identify studies through September 10, 2021. We conducted grey literature searches to identify additional resources relevant to contextual questions. Review methods. Using a mixed-studies review approach, we searched for interventions or implementation strategies for transitioning CSHCN from pediatric to adult services. Two investigators screened abstracts and full-text articles of identified references for eligibility. Eligible studies included randomized controlled trials, quasi-experimental observational studies, and mixed-method studies of CSHCN, their families, caregivers, or healthcare providers. We extracted basic study information from all eligible studies and grouped interventions into categories based on disease conditions. We summarized basic study characteristics for included studies and outcomes for studies assessed as low to medium risk of bias using RoB-2. Results. We identified 9,549 unique references, 440 of which represented empirical research; of these, 154 (16 major disease categories) described or examined a care transition intervention with enough detail to potentially be eligible for inclusion in any of the Key Questions. Of these, 96 studies met comparator criteria to undergo risk of bias assessment; however only 9 studies were assessed as low or medium risk of bias and included in our analytic set. Low-strength evidence shows transition clinics may not improve hemoglobin A1C levels either at 12 or 24 months in youth with type 1 diabetes mellitus compared with youth who received usual care. For all other interventions and outcomes, the evidence was insufficient to draw meaningful conclusions because the uncertainty of evidence was too high. Some approaches to addressing barriers include dedicating time and resources to support transition planning, developing a workforce trained to care for the needs of this population, and creating structured processes and tools to facilitate the transition process. No globally accepted definition for effective transition of care from pediatric to adult services for CSHCN exists; definitions are often drawn from principles for transitions, encompassing a broad set of clinical aspects and other factors that influence care outcomes or promote continuity of care. There is also no single measure or set of measures consistently used to evaluate effectiveness of transitions of care. The literature identifies a limited number of available training and other implementation strategies focused on specific clinical specialties in targeted settings. No eligible studies measured the effectiveness of providing linguistically and culturally competent healthcare for CSHCN. Identified transition care training, and care interventions to
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Kiefe, Catarina, Milena Anatchkova, Heena Santry, David McManus, and Rebecca Gigliello. Developing a Survey with Patient and Caregiver Input that Measures the Quality of Care Transitions from Hospital to Home. Patient-Centered Outcomes Research Institute, June 2020. http://dx.doi.org/10.25302/06.2020.me.131007682.

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Dengerink, Just, Nina de Roo, Marijke Dijkshoorn-Dekker, Bram Bos, Bas Hetterscheid, Marloes Kraan, Johann Bonnand, Wim de Haas, and Vincent Linderhof. Transition pathways - analyzing transitions in food systems : A synthesis of seven case studies. Wageningen: Stichting Wageningen Research, Wageningen Plant Research, Business Unit Field Crops, 2020. http://dx.doi.org/10.18174/525094.

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Avis, William. Armed Group Transition from Rebel to Government. Institute of Development Studies (IDS), October 2021. http://dx.doi.org/10.19088/k4d.2021.125.

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Governments and political parties with an armed history are not unusual, yet how these groups function during and after the transition from conflict has largely been ignored by the existing literature. Many former armed groups have assumed power in a variety of contexts. Whilst this process is often associated with brokered peace agreements that encourage former combatants to transform into political parties, mobilise voters, and ultimately stand for elections, this is not always the case. What is less clearly understood is how war termination by insurgent victory shapes patterns of post-war politics. This rapid literature review collates available evidence of transitions made by armed groups to government. The literature collated presents a mixed picture, with transitions mediated by an array of contextual factors that are location and group specific. Case studies are drawn from a range of contexts where armed groups have assumed some influence over government (these include those via negotiated settlement, victory and in contexts of ongoing protracted conflict). The review provides a series of readings and case studies that are of use in understanding how armed groups may transition in “post-conflict” settings.
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Duncan, Marie. Alzheimer's Disease Caregivers: The Transition from Home Care to Formal Care. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.3220.

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Li, Jing, Arnold Stromberg, Jessica Miller Clouser, Gaixin Du, Chen Dai, Akosua Adu, Nikita Vundi, et al. Comparing Groups of Care Transition Strategies to Improve Care—The ACHIEVE Study. Patient-Centered Outcomes Research Institute (PCORI), March 2021. http://dx.doi.org/10.25302/03.2021.tc.140314049.

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Lemke, Robert, Ann Dryden Witte, Magaly Queralt, and Robert Witt. Child Care and the Welfare to Work Transition. Cambridge, MA: National Bureau of Economic Research, March 2000. http://dx.doi.org/10.3386/w7583.

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Haider, Huma. Constitutional Courts: Approaches, Sequencing, And Political Support. Institute of Development Studies, June 2022. http://dx.doi.org/10.19088/k4d.2022.097.

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This rapid review looks at various constitutional courts established in transitional, fragile and conflict-affected contexts—the approaches adopted, sequencing in their establishment, and experiences with political support. There are few comprehensive accounts in the literature, however, of constitutional courts and their role in judicial review in the contexts of transition and/or as key actors in ‘building democracy’ (Daly, 2017a; Sapiano, 2017). Further, scholars have tended to focus on a relatively small number of case studies from the immediate post-Cold War era, such as South Africa and Colombia (Daly, 2017a). Discussion on the sequencing and steps adopted in establishing a constitutional court in fragile and conflict-affected states (FCAS), or on incentives that have swayed political elites to support these courts, is even more limited. Nonetheless, drawing on various academic and NGO literature, including on countries that transitioned from authoritarianism, this report offers some discussion on sequencing in relation to the constitution-making process and the establishment of the courts; and general reasoning for why constitutional courts may be supported by political actors.
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Velligan, Dawn, Megan Fredrick, Cynthia Sierra, Kiley Hillner, John Kliewer, David Roberts, and Jim Mintz. Helping Patients with Mental Illness Engage in Their Transitional Care. Patient-Centered Outcomes Research Institute® (PCORI), August 2019. http://dx.doi.org/10.25302/8.2019.ih.13046506.

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Oliveira, Lélia, Larissa Pedreira, Ana Paula Jesus, Flávia Ferreira, Ivana Pinto, Jeferson Santos, and Catarina Araújo. Hospital-home transitional care and support for home caregivers of elderly people with functional dependence: a scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0143.

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Review question / Objective: The review questions of this scoping are: 1. How does hospital-home transitional care support home caregivers of functionally dependent elderly people? 2. How is hospital-home transitional care applied to support home caregivers of elderly people with functional dependence? 3. What experiences of transitional hospital-home care were successful in supporting home caregivers of elderly people with functional dependence? The objective of this scoping review is to identify the hospital-home transitional care offered as support to the home caregiver of elderly people with functional dependence. Information sources: Medline/Pubmed, CINAHL, Scopus, Web of Science, LILACS and Embase will be used. As gray literature, the CAPES Digital Library of Theses and Dissertations and the OpenGrey platform will be evaluated.
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