Measurement tools that assess the quality of transitional care from patients' perspective: A literature review

Yoshimura, Mai; Sumi, Naomi

doi:10.1111/jjns.12472

Cited by 4 publications

(4 citation statements)

References 54 publications

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“…Its purpose is to serve as an indicator of transitional care quality by assessing the patients’ experience of the transition process [ 18 ]. PACT-M covers both the immediate post-discharge period and the longer-term experience of managing health and care at home by examining the patients’ experience at two points of time; one week after discharge (using PACT-M1) and one month after discharge (using PACT-M2) [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

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Transition of care in a Danish context: translation, cross-cultural adaptation and content validation of CTM-15 and PACT-M

Ajstrup,

Mejdahl,

Christiansen

et al. 2024

J Patient Rep Outcomes

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Background Transition of care from hospitalisation to home is a complex process with potential patient safety risks, especially for patients with multimorbidity. Traditionally, the quality of transition of care has been evaluated primarily through readmission rates. However, interpreting the readmission rates presents challenges, and readmission rates fail to capture the patient’s perspective on the quality of the care transition. Insight into the patient’s experience with their care or a health service can be provided through the use of patient-reported experience measures (PREMs), and the two PREMs Care Transitions Measure 15 (CTM-15) and Partners at Care Transitions Measure part 1 and 2 (PACT-M1 and PACT-M2) assess on the quality of transition of care from the patients’ perspective. The aim of this study was to translate, culturally adapt, and assess content validity of CTM-15, PACT-M1, and PACT-M2 for Danish-speaking patients with multimorbidity. Methods A two-step approach was used for content validation, involving cognitive debriefing and interviews with patients, representing the target group, as well as quantitative data collection from healthcare professionals representing all three sectors of the Danish healthcare system. The patients were systematically interviewed regarding the aspects of content validity; comprehensibility, relevance, and comprehensiveness. The healthcare professionals assessed the relevance and comprehensiveness of each item through questionnaires, allowing the calculation of a content validity index (CVI). An item CVI ≥ 0.78 is considered good. Results The results of the qualitative data indicated that both CTM-15 and the PACT-M questionnaires were considered relevant, and comprehensible, and comprehensive to the target group. The CVI computed at item level determined that PACT-M1 and PACT-M2 demonstrated excellent content validity among the healthcare professionals, whereas the CVI for two items of the CTM-15 fell below the threshold value for “good”. Conclusion The Danish versions of the PACT-M questionnaires demonstrated good content validity, and the CTM-15 demonstrated acceptable content validity based on qualitative data from patients and quantitative data from healthcare professionals. Further validation of the questionnaires, by assessing their construct validity and reliability is recommended.

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Section: Methodsmentioning

confidence: 99%

“…In a systematic review, seven measurement tools that assess transitional care quality from the patient’s perspective have been identified and appraised [ 15 ]. Among these, Care Transitions Measure-15 (CTM-15) and PACT-M are the most comprehensive in covering the transition of care process [ 16 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

Transition of care in a Danish context: translation, cross-cultural adaptation and content validation of CTM-15 and PACT-M

Ajstrup,

Mejdahl,

Christiansen

et al. 2024

J Patient Rep Outcomes

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“…First, we developed the conceptual framework to measure patients' readiness for hospital discharge through a systematic review of patient‐reported scales of transitional care and reports of patients with heart failure (Yoshimura & Sumi, 2022a, 2022b). We reviewed 47 reports and seven different existing measures; then, we developed an initial item pool with a conceptual framework of six categories to assess patients' readiness for hospital discharge.…”

Section: Methodsmentioning

confidence: 99%

Development and validation of the Care Transitions Scale for Patients with Heart Failure: A tool for nurses to assess patients' readiness for hospital discharge

Yoshimura

Kawamura

Hasegawa

et al. 2023

Japan Journal Nursing Sci

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Aim: This study aimed to develop and assess the validity and reliability of the Care Transitions Scale for Patients with Heart Failure (CTS-HF) as a nursereported measure for evaluating patients' readiness for hospital discharge. Methods: We conducted a cross-sectional study of cardiovascular ward nurses from 163 hospitals across Japan. Structural validity was assessed using exploratory factor analysis with development participants and confirmatory factor analysis with validation participants. Convergent validity was assessed by correlation with the Discharge Planning of Ward Nurses scale (DPWN). Hypotheses testing for construct validity was performed as comparisons between subgroups of transitional care practice.Results: Valid responses were obtained from 704 nurses (development participants, n = 352; validation participants, n = 352). The final scale comprised 21 items divided into six factors: "Clear preparation for how to manage health at home," "Adjusting to home care/support system," "Transitions of medication management from hospital to home," "Dealing with patients' concerns and questions," "Transitions of disease management from hospital to home," and "Family support." Indices of fit supported these results (comparative fit index = 0.944, root mean square error of approximation = 0.057). The CTS-HF was significantly correlated with the DPWN. The nurses' subgroup with higher transitional care practice had higher CTS-HF scores. Cronbach's alpha was .93 for the CTS-HF. Conclusions:The CTS-HF showed sufficient reliability and validity for use in evaluating discharge care. Further studies are needed regarding the usefulness of this scale in nursing practice.

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“…In studies overseas, in addition to using readmission rate as an indicator of TCS, emergency department (ED) visits, mortality rate, and quality of life have been used as evaluation indicators for discharged patient management projects. 13 14 15 Furthermore, in some cases, “providing education and counseling for patients during hospitalization,” which may affect patient skills for post-discharge self-management, is included as an indicator. 13 16 In contrast, in the case of a pilot project titled Support of Post-discharge Management and Connection to Community Resources for Patients with Acute Conditions, which was implemented in Korea in 2020, only pre- and post-discharge patient satisfaction and participation were used as indicators; thus, there is a clear need for the development of more comprehensive evaluation indicators.…”

Section: Introductionmentioning

confidence: 99%

Development of Items for Transitional Care Service and Outcome Indicators of Discharged Patients for Improvement in Quality of Care

et al. 2023

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Background In this study, with the aim of improving the quality of transitional care service for discharged patients, the Health Care Quality and Outcomes Indicators of the Organization for Economic Co-operation and Development and National Health Service Outcomes Framework of the UK were applied to derive service items for provision and develop evaluation indicators under categories of effectiveness, safety, and patient-centeredness. Method A scoping review was conducted to derive core concepts and evidence materials/data for transitional care service. For the derived items of transitional care service and evaluation indicators, a three-round Delphi study was conducted with experts in the fields of healthcare/medicine/nursing/social welfare. Results First, as a result of the scoping review, components of transitional care service (assessment of need by period of transitional care service, multi-professional team, connection to community resources, etc.) and themes for outcome indicators (effectiveness, patient safety, patient-centeredness) were derived. Second, by classifying the items for assessment according to the hospitalization and transition period and conducting a Delphi study to derive service items for transitional care service, during the hospitalization period, presence/absence of a caregiver and need for a caregiver, activities of daily living, and necessity for home-based care services were identified as items of high priority. Regarding patient safety, risk of falls and fractures during hospitalization, and necessity for medication reconciliation were identified as the items of high importance. For the transition period, provision of education regarding adequate responses and handling of emergencies, provision of information and guidance on application of services for basic livelihood security program beneficiaries, and education for patient skills in self-management of health were derived as items of high priority. Third, for the derivation of outcome indicators for transitional care service, in the “effectiveness” category, the experts rated a reduction in the 30-day readmission rate as an item of high importance along with a decrease in emergency department visits, reduction in preventable admissions as indicators of high relevance. In terms of “patient safety,” a decrease in drug adverse reactions, and reduction in the incidence of falls and pressure ulcers were identified as indicators of high priority. Finally, for the category of “patient-centeredness,” patient experience assessment, level of service satisfaction reported by patients and their caregivers, and reducing burden on caregivers were identified as indicators of high priority. Conclusion This study suggest practical implications for the service with high relevance and necessity for transitional period. It also presented outcome indicators of transitional care service to contribute toward an improvement in the quality of care. ...

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Measurement tools that assess the quality of transitional care from patients' perspective: A literature review

Cited by 4 publications

References 54 publications

Transition of care in a Danish context: translation, cross-cultural adaptation and content validation of CTM-15 and PACT-M

Transition of care in a Danish context: translation, cross-cultural adaptation and content validation of CTM-15 and PACT-M

Development and validation of the Care Transitions Scale for Patients with Heart Failure: A tool for nurses to assess patients' readiness for hospital discharge

Development of Items for Transitional Care Service and Outcome Indicators of Discharged Patients for Improvement in Quality of Care

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