Transitional care of older adults in skilled nursing facilities: A systematic review

Toles, Mark; Colón‐Emeric, Cathleen; Asafu‐Adjei, Josephine; Moreton, Elizabeth; Hanson, Laura C.

doi:10.1016/j.gerinurse.2016.04.012

Cited by 42 publications

(39 citation statements)

References 26 publications

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“…The findings suggest that Connect‐Home was feasible, relevant to staff, and associated with improved patient and caregiver dyads’ preparedness for post‐SNF care. Prior studies indicate that older adults and their caregivers who are prepared for transitions in care experience fewer medical complications and avoid hospital readmissions . Informed by organizational theory, the intervention was designed to optimize the way professional staff, caregivers and individual patients worked in teams to develop transition plans and ensure continuity of care during patient transitions.…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies indicate that older adults and their caregivers who are prepared for transitions in care experience fewer medical complications and avoid hospital readmissions. 13,25 Informed by organizational theory, 26,27 the intervention was designed to optimize the way professional staff, caregivers and individual patients worked in teams to develop transition plans and ensure continuity of care during patient transitions. Few studies have tested transitional care of SNF patients and caregivers.…”

Section: Discussionmentioning

confidence: 99%

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Connect‐Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers

Toles

Colón‐Emeric

Naylor

et al. 2017

J American Geriatrics Society

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BACKGROUND Older adults that transfer from skilled nursing facilities (SNF) to home have significant risk for poor outcomes. Transitional care of SNF patients (i.e., time-limited services to ensure coordination and continuity of care) is poorly understood. OBJECTIVE To determine the feasibility and relevance of the Connect-Home transitional care intervention, and to compare preparedness for discharge between comparison and intervention dyads. DESIGN A non-randomized, historically controlled design enrolling dyads of SNF patients and their family caregivers. SETTING Three SNFs in the Southeastern United States. PARTICIPANTS Intervention dyads received Connect-Home; comparison dyads received usual discharge planning. Of 173 recruited dyads, 145 transferred to home, and 133 completed surveys within 3 days of discharge. INTERVENTION The Connect-Home intervention consisted of tools and training for existing SNF staff to deliver transitional care of patient and caregiver dyads. MEASUREMENT Feasibility was assessed with a chart review. Relevance was assessed with a survey of staff experiences using the intervention. Preparedness for discharge, the primary outcome, was assessed with Care Transitions Measure-15 (CTM-15). RESULTS The intervention was feasible and relevant to SNF staff (i.e., 96.9% of staff recommended intervention use in the future). Intervention dyads, compared to comparison dyads, were more prepared for discharge (CTM-15 score 74.7 vs. 65.3, Mean Ratio 1.16, 95% CI: 1.08, 1.24). CONCLUSION Connect-Home is a promising transitional care intervention for older patients discharged from SNF care. The next step will be to test the intervention using a cluster randomized trial, with patient outcomes including rehospitalization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Connect‐Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers

Toles

Colón‐Emeric

Naylor

et al. 2017

J American Geriatrics Society

Self Cite

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“…There are also other international findings that support this. [2,11,14,30] The most frequent services performed to meet the physical and hygienic needs of the patients were changing nightdress/pajamas patients, giving a bed bath, mobilizing and taking the patients to the restroom, washing face and hands, and feeding (see Table 2). Most of the family caregivers performed these actions voluntarily (see Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…[13] It might be important to get help of the experienced family caregivers during safe transfer of the patient. [30] In this context examining difficulties of the family caregivers meet at the hospital and their need for support can be suggested.…”

Section: Physical and Hygienic Needsmentioning

confidence: 99%

Families as hospital care givers: A pilot in Turkey

Cebeci

Bektaş²,

Dağ

et al. 2017

JNEP

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Objective: It is a common tradition that families as caregivers have been in the hospital in order to support patients. This study describes the services performed by family caregivers in surgical and medical wards of hospital. Methods: This is a descriptive study. The study includes 442 family caregivers selected by the simple random sampling, who agreed to participate in, and who have been providing care for their relatives at least 48 hours in a university hospital. Data were collected through a questionnaire conducted during face-to-face interviews and were analyzed by descriptive statistics methods. Results: It has been found out that family caregivers met almost all needs of hospitalized patients with their own will. The results show that family caregivers met the care needs of their hospitalized relatives mainly upon their own and patients' will (relatively 51%, 22.9%). It has also been observed that some of these requirements were met upon doctors' and nurses' demands. Conclusions: It is important to know the requirements met by family caregivers at the hospital in terms of defining boundaries of care which can be provided by family caregivers and evaluating its results. Our findings could influence future plans of nursing managers, policy makers and/or health authorities.

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“…After the completion of the pre-survey (n=20), the nal survey was formed through two rounds of examination and revision by four experts. The survey asked students a total of nine questions: (1) whether they had experience with community activities or a part-time job, (2) whether they had experience with elder care, (3) their willingness to choose a nursing profession; (4) their satisfaction with the nursing profession; (5) their willingness to engage in nursing care after graduation, (6) their willingness to engage in nursing for elderly patients after graduation, (7) the knowledge and skills required for elder care; (8) whether they would accept "Internet Plus Nursing Service" as a future career choice, and (9) their motivation of accepting/not accepting "Internet Plus Nursing Service" as their career choice. Questions 1-6 and 8 were single-choice questions, while 7 and 9 were ll-in-the-blank questions requiring no less than four items to be lled in to ensure the completeness of the investigation.…”

Section: Survey Toolsmentioning

confidence: 99%

Attitude of Nursing Students towards Internet Plus Nursing Service

Zhao

Wang³

2020

Preprint

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Background: In 2019, China completed the pilot project “Internet Plus Nursing Service.” The study aimed to investigate the attitude, willingness, and motivation of third-year undergraduate nursing students toward “Internet Plus Nursing Service,” providing a reference for the development of “Internet Plus Nursing Service” and related nursing education. Methods: This cross-sectional study comprised 508 third-year undergraduate nursing students from a public University of Traditional Chinese Medicine, using a self-designed survey.Results: Of these 508 nursing students, 314 (61.81%) expressed support for the implementation of “Internet Plus Nursing Service,” 150 (29.52%) remained neutral and 44 (8.66%) expressed disapproval. In regards to career choice, 279 (54.92%) were willing to choose “Internet Plus Nursing Service” as their future career choice, 51 (10.04%) were unwilling, and 178 (35.04%) were unsure. The top three motivations to choose “Internet Plus Nursing Service” as their future career choice were added income, high autonomy and flexibility, and good job prospects. On the contrary, the top three motivation not to choose were safety concern, lack of time and energy, unwilling elderly care. gender, whether an only child or not, home location, and degree of knowledge and skills required for elderly care were not significantly associated with the willingness of nursing students to participate in “Internet Plus Nursing Service” (P > 0.05). Experience of community activities or a part-time job, elderly care experience, choice of nursing profession, satisfaction with nursing profession, willingness to engage in nursing work after graduation, and willingness to engage in elder care work were significantly associated with the willingness of nursing students to participate in “Internet Plus Nursing Service” (P < 0.05).Conclusion: Students had a positive attitude towards “Internet Plus Nursing Service” and were willing to choose “Internet Plus Nursing Service” as their future career choice. However, they lacked the willingness to engage in elder care after graduation. School education should strengthen the nursing education of elder care, develop a diversified nursing service model and professional training programs that meet social demands and professional needs, as well as address the opportunities and challenges of the Internet era.

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Transitional care of older adults in skilled nursing facilities: A systematic review

Cited by 42 publications

References 26 publications

Connect‐Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers

Connect‐Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers

Families as hospital care givers: A pilot in Turkey

Attitude of Nursing Students towards Internet Plus Nursing Service

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