Using Appreciative Inquiry During Care Transitions

Abstract

The purpose of the study was to evaluate the effectiveness of a transitional care coaching intervention offered to chronically ill medical patients during the transition from hospital to home. This 2-arm randomized pilot study uses a coaching framework based on appreciative inquiry theory. This article reviews the appreciative inquiry literature and identifies the characteristics of patients who participated in appreciative inquiry coaching. Lessons learned are summarized, and suggestions for future research are offered.

Meta‐analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home

“…We considered nursing discharge planning interventions including: (1) early geriatric assessment (Holland & Bowles, ); (2) discharge preparation (i.e. education/teaching, medication self‐management, developing self‐care management skills, symptom management, effective multidisciplinary communication, providing information about the discharge plan) (Laugaland, Aase, & Barach, ; Scala & Costa, ; Voss et al., ); (3) patient or caregiver participation/involvement in discharge planning and decision‐making related to discharge destination (Bull, Hansen, & Gross, ; Foss & Askautrud, ; Thompson, ); (4) continuity of care: care coordination, effective communication between hospital staff/primary care/healthcare providers, transitional care plan, managing postdischarge needs (Allen, Ottmann, & Roberts, ; Cramton, ); (5) day of discharge assessment: medication reconciliation, completing a discharge summary, explaining the discharge summary to the patient (Naylor, Feldman, et al., ); (6) postdischarge follow‐up: home care visits, follow‐up phone calls (Naylor, ; Naylor, Aiken, Kurtzman, Olds, & Hirschman, ). This systematic review included studies of discharge planning interventions: (1) provided by at least one nurse; and (2) that involved a multidisciplinary and/or interdisciplinary model of care.…”

“…Indeed, some have described families as the "first line of defense against problems" (Popejoy, Moylan, & Galambos, 2009) underscoring the contributions that informal caregivers can have in smoothing the recovery process and avoiding complications that may result in re-hospitalization (Levine, Halper, Peist, & Gould, 2010). Not surprisingly, involving patients and caregiver(s) in discharge planning interventions such as assessment of needs and expectations (Bull, Hansen, & Gross, 2000b;Chow, Wong, & Poon, 2007;Maramba et al, 2004), selfmanagement teaching (Nigolian & Miller, 2011;Scala & Costa, 2014) and shared decision-making should be incorporated into current practice. However, adopting such patient-centred approaches is not systematic.…”

Appreciative Inquiry: An Integrative Review of Studies in Three Disciplines

“…The experimental design was used in three of the reviewed papers (2.9%). Scala and Costa (2014) studied two groups: one received AI coaching and the other served as a control group. In Mandal's (2022) study, groups were involved in team-building and AI training interventions in a controlled experimental setting.…”

“…First, AI was used to achieve desired changes in organizations. The type of possible changes facilitated by AI included cultural (Halm & Crusoe, 2018), behavioral (Scala & Costa, 2014), and organizational (Hussein et al, 2014) changes. Projects that employed all four phases of the 4D cycle belong to this category.…”

Implementing a Transitional Care Program to Reduce Hospital Readmissions Among Older Adults

“…[7][8][9][10][11][12] However, there exists a gap in research on how to actually implement effective transitional care programs in 122 JOURNAL OF NURSING CARE QUALITY/APRIL-JUNE 2015 real-world community settings, particularly among a medically diverse group of older adults. [7][8][9][10][11][12] However, there exists a gap in research on how to actually implement effective transitional care programs in 122 JOURNAL OF NURSING CARE QUALITY/APRIL-JUNE 2015 real-world community settings, particularly among a medically diverse group of older adults.…”