Literature on Transitions of Care Essay.

Posted: January 3rd, 2023

Literature on Transitions of Care Essay.


One aspect of leadership is staying current on the latest research in your field. Healthcare is no exception. For your Week 4 and Module 2 Assignments, you are researching the role of the nurse leader in improving transitions of care. An annotated bibliography will help you keep track of your research and how you may use various sources within your research.


For this Discussion, you will share one of the articles you located. This is an opportunity for professional discourse on the literature and sharing of ideas with colleagues.

To prepare:
Select one of the articles you are using in your annotated bibliography this week.
By Day 3 of Week 4 (Post First)
Provide the citation and a brief summary of the article you selected. Explain what you learned about transitions of care and what area of the continuum of care you plan to address in your Module 2 Assignment.

Be sure to attach a PDF of your article or provide the library permalink so that your colleagues can fully review your article.

Literature on Transition of Care
Britton M, Ouellet G, Minges K, Gawel M, Hodshon B & Chaudhry S. (2017). Care Transitions Between Hospitals and Skilled Nursing Facilities: Perspectives of Sending and Receiving Providers. The Joint Commission Journal on Quality and Patient Safety,2017(3), 565–572.
According to the article, the readmission rate of Medicare patients admitted for acute illnesses and discharged to a skilled nursing facility is very high. 23% of these patients are readmitted to within 30 days. This is attributable to poor care transition from hospitals to skilled nursing facilities. According to the nurse leader in a skilled nursing facility, some of the reasons attributable to the poor care transition include lack of an adequate number of nursing staff to attend patients and lack of synchronization between hospital and skilled nursing facility during care transition. This makes it difficult to address patient care needs after the transition of care. According to the article, care transition across the care continuum can be improved by improving communication between healthcare providers, ensuring provider understanding of post-acute care, and aligning facilities.
Learned Lessons about Transitions of Care
From the article, it is clear that patient needs vary significantly depending on the setting of care. |Therefore, nurses have the role of ensuring that care transition is safe. The nurse leader can play the role of facilitating direct communication channels between providers involved in the care transition; being a team leader for the healthcare team involved during care transition; instituting visiting rotations to healthcare facilities aftercare transition; finding opportunities to manage care across the care continuum.
The area of the continuum of care that will be addressed in the Module 2 Assignment is care transition from a hospital setting to a nursing home.

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