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Pesquisa : E02.760.169.812 [Categoria DeCS]
Referências encontradas : 278 [refinar]
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[PMID]:29394481
[Au] Autor:Manente L; McCluskey T; Shaw R
[Ti] Título:Transitioning Patients from the Intensive Care Unit to the General Pediatric Unit: A Piece of the Puzzle in Family-Centered Care.
[So] Source:Pediatr Nurs;43(2):77-82, 2017 Mar-Apr.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Transitioning patients from one unit to another is a nursing function that occurs daily. When done effectively, it streamlines continuity of care, decreases anxiety, ensures patients and families maintain confidence in care providers, and avoids readmissions to the intensive care unit (ICU). This article describes a transition plan for transferring patients from the ICU to the general pediatric unit developed by an inpatient, non-critical care cardiology/neuro logical unit to facilitate a smooth and informational transition from the ICU to the non-critical unit. Subse quently, this program incorporated the development of educational materials and a program that provides patients and families with clear information on what to expect, the differences between the two units, and the services available by their healthcare team on the unit to which they are transferred. By establishing a process and a liaison to guide and educate patients and families on what to expect during transition, fears and anxieties are decreased or eliminated, while the promotion of healing and successful outcomes for discharge home becomes the focus.
[Mh] Termos MeSH primário: Criança Hospitalizada
Unidades de Terapia Intensiva Pediátrica/organização & administração
Papel do Profissional de Enfermagem
Folhetos
Enfermagem Pediátrica
Cuidado Transicional/organização & administração
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29266283
[Au] Autor:Bomba F; Markwart H; Mühlan H; Menrath I; Ernst G; Thyen U; Schmidt S
[Ad] Endereço:Department of Paediatrics and Adolescent Medicine, University of Luebeck, Luebeck, Germany.
[Ti] Título:Adaptation and validation of the German Patient Activation Measure for adolescents with chronic conditions in transitional care: PAM 13 for Adolescents.
[So] Source:Res Nurs Health;41(1):78-87, 2018 02.
[Is] ISSN:1098-240X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Measuring adolescent patients' engagement in their health care is especially important in preparing for chronically ill adolescents' transition into adult care. In this study, we aimed to create an adolescent version of the German language Patient Activation Measure (PAM-13-D) originally tested in in adults and psychometrically test the adapted measure (PAM 13 for Adolescents). After linguistic and content-related adaptations, the PAM 13 for Adolescents was tested in a large sample of adolescents with different chronic conditions (N = 586, mean age 17.5 years, SD = 1.4) in 40 health centers. Internal consistency was assessed with Cronbach's alpha and test-retest reliability with Pearson correlation. Convergent and divergent validity were calculated with Pearson correlations between the two IE-4 scales (internal and external Locus of Control) and the PAM 13 for Adolescents. Known-group validity (type 1 diabetes vs. IBD, higher vs. lower education level) was checked by Mann-Whitney-U-tests. The PAM 13 for Adolescents showed good test-retest reliability (rtt = .68), internal consistency (α = .79) and demonstrated good validity. The original structure of the PAM 13-D was replicated. Rasch analysis using the partial credit model was used to investigate the operating characteristics of the items. Rasch analysis indicated a sufficient fit of 12 of the 13 items. PAM 13 for Adolescents is the first instrument measuring patient activation of adolescents with chronic conditions in a broad age range. Patient activation level can be used by clinicians to better plan and structure transition processes.
[Mh] Termos MeSH primário: Doença Crônica/psicologia
Doença Crônica/terapia
Diabetes Mellitus Tipo 1/terapia
Participação do Paciente/psicologia
Qualidade de Vida/psicologia
Cuidado Transicional/organização & administração
[Mh] Termos MeSH secundário: Adolescente
Feminino
Alemanha
Seres Humanos
Masculino
Psicometria/instrumentação
Reprodutibilidade dos Testes
Inquéritos e Questionários
Traduções
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE
[do] DOI:10.1002/nur.21831


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[PMID]:29240371
[Au] Autor:Goldstein B; Goldfarb DS
[Ti] Título:Meeting the Needs of the Complex Older Adult Patient with Urinary Retention: A Case Study.
[So] Source:Urol Nurs;37(2):75-80, 2017 Mar-Apr.
[Is] ISSN:1053-816X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article presents a case study of how a homebound older adult patient with urinary retention is managed by a patient-centered medical home/transitional care model. A description of how a root cause analysis can effectively improve outcomes is also provided.
[Mh] Termos MeSH primário: Pacientes Domiciliares
Assistência Centrada no Paciente
Atenção Primária à Saúde
Cuidado Transicional
Retenção Urinária/enfermagem
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Comportamento Cooperativo
Assistência à Saúde
Seres Humanos
Masculino
Autocuidado
Cateterismo Urinário
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


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[PMID]:28455081
[Au] Autor:Martinez NG; Niznik CM; Yee LM
[Ad] Endereço:Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL.
[Ti] Título:Optimizing postpartum care for the patient with gestational diabetes mellitus.
[So] Source:Am J Obstet Gynecol;217(3):314-321, 2017 09.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Gestational diabetes mellitus poses well-established risks to both the mother and infant. As >50% of women with gestational diabetes mellitus will develop type 2 diabetes mellitus in their lifetime, performing postpartum oral glucose tolerance testing is paramount to initiation of appropriate lifestyle interventions and pharmacologic therapy. Nonetheless, test completion among women with gestational diabetes mellitus is estimated to be <50%, with particularly low rates in Latina patients, as well as patients with public insurance, low education levels, and low health literacy. Data suggest our current health services infrastructure loses patients in the postpartum gap between pregnancy-focused care and primary care. Previous studies have suggested strategies to promote oral glucose tolerance testing completion to identify type 2 diabetes mellitus. Based on existing evidence, we propose best practices for the postpartum care of women with gestational diabetes mellitus: (1) enhanced patient support for identifying long-term health care providers, (2) patient-centered medical home utilization when possible, (3) patient and provider test reminders, and (4) formalized obstetrician-primary care provider hand offs using the Situation Background Assessment Recommendation (SBAR) mnemonic. These strategies deserve future investigation to solidify a multilevel approach for identifying and preventing the continuum of diabetes.
[Mh] Termos MeSH primário: Diabetes Gestacional/terapia
Cuidado Pós-Natal/organização & administração
Cuidado Transicional
[Mh] Termos MeSH secundário: Feminino
Teste de Tolerância a Glucose
Acesso aos Serviços de Saúde
Seres Humanos
Guias de Prática Clínica como Assunto
Gravidez
Atenção Primária à Saúde
Sistemas de Alerta
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180111
[Lr] Data última revisão:
180111
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:29197305
[Au] Autor:Tan EK; Loh KP; Goff SL
[Ad] Endereço:From the Department of Endocrinology, Diabetes and Metabolism Research Institute, City of Hope National Medical Center, Duarte, California, the Division of Hematology/Oncology, James P. Wilmot Cancer Institute, University of Rochester/Strong Memorial Hospital, Rochester, New York, and the Department of Medicine, Tufts University School of Medicine, Springfield, Massachusetts.
[Ti] Título:Internal Medicine Hospitalists' Perceived Barriers and Recommendations for Optimizing Secondary Prevention of Osteoporotic Hip Fractures.
[So] Source:South Med J;110(12):749-753, 2017 Dec.
[Is] ISSN:1541-8243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Osteoporosis is a major public health concern affecting an estimated 10 million people in the United States. To the best of our knowledge, no qualitative study has explored barriers perceived by medicine hospitalists to secondary prevention of osteoporotic hip fractures. We aimed to describe these perceived barriers and recommendations regarding how to optimize secondary prevention of osteoporotic hip fracture. METHODS: In-depth, semistructured interviews were performed with 15 internal medicine hospitalists in a tertiary-care referral medical center. The interviews were analyzed with directed content analysis. RESULTS: Internal medicine hospitalists consider secondary osteoporotic hip fracture prevention as the responsibility of outpatient physicians. Identified barriers were stratified based on themes including physicians' perception, patients' characteristics, risks and benefits of osteoporosis treatment, healthcare delivery system, and patient care transition from the inpatient to the outpatient setting. Some of the recommendations include building an integrated system that involves a multidisciplinary team such as the fracture liaison service, initiating a change to the hospital policy to facilitate inpatient care and management of osteoporosis, and creating a smooth patient care transition to the outpatient setting. CONCLUSIONS: Our study highlighted how internal medicine hospitalists perceive their role in the secondary prevention of osteoporotic hip fractures and what they perceive as barriers to initiating preventive measures in the hospital. Inconsistency in patient care transition and the fragmented nature of the existing healthcare system were identified as major barriers. A fracture liaison service could remove some of these barriers.
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde/organização & administração
Fraturas do Quadril/prevenção & controle
Médicos Hospitalares/psicologia
Fraturas por Osteoporose/prevenção & controle
Prevenção Secundária/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Fraturas do Quadril/psicologia
Seres Humanos
Medicina Interna/métodos
Masculino
Meia-Idade
Fraturas por Osteoporose/psicologia
Equipe de Assistência ao Paciente
Percepção
Pesquisa Qualitativa
Centros de Atenção Terciária
Cuidado Transicional
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171207
[Lr] Data última revisão:
171207
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.14423/SMJ.0000000000000735


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[PMID]:28992853
[Au] Autor:Choi Y
[Ad] Endereço:Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: ychoi47@jhmi.edu.
[Ti] Título:Care Coordination and Transitions of Care.
[So] Source:Med Clin North Am;101(6):1041-1051, 2017 Nov.
[Is] ISSN:1557-9859
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Care coordination and effective transitions of care are essential for high-quality care in cancer survivors. Aspects of care that require coordination include cancer surveillance, managing the effects of cancer and its treatment, and preventive care, including screening for new cancers, with the clinician responsible for each aspect of care clearly defined. There are many barriers to transitioning and coordinating care across cancer specialists and primary care physicians; possible solutions include survivorship care plans and certain care models. Improving these areas, along with survivorship care training and education, may lead to more effective care coordination and transitions in the future.
[Mh] Termos MeSH primário: Neoplasias/terapia
Oncologistas/psicologia
Pacientes/psicologia
Médicos de Atenção Primária/psicologia
Cuidado Transicional/organização & administração
[Mh] Termos MeSH secundário: Competência Clínica
Seres Humanos
Relações Interprofissionais
Planejamento de Assistência ao Paciente/organização & administração
Percepção
Qualidade da Assistência à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE


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[PMID]:28826670
[Au] Autor:Milfred-LaForest SK; Gee JA; Pugacz AM; Piña IL; Hoover DM; Wenzell RC; Felton A; Guttenberg E; Ortiz J
[Ad] Endereço:Department of Pharmacy, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, United States. Electronic address: Sharon.Laforest@va.gov.
[Ti] Título:Heart Failure Transitions of Care: A Pharmacist-Led Post-Discharge Pilot Experience.
[So] Source:Prog Cardiovasc Dis;60(2):249-258, 2017 Sep - Oct.
[Is] ISSN:1873-1740
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To perform a pilot evaluation of a pharmacist-led, multidisciplinary transitional care clinic for heart failure (HF) patients. BACKGROUND: Transitions of care in HF should include: medication reconciliation, multidisciplinary care, early post-discharge follow-up, and prompt intervention on HF signs and symptoms. We hypothesized that combining these elements with optimization of medications would impact outcomes. METHODS: In the SERIOUS HF Medication Reconciliation Transitional Care Clinic (HF MRTCC), patients were seen by a clinical pharmacist trained in HF. The pharmacist performed medication reconciliation, a basic physical exam, and a HF symptom history. Medications were adjusted by the clinical pharmacist or medical provider. Data were retrospectively collected for a quality improvement evaluation of this novel clinic on medication discrepancies, medications optimized, and 30-day readmissions. Descriptive statistics and paired t-tests were used for medication doses. RESULTS: All patients (n=135) had a diagnosis of HF, 59% were recently discharged. The mean time from discharge to the clinic appointment was 10±6days, and the 30day all-cause readmission rate was 9%. Medication discrepancies were detected in 53% of patients. Medications were optimized in 70%, most frequently beta blockers, ace inhibitors, and diuretics. In patients with an ejection fraction ≤40%, significantly higher doses of beta blockers and ace inhibitors were prescribed after the clinic visit. CONCLUSION: The HF MRTCC identified and corrected numerous medication discrepancies, up-titrated medications, and was associated with a 30-day readmission rate of 9%. These encouraging pilot results are hypothesis-generating and warrant further controlled trials.
[Mh] Termos MeSH primário: Fármacos Cardiovasculares/uso terapêutico
Insuficiência Cardíaca/tratamento farmacológico
Reconciliação de Medicamentos/organização & administração
Alta do Paciente
Farmacêuticos/organização & administração
Serviço de Farmácia Hospitalar/organização & administração
Papel Profissional
Cuidado Transicional/organização & administração
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Fármacos Cardiovasculares/efeitos adversos
Cálculos da Dosagem de Medicamento
Feminino
Insuficiência Cardíaca/diagnóstico
Insuficiência Cardíaca/fisiopatologia
Seres Humanos
Prescrição Inadequada
Liderança
Masculino
Meia-Idade
Readmissão do Paciente
Exame Físico
Projetos Piloto
Avaliação de Programas e Projetos de Saúde
Melhoria de Qualidade/organização & administração
Indicadores de Qualidade em Assistência à Saúde/organização & administração
Estudos Retrospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cardiovascular Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE


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[PMID]:28815552
[Au] Autor:Toles M; Colón-Emeric C; Naylor MD; Asafu-Adjei J; Hanson LC
[Ad] Endereço:University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
[Ti] Título:Connect-Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers.
[So] Source:J Am Geriatr Soc;65(10):2322-2328, 2017 Oct.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo: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. MEASUREMENTS: 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 re-hospitalization.
[Mh] Termos MeSH primário: Cuidadores
Serviços de Assistência Domiciliar
Alta do Paciente
Instituições de Cuidados Especializados de Enfermagem
Cuidado Transicional
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos de Viabilidade
Feminino
Seres Humanos
Masculino
Sudeste dos Estados Unidos
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15015


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[PMID]:28752589
[Au] Autor:Maclagan LC; Maxwell CJ; Gandhi S; Guan J; Bell CM; Hogan DB; Daneman N; Gill SS; Morris AM; Jeffs L; Campitelli MA; Seitz DP; Bronskill SE
[Ad] Endereço:Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
[Ti] Título:Frailty and Potentially Inappropriate Medication Use at Nursing Home Transition.
[So] Source:J Am Geriatr Soc;65(10):2205-2212, 2017 Oct.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/OBJECTIVES: To estimate the prevalence of potentially inappropriate medication (PIM) use among older adults with cognitive impairment or dementia prior to and following admission to nursing homes and in relation to frailty. DESIGN: Retrospective cohort study using health administrative databases. SETTING: Ontario, Canada. PARTICIPANTS: 41,351 individuals with cognitive impairment or dementia, aged 66+ years newly admitted to nursing home between 2011 and 2014. MEASUREMENTS: PIMs were defined with 2015 Beers Criteria and included antipsychotics, H -receptor antagonists, benzodiazepines, and drugs with strong anticholinergic properties. Medication information was obtained at nursing home admission and in the subsequent 180 days. Multivariable Cox proportional-hazards models were used to assess the impact of frailty status (determined by a 72-item frailty index) on the hazard of starting and discontinuing PIMs. RESULTS: At admission, 44% of residents with cognitive impairment or dementia were on a PIM and prevalence varied by frailty (38.7% non-frail, 42.8% pre-frail, and 48.1% frail, P < .001). Following admission, many residents discontinued PIMs (23.5% for antipsychotics, 49.3% benzodiazepines, 32.2% anticholinergics, and 30.9% H -receptor antagonists). However, PIMs were also introduced with 10.9% newly started on antipsychotics, benzodiazepines (10.1%), anticholinergics (6.6%), and H -receptor antagonists (1.2%). After adjustment for other characteristics, frail residents had a similar risk of PIM discontinuation as non-frail residents except for anticholinergics (HR = 1.21, 95% CI 1.06-1.39) but were more likely to be newly prescribed benzodiazepines (HR = 1.32, 95% CI 1.20-1.44), antipsychotics (HR = 1.36, 1.23-1.49), and anticholinergics (HR = 1.34, 95% CI 1.20-1.50). CONCLUSION: Many residents with cognitive impairment or dementia enter nursing homes on PIMs. PIMs are more likely to be started in frail individuals following admission. Interventions to support deprescribing of PIMs should be implemented targeting frail individuals during the transition to nursing home.
[Mh] Termos MeSH primário: Idoso Fragilizado/estatística & dados numéricos
Instituição de Longa Permanência para Idosos
Casas de Saúde
Lista de Medicamentos Potencialmente Inapropriados/estatística & dados numéricos
Cuidado Transicional/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Disfunção Cognitiva/tratamento farmacológico
Demência/tratamento farmacológico
Feminino
Seres Humanos
Masculino
Análise Multivariada
Ontário
Polimedicação
Modelos de Riscos Proporcionais
Estudos Retrospectivos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170729
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15016


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[PMID]:28727619
[Au] Autor:Richardson BM
[Ad] Endereço:Author Affiliation: Clinical Nurse Specialist, Transitional Care Southwestern Vermont Medical Center, Bennington.
[Ti] Título:An Innovative Transitional Care Program Improves Community Health.
[So] Source:J Nurs Adm;47(7-8):357-358, 2017 Jul/Aug.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this month's Magnet® Perspectives column, Barbara Richardson, MSN, RN-BC, CCRN, clinical nurse specialist at the Southwestern Vermont Medical Center, examines the ways in which a robust transitional care program improves community health, reduces readmissions and emergency department visits, and provides valuable social support for even the most complex patients. Richardson shares critical factors that impacted the program's success, including a Magnet® environment of innovation, a visionary hospital leadership team, strong community alliances, and collaborative solutions to previously intractable problems. Her efforts to build and implement a successful transitional care program earned Richardson the 2016 National Magnet® Nurse of the Year Award for Structural Empowerment.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/organização & administração
Inovação Organizacional
Qualidade da Assistência à Saúde/organização & administração
Cuidado Transicional/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Vermont
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170721
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000493



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