Key result
Nurse practitioner-led transitional care interventions decreased hospital readmission rates in older adults, although the level of evidence was insufficiently high to allow for generalizability.
Why the study?
Do Nurse practitioner-led transitional care interventions decrease hospital readmission rates in chronically ill older adults compared to standard care?
Do Nurse practitioner-led transitional care interventions decrease hospital readmission rates in chronically ill older adults compared to standard care?
While transitional care interventions can decrease hospital readmissions in older adults, there is currently insufficient high-quality evidence specifically supporting the generalizability of nurse practitioner-led models.
Answers are grounded in this paper and cite their sources.
Supports utilizing nurse practitioners in transitional care to reduce readmissions; leaves open the need for.
BACKGROUND AND PURPOSE: Chronically ill patients 65 and above have an increased risk of preventable readmission within 30 days of discharge from the hospital. The Transitional Care Model (TCM) introduced by Naylor and colleagues was implemented to improve the transition between hospital and home while decreasing readmissions. This article examines whether nurse practitioner (NP)- led TCM interventions as compared to standard care decrease hospital readmission rates in older adults. METHODS: A literature review was conducted from June 2016 to March 2017 using Cochrane Library, PubMed, Cumulative Index to Nursing and Health Literature (CINAHL) PLUS, Joanna Briggs Institute, and ProQuest Central to seek out the highest level of evidence. Search results were refined to focus on randomized control trials (RTCs) containing NP-led TCM interventions with older adults. CONCLUSIONS: Synthesis of three RTCs, one meta-analysis, and four nonrandomized studies reviewed TCM interventions that included these interventions: follow-up phone calls post discharge, home visits, and handoff of information to the patient's primary care provider. These interventions, although not exclusively led by NPs, decreased hospital readmission rates. IMPLICATIONS FOR PRACTICE: NP-led TCM interventions have the potential to decrease readmissions, but the level of evidence is insufficiently high to allow for generalizability, warranting further study.
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Mora et al. (2017) conducted a review in Chronic illness. Nurse practitioner-led transitional care interventions vs. Standard care was evaluated on Hospital readmission rates. Nurse practitioner-led transitional care interventions decreased hospital readmission rates in older adults, although the level of evidence was insufficiently high to allow for generalizability.
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