scholarly journals Do Hospital-to-Home Transitional Care Programs for Older Adults Address Palliative Care Domains? A Systematic Review (703)

2012 ◽  
Vol 43 (2) ◽  
pp. 420-421
Author(s):  
Ella Bowman ◽  
Greg Sachs ◽  
Thomas Emmett
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Palliative Care ◽  
Transitional Care ◽  
Hospital To Home

scholarly journals Effectiveness of Transitional Care from Hospital to Home in Frail Older Adults: A Systematic Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 821-821
Author(s):  
Ji Yeon Lee ◽  
Yong Sook Yang ◽  
Eunhee Cho
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Older Adults ◽  
Health Status ◽  
Transitional Care ◽  
Frail Older Adults ◽  
Self Rated Health ◽  
Hospital To Home

Abstract Frail older adults are at high risk of negative consequences from hospitalization and are discharged without completely returning to their pre-existing health status. Transitional care is needed to maintain care continuity from hospital to home. This systematic review aimed to examine transitional care for frail older adults and its effectiveness. The Cochrane guidelines were followed, and search terms were determined by PICO: (P) frail older adults, not disease-specified; (I) transitional care initiated before discharge; (C) usual care; and (O) all health outcomes. Four databases were searched for English-written randomized controlled trials (inception to 2020), and eight trials were ultimately included. Frail older adults in eight trials (1996–2019) totaled 2,785, with a mean sample size of 310. The intervention components varied from hospital care (e.g., geriatric assessment, discharge planning, rehabilitation) to follow-up care after discharge (e.g., home visit, phone follow-up, community service). Most measured outcomes were readmission (n = 7), function (n = 4), quality of life (n = 4), self-rated health (n = 3), and mortality (n = 3). Statistical significance was reported in the following number of trials: readmission (n = 2), function (n = 2), quality of life (n = 1), self-rated health (n = 3), and mortality (n = 0). The effectiveness of the intervention on each outcome was inconsistent across the trials. Varied transitional care between hospital and home was implemented to improve health status; however, its effectiveness was controversial. A novel, yet evidence-based approach is needed to develop transitional care interventions for these vulnerable populations.

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

2016 ◽  
Vol 37 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Mark Toles ◽  
Cathleen Colón-Emeric ◽  
Josephine Asafu-Adjei ◽  
Elizabeth Moreton ◽  
Laura C. Hanson
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Transitional Care ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Skilled Nursing

Transitional Care Partners: A hospital-to-home support for older adults and their caregivers

2012 ◽  
Vol 25 (8) ◽  
pp. 407-414 ◽  
Author(s):  
Cristina Hendrix ◽  
Sara Tepfer ◽  
Sabrina Forest ◽  
Karen Ziegler ◽  
Valerie Fox ◽  
...  
Keyword(s):  
Older Adults ◽  
Transitional Care ◽  
Home Support ◽  
Care Partners ◽  
Hospital To Home

scholarly journals Transitional care programs to improve outcomes in patients with traumatic brain injury and their caregivers: A systematic review and meta-analysis

2021 ◽  
Author(s):  
Amelia Ganefianty ◽  
Praneed Songwathana ◽  
Kittikorn Nilmanat
Keyword(s):  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Transitional Care ◽  
Psychological Symptoms ◽  
Meta Analysis ◽  
Psychological Support ◽  
Beneficial Effects ◽  
Hospital To Home ◽  
Skill Building

Background: Effective nursing interventions for caring for patients with moderate to severe traumatic brain injury are still challenging during a transition from hospital to home. Since traumatic brain injury has deep-rooted sequelae, patients and their caregivers require better arrangement and information on the condition to achieve improved outcomes after discharge. Objective: This study aimed to assess transitional care programs to improve outcomes of patients with traumatic brain injury and their caregivers. Methods: A systematic review and meta-analysis were performed on studies retrieved from ProQuest, PubMed, Science Direct, CINAHL, and Google Scholar from January 2010 to July 2021. RevMan 5.4.1 software was used for meta-analysis. Results: Nine studies were systematically selected from 1,137 studies. The standard approaches of interventions used in patients with traumatic brain injury and their caregivers were education, mentored problem-solving, home-and community-based rehabilitation, counseling, skill-building, and psychological support. We observed that there was significant evidence indicating beneficial effects of intervention in increasing the physical functioning of patients with traumatic brain injury (SMD = -0.44, 95% CI -0.60 to -0.28, p <0.001), reducing the psychological symptoms among caregivers (SMD = -0.42, 95% CI -0.59 to -0.24, p <0.001), and increasing the satisfaction (SMD = -0.35, 95% CI -0.60 to -0.11, p = 0.005). Conclusion: Education, skill-building, and psychological support should be the main components in transitional care nursing programs for patients with traumatic brain injury and their caregivers.   Funding: Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand.

scholarly journals Determining The Characteristics Of Transition-Based Interventions Most Effective In Enhancing Quality of Care For Seniors: A systematic Review

2021 ◽  
Author(s):  
Sarah Rosato
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Acute Care ◽  
Transitional Care ◽  
Descriptive Analysis ◽  
Chi Square ◽  
Effective Interventions ◽  
Hospital To Home ◽  
Additional Support

Introduction: Seniors (65 years or older) often require additional support and resources during the transition from acute care to home. A comprehensive understanding of the transition-based literature will support the development and implementation of effective interventions, possibly resulting in organizational and individual benefits. Purpose: A systematic review was conducted to identify the characteristics of transition-based interventions most effective in enhancing quality of care for seniors transitioning from hospital to home. Methods: Primary research that evaluated a transitional care intervention for seniors and measured one of more quality of care outcome were included. Chi-square test for independence, ANOVA, and descriptive analysis were used. Results: Forty-six interventions were reviewed for their specific characteristics. Multicomponent interventions which used multiple delivery methods (face-to-face/telephone), over one-to-three months (p= <0.05), were most effective in enhancing quality of care. Implications/Conclusions: Understanding the most effective intervention characteristics may support the provision of effective/efficient transitional care for seniors moving from acute care to home.

scholarly journals Determining The Characteristics Of Transition-Based Interventions Most Effective In Enhancing Quality of Care For Seniors: A systematic Review

2021 ◽  
Author(s):  
Sarah Rosato
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Acute Care ◽  
Transitional Care ◽  
Descriptive Analysis ◽  
Chi Square ◽  
Effective Interventions ◽  
Hospital To Home ◽  
Additional Support

Introduction: Seniors (65 years or older) often require additional support and resources during the transition from acute care to home. A comprehensive understanding of the transition-based literature will support the development and implementation of effective interventions, possibly resulting in organizational and individual benefits. Purpose: A systematic review was conducted to identify the characteristics of transition-based interventions most effective in enhancing quality of care for seniors transitioning from hospital to home. Methods: Primary research that evaluated a transitional care intervention for seniors and measured one of more quality of care outcome were included. Chi-square test for independence, ANOVA, and descriptive analysis were used. Results: Forty-six interventions were reviewed for their specific characteristics. Multicomponent interventions which used multiple delivery methods (face-to-face/telephone), over one-to-three months (p= <0.05), were most effective in enhancing quality of care. Implications/Conclusions: Understanding the most effective intervention characteristics may support the provision of effective/efficient transitional care for seniors moving from acute care to home.

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