- N550 Module 5 Assignment 1 Annotated Bibliography
Annotated Bibliography
N550 Module 5 Assignment 1 Annotated Bibliography includes an in-depth review of key research, such as the study by Bae-Shaaw et al. (2020), which examines the real-world impact of a pharmacist-led transitional care program on 30- and 90-day hospital readmissions. This evaluation highlights the program’s effectiveness in reducing readmission rates for patients with acute myocardial infarction, chronic obstructive pulmonary disease, congestive heart failure (CHF), and pneumonia. The findings provide valuable insights into improving patient outcomes through pharmacist-managed interventions.
The observer followed a retrospective cohort diagram with a difference in methodology to establish the distinction in outcomes before and after the program’s implementation. Intervention website patients covered 1,776 inside the 2013-2017 pattern, while the range was two 969 at control websites. Three of the wide variety of candidates on the intervention web page have been blanketed with the intervention.
This examination discovered that the percentages of 30 days of readmission had decreased by (OR = zero. 65) among the observed participants who acquired the intervention. The 90-day readmission chances additionally enhance (OR = 0. seventy-five), even though they are not statistically considerable. Compared to the management, the intervention lowered each 30-day readmission amongst CHF sufferers to 14% and ninety-day readmissions to thirteen; OR = 0. 52 and 0. 47, respectively.
This evaluation is related to my challenge because it explores how a pharmacist-controlled application reduces clinic readmission charges for individuals with acute myocardial infarction, COPD, CHF, and pneumonia. Like transitional care programs, focused interventions may also reduce readmission charges in skilled nursing facilities, suggesting comprehensive care solutions may be beneficial. onroy, T., Heuzenroeder, L., & Feo, R. (2020). In-medical institution interventions for lowering readmissions to acute care for adults aged 65 and over An umbrella overview. international journal for nice in health Care, 32(7), 414–430. https://doi.org/10.1093/intqhc/mzaa064
This overview systematically compiled and summarised findings from existing systematic reviews concerning medical institution-based interventions to prevent or lessen acute problems in network-dwelling older adults (age ≥ 65). Among them were 29 overview articles that still addressed distinct types of interventions: medicine opinions, discharge planning, geriatric evaluation, and more. In this method, the findings suggest that similar to discharge planning and transitional care, most interventions have not been distinctly powerful in reducing the range of readmissions inside this age institution.
This suggests an adverse effect of current clinic environmental interventions aimed at reducing the dangers of readmissions to older adults. Therefore, the modern assessment emphasizes the importance of investing in additional research on the extra suitable intervention for this at-chance institution owing to their complex health and care wishes. The general public of health facility-based remedies, aside from discharge-making plans and transitional care, fail to reduce older adult readmissions, which applies to me.
This suggests that transitional care applications significantly affect professional nursing facility discharges. Following my challenge’s targets, the results highlight the need to look at effective treatments for this susceptible populace. Li, Y., Fang, J., Li, M., & Luo, B. (2021). Impact of nurse-led hospital-to-home transitional care interventions on mortality and psychosocial results in adults with coronary heart failure: a meta-analysis. European magazine of Cardiovascular Nursing. https://doi.org/10.1093/eurjcn/zvab105
N550 Module 5 Assignment 1 Annotated Bibliography
This study aimed to assess the effects of transitional care interventions by nurses for sufferers while inside the network and on mortality, pleasantness, self-care, and quality of emotional existence. The MEDLINE, EMBASE, and Cochrane Library databases identified seven articles that met the inclusion criteria. The study’s authors stated that the sufferers who acquired nurse-led TCIs had a 21% reduced threat of demise and a higher fitness-associated excellent of lifestyles than the patients who received the usual care. However, they did not play an influential role in shaping a person’s emotional health.
Moreover, the studies confirmed that improved decentralization and the complexity of TCIs correlated with a greater marked decrease in mortality threat. However, none of these elements has been found to predict constant factors of outcomes, which include mortality and fantastic of existence. This evaluation is related to my undertaking because it explores nurse-led TCIs and demonstrates insertion in managing HF by possibly decreasing mortality fees and improving QOL and self-care behaviors; however, extra and more rigorous studies are still required to enhance those interventions. Lee, J. Y., Yang, Y. S., & Cho, E. (2022). Transitional care from medical institution to home for frail older adults: a scientific assessment and meta-evaluation. Geriatric Nursing, 43, sixty-four–76. https://doi.org/10.1016/j.gerinurse.2021.eleven.003
The control of transitional care for older adults, which involves helping them while they are discharged from the medical institution, has been addressed in research. Some of these care applications are exclusive of their implementation and achievement fees. However, it may help to lower rehospitalization at six months; however, now, not at different timeframes or other signs, along with mortality prices or quality of life. This evaluation is associated with my mission as it explores that the aged are specifically susceptible, which poses a mission regarding their fitness, especially after discharge from the hospital.
They require more significant time and interventions to regain their beneficial popularity and get back to their routine. That is where transitional care comes in, offering the required aid to help bridge the space between hospital and home. This assessment compared 14 trials specializing in readmission, mortality, feature, and best of existence.
The findings have been effective, with a moderate reduction in readmissions but no sizeable adjustments in other benchmarks. Therefore, there is a loss of extra research-based sensible techniques for developing initial transitional care interventions for frail older adults. Li, M., Li, Y., Meng, Q., Li, Y., Tian, X., Liu, R., & Fang, J. (2021). Consequences of nurse-led transitional care interventions for patients with heart failure on healthcare usage: A meta-evaluation of randomized controlled trials. PLOS ONE, 16(12), e0261300. https://doi.org/10.1371/journal.pone.0261300
Coronary heart failure is an acute circumstance that may be a primary challenge for patients and healthcare companies. To help with this, nurse-led health facility-to-home transitional care models have evolved. This study examined the interventions’ efficacy for HF sufferers, which the nurses are leading. The electronic databases for posted studies were recognized from January 2000 to June 2020 and used data associated with sanatorium readmission rates, emergency department visits, and the duration of health center stays. They comprised 25 trials with a total of 8422 sufferers.
The findings highlighted that each one-cause readmission was reduced by 9%, and readmission owing to coronary heart failure was reduced by 29% when sufferers were given care led by nurses. Such packages also reduced the length of clinic stay by a median of two days. However, such packages did not significantly decrease emergency room admissions. This overview is associated with my assignment because it explores the study that accelerated and intensified nurse-led care goes even further in lessening coronary heart failure-specific readmissions.
Li, J., Clouser, J. M., Brock, J., Davis, T., Jack, B., Levine, C., Mays, G. P., Mittman, B., Nguyen, H., Sorra, J., Stromberg, A., Du, G., Dai, C., Adu, A., Vundi, N., & Williams, M. V. (2022). consequences of different transitional care techniques on effects after sanatorium discharge—trust subjects, too. The Joint Commission magazine on Quality and Affected Person Protection, forty-eight (1), 40–fifty-two. https://doi.org/10.1016/j.jcjq.2021.09.012
N550 Module 5 Assignment 1 Annotated Bibliography
Fitness systems are moving to cost-primarily based care, so avoiding readmissions and beautifying affected person outcomes is essential. However, a grasp of the choicest interactions between transitional care techniques is still missing, which might be derived from the literature evaluation. The task aims to decide which transitional care techniques effectively optimize patient consequences from a prospective cohort evaluation. The sample used to be forty-two exceptional hospitals within the U.S. The pattern size includes 7939 Medicare beneficiaries discharged from clinical/surgical units.
The findings on the impact of 5 lessons of transitional care techniques on the sufferers were compared to those of management companies. According to the patient, the primary studied variables included 30-day readmissions, 7-day submit-discharge ED visits, and bodily and mental fitness, pain, and everyday bodily hobby participation. This overview is associated with my undertaking as it explores the exposure to a transitional care group with hospital-based trust, undeniable language, and coordination effects that brought about a discounted variety of 30-day readmissions.
Markle-Reid, M., McAuley, C., Fisher, ok., Ganann, R., Gauthier, A. P., Heald-Taylor, G., McElhaney, J. E., McMillan, F., Petrie, P., Ploeg, J., Urajnik, D. J., & Whitmore, C. (2021). Effectiveness of a nurse-led sanatorium-to-home transitional care intervention for older adults with multimorbidity and depressive signs: a pragmatic randomized managed trial. PLOS ONE, 16(7), e0254573. https://doi.org/10.1371/magazine.pone.0254573
This observation was used to assess the effect of the nurse-led transitional care intervention in opposition to the usual take care of older Ontarians with more than one continual situation and depressive signs and symptoms who have been discharged from the medical institution to their domestic. These comprised home visits by registered nurses overlaying health advertising and management over a six-month length, observe-up smartphone calls, and assistance in handling health care systems.
Some sufferers were on intellectual feature benefits, and the secondary used to be on bodily features, melancholy, tension, perceived social assistance, affected person satisfaction, and healthcare expenses. Thus, although 127 individuals were recruited, 85% had six or greater comorbidities, and only 99 finished the look because of attrition.
Consequences did now not display any variations between the two businesses in mental and bodily performance modifications inside the 6th month of the look-at. However, contributors in the intervention institution expressed more excellent perceptions of facilitation in entering fitness and social provider facts. This overview is related to my venture as it explores the decrease in recruitment compared to what was expected and the research on the effects of the intervention in a more significant element.
Morkisch, N., Upegui-Arango, L. D., Cardona, M. I., van den Heuvel, D., Rimmele, M., Sieber, C. C., & Freiberger, E. (2020). Components of the transitional care model (TCM) to reduce readmission in geriatric patients: a systematic evaluation. BMC Geriatrics, 20(1), 1–18. https://doi.org/10.1186/s12877-020-01747-w
Demographic transformation is ongoing in industrialized societies, even though the older populace has emerged as a prime difficulty. Germany has the most significant proportion of the growing old population in Europe. Humans between the ages of sixty-six and ninety-nine constituted 20% of the entire population in 2014 and are projected to be 33% in 2060.
This change stresses public fitness policy’s macro and micro tiers for people and patients. For geriatric patients, usually elderly 65 and older, with a couple of comorbidities, there is an issue of loss of continuity of care. Multimorbidity is not unusual for many older people, and it can cause decreased pleasantness of existence and higher caregiving requirements.
This resulted in transitional care, specifically care of sufferers who are being transferred from one care place to another. Successful transitional interventions like the Transitional Care version (TCM) contribute to reducing health facility readmissions and decorating patients’ popularity. This overview is related to my challenge as it explores that the version requires the collaboration of efforts, including discharge-making plans and affected person counselling. However, those strategies are within the experimental degree and require additional research to establish how they can be carried out to extra clients, given the growing number of aged clients in modern-day societies.
Suksatan, W., &Tankumpuan, T. (2021). The effectiveness of transition care interventions from clinic to home on rehospitalization in older patients with coronary heart failure: An integrative overview. home health Care management & practice, 34(1), 108482232110238. https://doi.org/10.1177/10848223211023887
Chronic coronary heart failure typically consequences in rehospitalization and heightened mortality prices, especially among seniors. This evaluation specializes in Transition Care Interventions (TCI) alongside the sanatorium-to-home continuum. It is essential to understand how well the TCIs worked at lowering the 30-day readmission charge for the various ages with HF.
A total of 15 articles that covered more than 10,000 coronary heart failure sufferers posted within the years 2011 to 2021 had been covered in the contemporary evaluation. They discovered that TCIs that encompass nurses, pharmacists, and organizations of healthcare carriers lessen the rehospitalization percentage and overall price of care. TCIs are distinguished inpatient training, danger appraisal, and care preservation throughout the publish-discharge inclined duration.
This evaluation is related to my project as it explores my challenge, particularly in that it aids patients in governing their episodes at home and enhances their trendy care. The outcomes of the prevailing take a look at suggest the need for policymakers to incorporate these interventions into discharge planning to manage older patients extra efficiently. Simge Coskun. (2021). OUP is widespread in the manuscript. European Journal of Cardiovascular Nursing, 3. https://doi.org/10.1093/eurjcn/zvab005
N550 Module 5 Assignment 1 Annotated Bibliography
The purpose of this paper is to evaluate the capability of the nurse-led transitional care model to beautify elderly sufferers’ postoperative recovery after surgery. They carried out a randomized trial with 66 elderly patients, dividing them into two organizations. The primary one was the patient who was discharged and received transitional care. In contrast, the second affected person received the usual care.
The transitional care institution also benefited from the guidance of the nursing crew nine weeks after discharge from the health centre. The patients self-documented the severity of dependence, their level of occupational functioning, and exceptional lifestyles, and they were assessed using defined scales. They stated that the patients who participated in the transitional care improved their ratings in those regions more than those in the well-known care group.
In addition, the sufferers who acquired transitional care had lower readmission rates in the first six months of surgery than the opposite institution. This evaluation is related to my undertaking because it explores how adopting a nurse-led transitional care version can move along thanks to the growth of aged patients’ LOS after open surgical procedures and decreased health facility readmission.
Sezgin, D., O’Caoimh, R., Liew, A., O’Donovan, M. R., Illario, M., Salem, M. A., Kennelly, S., Carriazo, A. M., Lopez-Samaniego, L., Carda, C. A., Rodriguez-Acuña, R., Inzitari, M., Hammar, T., & Hendry, A. (2020). The effectiveness of intermediate care such as transitional care interventions on function, healthcare usage, and expenses: A scoping overview. Eu Geriatric medicinal drug. https://doi.org/10.1007/s41999-020-00365-4
This scoping evaluation aims to become aware of the literature that reveals how intermediate care, which includes transitional care interventions, supports middle-aged and older adults at some stage in the transitions among unique healthcare settings. They deliberate on grading the results of these components on features and healthcare, in addition to costs. The review analyzed 133 articles posted between 2002 and 2019 and concerns a one-of-a-kind variety of care models, including hospital transitional care, home-primarily based care fashions, and network care models.
Facts indicated that, at times, these interventions decreased the time that sufferers spent inside the health facility. However, the standard effect was once mixed. Some offerings that used observe-up calls and coaching helped lower readmissions to the health facility. This assessment is related to my challenge as it explores interdisciplinary crew care with domestic rehabilitation, which was additionally considered to beautify the affected person’s first-rate existence by growing their level of function. The assessment discussed enormous variability throughout the research for the techniques used and the kind of care provided.
Schapira, M., Outumuro, M. B., Giber, F., Pino, C., Mattiussi, M., Montero-Odasso, M., Boietti, B., Saimovici, J., Gallo, C., Hornstein, L., ballot án, J., Garfi, L., Osman, A., & Perman, G. (2021). Geriatric co-management and interdisciplinary transitional care decreased medical institution readmissions in frail older sufferers in Argentina: results from a randomized managed trial. Getting old scientific and Experimental studies. https://doi.org/10.1007/s40520-021-01893-0
Frail older adults tend to be at multiplied risk of harmful effects at some point of hospitalization, and there may be a dearth of understanding concerning the greenest care provision in Latin America. Compared to standard practices, this research was designed to evaluate the consequences of applying geriatric co-control along transitional care intervention in a clinic in Argentina for frail older sufferers with 30-day readmissions. This study used to be an unmarried-blinded randomized management trial that involved a hundred and twenty participants in both the intervention and the management organizations.
Typical care is made out of a senior inner medicine specialist with well-timed entry to the experts, health center care, a health facility at home, or domestic-primarily based number one care submit-discharge. This regular care was once compared to an intervention organization, which received care from a geriatric co-management team that covered evaluation, individualized tips, and coordination of predicted care transitions.
In this situation, a counselor furnished the wanted consistency at domestic. Lower inside the intervention institution by 7% (18. three vs 35. zero) respectively; individuals who had emergency room visits within six months have been 27, respectively 43. three% and 60. zero %, and there was a widespread difference of 8%. Whilst no longer a vast finding, the intervention organization also saw a decline in six-month mortality (25. 0% compared to 35. zero).
Toles, M., Colón-Emeric, C., Hanson, L. C., Naylor, M., Weinberger, M., Covington, J., & Preisser, J. S. (2021). Transitional care from professional nursing centers to domestic: observe protocol for a stepped wedge cluster randomized trial. Trials, 22(1). https://doi.org/10.1186/s13063-021-05068-zero
Citizens in skilled nursing facilities (SNFs) have multimorbidities and require some assistance from caregivers. More than half of the patients get readmitted or die within the next ninety days after being discharged from this facility, and their caregivers and patients aren’t prepared to address submit-hospitalization management at home. This looks at goals to determine the feasibility of the join-home program, which is geared toward presenting transitional care for critically unwell SNF sufferers and their caregivers.
These studies could be performed in six SNFs from North Carolina. Join-home has two predominant steps: SNF workforce expands an individualized transition diagram of care, and a nurse conducts a home go-to to start assembly of patient needs according to the design. Members will include 360 patients and 360 caregivers, with questionnaires completed through regular care and throughout the join-home intervention. This evaluation is associated with my undertaking because it explores the emphasis placed on the patient’s readiness for discharge and how prepared the caregivers have been to anticipate their obligations.
Toles, M., Preisser, J. S., Colón‐Emeric, C., Naylor, M. D., Weinberger, M., Zhang, Y., & Hanson, L. C. (2023). Join-domestic transitional care from skilled nursing centers to home: A stepped wedge, cluster randomized trial. magazine of the yank Geriatrics Society, seventy one(4), 1068–1080. https://doi.org/10.1111/jgs.18218
The examination used to be to perceive medical institution readmissions among patients discharged from professional nursing centers (SNFs) within a short duration and the troubles they encountered in domestic care. Connect-home had the goal of improving patient—and caregiver-related home care. For this observation, a randomized trial format was employed, with the intervention being compared with ordinary discharge planning practice in six SNFs and six domestic health remedies.
Most of the 327 patient-caregivers within the examine’s intervention group joined the scientific trial as quickly as they contracted COVID-19. It used to be completed through presenting tools, education, and assistance for transitional care within SNFs and at home. This evaluation is related to my project because it explores that the exams that happened 30 and 60 days put up discharge are effective and comprised of a fine of life.
Tyler, N., Hodkinson, A., Planner, C., Angelakis, I., Keyworth, C., Hall, A., Paul Pascall Jones, Wright, O., Keers, R. N., Blakeman, T., &Panagioti, M. (2023). Transitional care interventions from sanatorium to network to lessen fitness care use and improve affected person outcomes. JAMA Community Open, 6(eleven), e2344825–e2344825. https://doi.org/10.1001/jamanetworkopen.2023.44825
As sanatorium care has been experiencing an upward jostle in demand, patients are being discharged to the community earlier than ample offerings are available to help them. This can bring about risky transfer of care, particularly as documented at some stage in the present-day coronavirus disease (COVID-19) outbreak.
Transitional care interventions were attempted to beautify healthcare use and patient experiences at some point of transition. They can consist of one or numerous components before or after discharge, such as care coordination or medication management. Although systematic reviews have indicated that these interventions are powerful, most findings are restricted to specific settings and populations without clean comparative outcomes.
This review is related to my mission because it explores the present systematic review and network meta-analysis meant to evaluate distinct stages of intervention to determine which is probably the most beneficial in increasing healthcare access and patients’ consequences from health facility to community settings, as part of the N550 Module 5 Assignment 1 Annotated Bibliography, patients and caregivers were involved at some stage in this study to ensure that the focus remained on findings and recommendations that could be most appropriate.