Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Lessons learned from testing the quality cost model of Advanced Practice Nursing (APN) transitional care.

Dorothy Brooten1, Mary D Naylor, Ruth York

  • 1Florida International University, School of Nursing, 3000 NE 151st Street, AC11 Rm. 231A, North Miami, FL 33181, USA. brooten@fiu.edu

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
|December 28, 2002
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pragmatic Trials: The Importance of Foundational Research, Fidelity, Implementation, and Context.

Annals of internal medicine·2026
Same author

Methods for measuring implementation fidelity to the transitional care model.

Trials·2026
Same author

Virtual health coaching to improve self-care among informal caregivers of hospitalized older adults during a transition in care: Randomized controlled trial study protocol.

Contemporary clinical trials·2026
Same author

Identifying Factors Associated With Loneliness in Older United States Veterans: An Ecological Systems Approach.

Research in gerontological nursing·2026
Same author

The Enduring Impact of the National Institute of Nursing Research and Why We Still Need It.

JAMA health forum·2025
Same author

Development and Validation of an App Rating System for Caregiver Financial Management Apps.

Sage open aging·2025

Advanced Practice Nurses (APNs) transitional care improves patient outcomes and reduces healthcare costs. APN interventions consistently lead to better results and lower expenses across diverse patient groups.

Area of Science:

  • Healthcare Management
  • Nursing Science
  • Health Economics

Background:

  • The Quality Cost Model of Advanced Practice Nurses (APNs) Transitional Care has been developed and tested over 22 years in the United States.
  • This model focuses on improving patient outcomes and managing healthcare costs through APN-led transitional care.

Purpose of the Study:

  • To describe the development, testing, modification, and results of the Quality Cost Model of APN Transitional Care.
  • To analyze the impact of APN transitional care on patient outcomes and healthcare costs.
  • To identify lessons learned for nursing education, practice, and future research.

Main Methods:

  • Review of published results from seven randomized clinical trials involving diverse patient populations.
  • Included studies focused on very low birth-weight infants, women undergoing cesarean births or with high-risk pregnancies, elders with cardiac conditions, and women substituting APN care for physician prenatal care.

Related Experiment Videos

  • Ongoing work links APN care processes with outcomes and costs.

    • Main Results:

    • APN interventions consistently demonstrated improved patient outcomes and reduced healthcare costs.
    • Patients receiving APN care experienced shorter and less costly rehospitalizations due to early detection and intervention.
    • Optimal post-discharge contact strategies and readmission patterns varied across different patient groups.

    Conclusions:

    • Effective transitional care by APNs requires deep clinical knowledge, strong interpersonal skills, and system understanding.
    • APNs must possess specialist practice qualities and sufficient patient contact to achieve positive outcomes cost-effectively.
    • These findings inform nursing education, practice, and research to optimize transitional care models.