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Transitions in a wicked environment.

Rhett Hudson1, Linda Comer, Ramona Whichello

  • 1Charles George VA Medical Center, Asheville, NC, USA.

Journal of Nursing Management
|March 1, 2014
PubMed
Summary

This review synthesizes knowledge on transitional care for older adults moving from hospital to home. Understanding its complex nature is key for improving patient outcomes and care coordination.

Keywords:
acute care dischargedischarge planningtransitional caretransitions of carewicked problems

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Nursing

Background:

  • Aging populations increase complexity of patient needs.
  • Decreasing hospital days necessitate effective care transitions.
  • Transitional care is critical for older adults moving from acute care to home.

Purpose of the Study:

  • Synthesize current knowledge on transitional care for patients aged 65+.
  • Examine transitional care as a 'wicked problem' with complex influences.
  • Investigate outcome measures, barriers, and intervention effectiveness.

Main Methods:

  • Comprehensive literature review.
  • Inclusion of evidence-based research, reports, case studies, and literature reviews.
  • Consideration of international articles on transitional care.

Main Results:

  • Identified specific strategies positively impacting transitional care.
  • Highlighted the scarcity of strategies without negative impacts on other agendas.
  • Explored multifaceted barriers and diverse stakeholder involvement.

Conclusions:

  • Transitional care presents as a 'wicked problem' with interconnected challenges.
  • Optimal patient care requires acknowledging and addressing the complex nature of transitional care.
  • Effective strategies must consider the broad impact on various stakeholders and agendas.