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A Concept Analysis of Vulnerability During Transitions.

Nursing Education Perspectives

|May 24, 2016

Summary

Vulnerability during transitions in older adults is defined by medication use and fragmented care. Understanding these factors and their consequences, like readmission, improves care for seniors.

Area of Science:

Nursing Education
Geriatric Care
Concept Analysis

Background:

Growing older adult population necessitates nurses with specialized knowledge, skills, and attitudes (KSAs).
The NLN Advancing Care Excellence for Seniors (ACE.S) project provides a framework for developing geriatric KSAs.
Vulnerability during transitions is a key concept within the ACE.S framework for geriatric care.

Purpose of the Study:

To define the concept of vulnerability during transitions.
To identify antecedents, attributes, and consequences of vulnerability in this context.

Main Methods:

Employed Rogers and Knafl's evolutionary method of concept analysis.
Systematically analyzed literature to define vulnerability during transitions.

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Main Results:

Identified two antecedents: polypharmacy and healthcare system fragmentation.
Identified two attributes: inadequate care continuity and poor communication/coordination.
Identified two consequences: readmission and potential negative health outcomes.

Conclusions:

Understanding the factors contributing to and resulting from vulnerability during transitions is crucial.
Improved knowledge of vulnerability during transitions can enhance care for older adults across all settings.