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Nurse practitioner-led transitional care interventions: An integrative review
Kathlyen Mora1, Xiomara M Dorrejo, Kimberly Mae Carreon
1Rory Meyers College of Nursing, New York University, New York, New York.
Journal of the American Association of Nurse Practitioners
|August 29, 2017
Summary
Nurse practitioner-led Transitional Care Model (TCM) interventions show potential in reducing hospital readmissions for older adults. Further research is needed to confirm these findings and support broader implementation.
Area of Science:
- Geriatric Medicine
- Nursing Research
- Health Services Research
Background:
- Older adults (65+) with chronic illnesses face high risks of preventable hospital readmissions.
- The Transitional Care Model (TCM) aims to improve hospital-to-home transitions and reduce readmissions.
Purpose of the Study:
- To evaluate the effectiveness of nurse practitioner (NP)-led TCM interventions in decreasing 30-day hospital readmission rates among older adults compared to standard care.
Main Methods:
- A comprehensive literature review was performed using major databases (Cochrane, PubMed, CINAHL, JBI, ProQuest Central).
- The review focused on randomized control trials (RCTs) investigating NP-led TCM interventions in older adult populations.
Main Results:
- Synthesis of seven studies (three RCTs, one meta-analysis, four non-randomized) indicated that TCM interventions, including post-discharge calls, home visits, and provider information handoffs, reduced readmission rates.
- These positive outcomes were observed even when interventions were not exclusively NP-led.
Conclusions:
- NP-led TCM interventions demonstrate promise for reducing hospital readmissions in older adults.
- The current evidence level is insufficient for generalizability, necessitating additional research to validate these findings.
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