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Implementation and Evaluation of a Training Curriculum for Experienced Nurses in Care Coordination: The VA Rural
Lynette Kelley1, Kirsten Broadfoot, Marina McCreight
1Denver/Seattle Center of Innovation for Veteran-Centered and Value-Driven Care (Mss Kelley, McCreight, Wills, and Connelly and Drs Leonard and Gilmartin) and Geriatric Research Education and Clinical Center (Ms Kelley), VA Eastern Colorado Health Care System, Aurora; Center for Advancing Professional Excellence (Dr Broadfoot), Division of Health Care Policy and Research (Dr Leonard), and Health Systems, Management and Policy, Colorado School of Public Health (Dr Gilmartin), University of Colorado School of Medicine, University of Colorado Anschutz Medical Campus, Aurora; Center for Health Equity Research and Promotion (CHERP), Corporal Crescenz VA Medical Center, Philadelphia, Pennsylvania (Dr Burke); Division of General Internal Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia (Dr Burke); and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Dr Burke).
Background:
High-quality transitional care at discharge is essential for improved patient outcomes. Registered nurses (RNs) play integral roles in transitions; however, few receive structured training.
Purpose:
We sought to create, implement, and evaluate an evidence-informed nursing transitional care coordination curriculum, the Transitions Nurse Training Program (TNTP).
Methods:
We conceptualized the curriculum using adult learning theory and evaluated with the New World Kirkpatrick Model. Self-reported engagement, satisfaction, acquired knowledge, and confidence were assessed using surveys. Clinical and communication skills were evaluated by standardized patient assessment and behavior sustainment via observation 6 to 9 months posttraining.
Results:
RNs reported high degrees of engagement, satisfaction, knowledge, and confidence and achieved a mean score of 92% on clinical and communication skills. Posttraining observation revealed skill sustainment (mean score 98%).
Conclusions:
Results suggest TNTP is effective for creating engagement, satisfaction, acquired and sustained knowledge, and confidence for RNs trained in transitional care.
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