Geary Carol R, Schumacher Karen L
University of Nebraska Medical Center, Omaha, Nebraska, USA.
ANS Adv Nurs Sci. 2012 Jul-Sep;35(3):236-48. doi: 10.1097/ANS.0b013e31826260a5.
Care transitions, defined as hospital discharge or movement from one health care setting to another, are currently a major concern of health care providers and policy makers. Extensive empirical research has been conducted on care transitions, but the theoretical foundations are rarely made explicit. We propose that integrating concepts on complex adaptive systems from complexity science with classic theory on transitions in nursing provides a powerful new lens through which to study care transitions and improve transition outcomes. We summarize concepts from both theoretical approaches, propose an expanded model of transitions, and apply the model to the transition from hospital to home.
照护过渡被定义为出院或从一个医疗保健环境转移到另一个医疗保健环境，目前是医疗保健提供者和政策制定者主要关注的问题。关于照护过渡已经进行了广泛的实证研究，但理论基础很少得到明确阐述。我们建议将复杂性科学中关于复杂适应系统的概念与护理过渡的经典理论相结合，提供一个强有力的新视角，通过它来研究照护过渡并改善过渡结果。我们总结了这两种理论方法的概念，提出了一个扩展的过渡模型，并将该模型应用于从医院到家庭的过渡。
