Coffey Alice, Mulcahy Helen, Savage Eileen, Fitzgerald Serena, Bradley Colin, Benefield Lazelle, Leahy-Warren Patricia
School of Nursing and Midwifery, University College Cork, Cork, Ireland.
Department of General Practice, University College Cork, Cork, Ireland.
Public Health Nurs. 2017 Sep;34(5):454-460. doi: 10.1111/phn.12324. Epub 2017 Apr 3.
The coordination and integration of health care is compromised by complex challenges related to transitions between care settings, greater prevalence of chronic health conditions, and older individuals with increasing levels of dependency. Transitional care incorporates a broad range of services designed to provide care continuity. This systematic review aims to synthesize and present findings regarding the relevance of transitional care interventions to community nursing.
A systematic search of electronic databases was conducted as part of a larger review to identify evidence-based interventions to support a model to guide nursing and midwifery in the community in Ireland. All relevant empirical studies published in English between 2010 and 2015 were included.
Studies were assessed based on inclusion criteria. The Cochrane Risk of Bias and AMSTAR tools were used to assess the methodological quality of studies. Key themes and concepts were extracted and synthesized.
Transitional care interventions had significant positive effects in reducing all-cause readmissions, mortality, and heart failure-related rehospitalizations.
Effective transitional care requires excellent communication between acute and primary care providers. This has implications for integration and organization of care across settings and nursing competence.
医疗保健的协调与整合受到与护理环境转变、慢性健康状况患病率上升以及依赖性增强的老年人相关的复杂挑战的影响。过渡性护理包含旨在提供护理连续性的广泛服务。本系统评价旨在综合并呈现关于过渡性护理干预措施与社区护理相关性的研究结果。
作为一项更大规模综述的一部分，对电子数据库进行了系统检索，以识别基于证据的干预措施，以支持指导爱尔兰社区护理与助产的模型。纳入了2010年至2015年间以英文发表的所有相关实证研究。
根据纳入标准对研究进行评估。使用Cochrane偏倚风险工具和AMSTAR工具评估研究的方法学质量。提取并综合关键主题和概念。
过渡性护理干预措施在降低全因再入院率、死亡率和心力衰竭相关再住院率方面具有显著的积极效果。
有效的过渡性护理需要急症护理和初级护理提供者之间进行良好的沟通。这对跨环境护理的整合与组织以及护理能力具有启示意义。
