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A Concept Analysis of Transitions of Care for Population Health.
Research and Theory for Nursing Practice ( IF 0.6 ) Pub Date : 2019-08-01 , DOI: 10.1891/1541-6577.33.3.257
Laura Caramanica 1 , Toby Bressler 2 , Cecily L Betz 3 , Margarete L Zalon 4 , Deborah Shelton 5 , Linda L Chlan 6 , Sarah Miner 7 , Cynthia Arslanian-Engoren 8
Affiliation  

Background Compelling evidence indicates that gaps in quality, safety, and experiences occur when patients encounter transitions across the care continuum. Differences in the organization of healthcare services as well as disparities in health across the globe, may have a unique impact on processes associated with transitions of care for client populations. Purpose Increased attention to the concept of transitions of care has resulted in disparate meanings and lack of clarity about its nature. Therefore, the purpose of this manuscript is to address this knowledge gap by analyzing the concept of transitions of care at the population level. Methodology To address the knowledge gap of what constitutes transitions of care at the population level, a concept analysis was done guided by the methodology of Walker and Avant. A comprehensive search of the literature yielded a small but relevant number of publications. Results This analysis identified four defining attributes, together with antecedents and consequences of transitions of care at the macro-system level of healthcare. A synthesized definition of transitions of care was developed. Implications for Practice This analysis provides conceptual clarity for the concept of transitions of care at the macro-system level of care. It can be used to guide the development of a middle-range theory to inform clinical practice and health policy.

中文翻译:

人口健康照护过渡的概念分析。

背景令人信服的证据表明,当患者在整个护理过程中遇到过渡时,就会在质量,安全性和经验上出现差距。全球范围内医疗服务组织的差异以及健康方面的差异,可能会对与服务对象人群的医疗过渡相关的流程产生独特的影响。目的越来越多地关注照护过渡的概念,导致含义互不相同,并且对其性质缺乏明确性。因此,本手稿的目的是通过分析人口层次上照护转变的概念来解决这一知识鸿沟。方法论为了解决人口层次上构成医疗服务过渡的知识差距,在Walker和Avant的方法论指导下进行了概念分析。对文献的全面搜索产生了少量但相关的出版物。结果该分析确定了四个定义属性,以及在医疗保健的宏观系统级别上过渡护理的前因和后果。发展了护理过渡的综合定义。对实践的意义该分析为宏观系统护理水平上的护理过渡概念提供了概念上的清晰性。它可以用来指导中程理论的发展,为临床实践和健康政策提供参考。发展了护理过渡的综合定义。对实践的意义该分析为宏观系统护理水平上的护理过渡概念提供了概念上的清晰性。它可以用来指导中程理论的发展,为临床实践和健康政策提供参考。发展了护理过渡的综合定义。对实践的意义该分析为宏观系统护理水平上的护理过渡概念提供了概念上的清晰性。它可以用来指导中程理论的发展,为临床实践和健康政策提供参考。
更新日期:2019-08-01
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