Transitional care model: managing the experience of hospital at home

Rezapour-Nasrabad, Rafat

doi:10.29333/ejgm/93445

Cited by 14 publications

(21 citation statements)

References 18 publications

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“…Moreover, the nurses' attitude increased with increasing the level of knowledge (30)(31)(32)(33)(34). The result of this study was consistent with that of the present study (35)(36)(37)). The results of the study conducted by Steenaart (2019) also showed that the use of new educational methods can increase the knowledge and attitude of nurses in the area of organ donation, which was consistent with the results of this study (38)(39)(40)(41)(42).…”

Section: Discussionsupporting

confidence: 93%

Evaluation of the Effect of Clinical Scenario-Based Educational Workshop and Reflection on the Knowledge and Attitude of Head Nurses and Clinical Supervisors toward in the Brain Death and Organ Donation

et al. 2020

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Background: Participation in the organ donation process is a part of the expected activities in the nursing profession and nurses play a major role in this regard. Providing correct information by nurses increases the number of organ donors and it requires knowledge and positive attitude towards organ donation. The present study was conducted with the aim of evaluating the effect of clinical scenario-based educational workshop and rethinking on the knowledge and attitude of head nurses and clinical supervisors working in Valiasr Hospital of Fasa in southwestern of Iran in 2019. Materials and Methods: This was a pre-test and post-test type of quasi-experimental study. A total of 50 head nurses and clinical supervisors were randomly divided into intervention and control groups (each group contained 25 subjects). Reflective thinking and clinical scenario-based educational program was implemented for the intervention group in four sessions, 2 hours per session. Then, the mean score of knowledge and attitude in both groups was assessed before, immediately and one month after intervention. Data were analyzed using independent t-test ، Chi-square and ANOVA through SPSS, version 22, software. Results: The attitude (P=0.47) and knowledge (P=0.78) of head nurses and clinical supervisors in two groups did not differ significantly before training. Intervention group had a significant improvement in attitude and knowledge after training compared to the control group. (P<0.05) Conclusion: Clinical scenario-based education and Reflective thinking was effective in enhancing the knowledge and attitude of nurses towards brain death and organ donation. Thus, it is recommended that nursing managers can consider necessary measures and plans in this regard.

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Section: Discussionsupporting

confidence: 93%

Evaluation of the Effect of Clinical Scenario-Based Educational Workshop and Reflection on the Knowledge and Attitude of Head Nurses and Clinical Supervisors toward in the Brain Death and Organ Donation

et al. 2020

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“…Seeking the truth in ambiguous situations is an iterative process, and the educators should create the opportunities for students to repeat and reflect on choices and decisions (94). In order to facilitate practical wisdom, nursing ethics educators should themselves display virtuous character trait inspiring students to follow them as role models (114)(115)(116). The existence of role models is one of the most effective ways to teach values to students (93) .…”

Section: Discussionmentioning

confidence: 99%

Ethical Sensitivity in Nursing Students: Developing a Context–based Education

2020

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Introduction & Background:With growing ethical challenges in health care systems, focusing on ethics education is essential to develop ethical sensitivity in nursing students. This should be based on clarifying experiences of ethical sensitivity in nursing students in care contexts. Methods:To determine a framework for ethical sensitivity education based on explaining experiences of ethical sensitivity in nursing students. A qualitative approach was used as the study design. Data were analyzed using the conventional content analysis method. Ten nursing students and two nursing instructors in different educational hospitals in an urban area of Iran were selected using a purposeful sampling method. In-depth and semistructured interviews were used for data collection. The study protocol was approved by the Research Ethics Committee of medical university located in South of Iran. The ethical principles were carefully followed throughout the study.Results: Nursing student's ethical sensitivity consists of ethical perception, affectivity, critically cognitive processing, and intimate cooperation. Based on categories and subcategories of ethical sensitivity, an educational framework for teaching ethical sensitivity including teaching-learning purpose, content and methods was developed.Conclusion: Based on the results, ethical sensitivity education should be based on a virtue-based approach with the aim of developing practical wisdom. The content and teaching-learning approaches that lead to the development of practical wisdom and evolution of all dimension of ethical sensitivity are suggested.

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“…Transitional care extended beyond hospital discharge has shown to be effective at improving the discharge process, reducing length of hospital stay and improving patient outcome post-discharge (Alper et al, 2020;Coleman, 2003;Mazanec et al, 2018). Transitional care model with managed care approach played an important role in improving and promoting health (Naylor & Keating, 2008), reducing health care utilization and cost and improving patient satisfaction and quality of life (Rezapour-Nasrabad, 2018). Older patients with multiple comorbidities and complex therapeutic regimes, as well as their caregivers, are particularly vulnerable to breakdowns in care and thus has the greatest need for transitional care (Naylor & Keating, 2008).…”

Section: Transitional Carementioning

confidence: 99%

A descriptive study on reasons for prolonged hospital stay in a tertiary hospital in Singapore

2021

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As Singapore's health care landscape faces a rapidly ageing society, growing burden of chronic disease and rising health care cost, there is an impetus need for us to review our hospital's discharge planning process and length of hospital stay. Length of hospital stay is one of the indicators that reflects the total cost of care during hospitalization (Lim et al., 2006) and a pressing concern among health care administrators (Costa et al., 2012). Prolonged hospital stay is defined as patients staying for more than 21 days in an acute hospital (Lateef, 2015).An ageing population can increase the burden on health care system including greater utilization of hospital beds, resources, cost and longer length of hospital stay (Hendy et al., 2012;Maguire et al., 1986;Toh et al., 2017). In addition, prolonged hospital stay in an acute hospital is associated with an increased risk of patients developing hospital-acquired infection and disrupts patient flow and access to care, especially when acute hospitals are experiencing bed

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Transitional care model: managing the experience of hospital at home

Cited by 14 publications

References 18 publications

Evaluation of the Effect of Clinical Scenario-Based Educational Workshop and Reflection on the Knowledge and Attitude of Head Nurses and Clinical Supervisors toward in the Brain Death and Organ Donation

Evaluation of the Effect of Clinical Scenario-Based Educational Workshop and Reflection on the Knowledge and Attitude of Head Nurses and Clinical Supervisors toward in the Brain Death and Organ Donation

Ethical Sensitivity in Nursing Students: Developing a Context–based Education

A descriptive study on reasons for prolonged hospital stay in a tertiary hospital in Singapore

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