Nurses' Role in Managing "The Fit" of Older Adults in Skilled Nursing Facilities.
J Gerontol Nurs
; 43(12): 11-20, 2017 Dec 01.
Article
em En
| MEDLINE
| ID: mdl-29177522
ABSTRACT
Post-acute care for older adults often involves transfer to a skilled nursing facility (SNF) following hospital discharge. This transition is often poorly coordinated and leaves older adults at risk for poor health outcomes, but new payment models offer opportunities to align improved care practices with payments. There is a dearth of evidence regarding the role of nursing and its potential to improve hospital to SNF care transitions. Ninety-nine semi-structured interviews were conducted with clinicians, patients, and caregivers from three hospitals and three SNFs. Results indicate a sharp contrast in the roles of hospital nurses-who are often silent partners in post-acute care decision making-and SNF nurses, who take a primary role as managing "the fit" for patients transitioning to a SNF. Nurses are uniquely positioned to make needed changes to culture to adapt to new payment models and improve patient outcomes. [Journal of Gerontological Nursing, 43(12), 11-20.].
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Instituições de Cuidados Especializados de Enfermagem
/
Papel do Profissional de Enfermagem
/
Enfermagem Geriátrica
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Aged
/
Humans
Idioma:
En
Revista:
J Gerontol Nurs
Ano de publicação:
2017
Tipo de documento:
Article