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J Nurs Adm ; 51(7-8): 355-358, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34405973


Organizations across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs, and, ultimately, produce better population health. Leaders from the American Organization for Nursing Leadership engaged key stakeholders to discuss the role nursing can play and the toolkit that will be introduced this year to guide nurse leaders in striving for value.

Benchmarking/organização & administração , Liderança , Enfermeiras Administradoras/organização & administração , Competência Profissional , Sociedades de Enfermagem/organização & administração , Humanos , Guias de Prática Clínica como Assunto , Estados Unidos
J Nurs Adm ; 50(9): 456-461, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826514


OBJECTIVE: The aim of this study was to understand the experiences of nurses making the role transition from clinical nurse specialists (CNSs) (hospital based) into transitional care nurse (TCN) roles (community based). BACKGROUND: The shift from fee-for-service to value-based care has led to the development of transitional care programs. However, little is known about the perceptions of nurses transitioning from a hospital- to a community-based position. Their perceptions can inform training and future recommendations for the TCN role. METHODS: Five of 6 eligible TCNs from a community rural hospital in Vermont who transitioned from a CNS role to a TCN role participated in individual, face-to-face interviews using a semistructured interview guide. Data were audio recorded, transcribed verbatim, and analyzed using the constant comparative method. RESULTS: Seven major themes were identified: enhanced patient-centered care, collaboration among the other TCNs, transitioning from expert to novice, recommendations for navigating and negotiating systems, discomfort with the role transition, a level of altruism and autonomy, and recommendations for improving the TCN role. Minor themes supported the major themes. CONCLUSIONS: Our findings provide implications to improve the transitions of CNSs into a TCN role. Transitional care nurse programs are essential in transitioning individuals from hospital to home. To achieve maximum benefit from TCN programs and ensure their sustainability, nursing leaders must address gaps in both community resources and TCN training.

Enfermagem em Saúde Comunitária , Enfermeiras Clínicas , Papel do Profissional de Enfermagem/psicologia , População Rural , Cuidado Transicional/tendências , Adulto , Feminino , Humanos , Entrevistas como Assunto , Enfermeiras Clínicas/psicologia , Enfermeiras Clínicas/estatística & dados numéricos , Assistência Centrada no Paciente , Pesquisa Qualitativa , Vermont
Home Healthc Now ; 33(4): 215-21, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25828613


The shift in focus from individual episodes of illness to a focus on health and wellness, and population health, has created a need for care coordination to address the complex needs of high-risk patients as they transition through the healthcare continuum. A Vermont medical center identified the Clinical Nurse Specialist as having the requisite skills to fill the role of care coordinator. This article describes the development of the Transitional Care Nurse (TCN) program and includes case studies that exemplify how the TCN can intervene to improve care coordination.

Redes Comunitárias/organização & administração , Enfermeiras Clínicas/educação , Papel do Profissional de Enfermagem , Avaliação de Resultados em Cuidados de Saúde , Cuidado Transicional/organização & administração , Educação Continuada em Enfermagem , Feminino , Humanos , Masculino , Serviços de Saúde Rural/organização & administração , População Rural , Vermont