Artikel
A partnership to improve and defragmentize the transition from home to a nursing home: TRANSCIT model
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Autoren
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Lindsay Groenvynck
- Faculty of Health Medicine and Life Sciences, Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Living Lab of Ageing and Long Term Care, Maastricht University, Maastricht, the Netherlands; KU Leuven Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium
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Bram de Boer
- Faculty of Health Medicine and Life Sciences, Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Living Lab of Ageing and Long Term Care, Maastricht University, Maastricht, the Netherlands
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Jan P. H. Hamers
- Faculty of Health Medicine and Life Sciences, Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Living Lab of Ageing and Long Term Care, Maastricht University, Maastricht, the Netherlands
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Theo van Achterberg
- KU Leuven Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium
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Erik van Rossum
- Faculty of Health Medicine and Life Sciences, Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Living Lab of Ageing and Long Term Care, Maastricht University, Maastricht, the Netherlands; Academy of Nursing, Research Centre on Community Care, Zuyd University of Applied Sciences, Heerlen, the Netherlands
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Hilde Verbeek
- Faculty of Health Medicine and Life Sciences, Department of Health Services Research, CAPHRI Care and Public Health Research Institute, Living Lab of Ageing and Long Term Care, Maastricht University, Maastricht, the Netherlands
| Veröffentlicht: | 5. Juli 2021 |
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Gliederung
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Background: The transition from home to a nursing home is a process often experienced as fragmented by older persons and informal caregivers and is associated with negative outcomes for all involved. Interventions aiming at improving this process are poorly informed by theory. A comprehensive theoretical framework is warranted.
Objectives: To develop a model aiming at the optimization and defragmentation of the transition process from home to a nursing home.
Design and methods: A literature review and a panel discussion with experts were conducted. The review was focused on the older persons' and informal caregivers’ perspectives during the transition process. The databases CINAHL and PubMed were searched. Subsequently, older persons’ and informal caregivers’ needs were identified and mapped to the transitional care stages (pre-transition, mid-transition, and post-transition). A preliminary model was discussed with an expert panel, leading to a final proposed framework: the TRANSCIT model.
Results: The TRANSCIT model identified four key components, throughout the three transition phases, paramount to improve transitional care:
- 1.
- Support;
- 2.
- Communication;
- 3.
- Information;
- 4.
- Time.
The components are interrelated and interdependent (e.g. time is needed to provide the necessary information and offer support). Moreover, older persons and informal caregivers expressed an overall need for partnership with healthcare professionals during the transition from home to a nursing home.
Conclusions: The TRANSCIT model provides important information about the optimization of care transitions. Future studies should assess the usefulness of the model to develop and evaluate transitional care interventions.
Conflict of interest:
- Lindsay Groenvynck: I have no conflict of interest to report.
- Bram de Boer: I have no conflict of interest to report.
- Jan P.H. Hamers: I have no conflict of interest to report.
- Theo van Achterberg: I have no conflict of interest to report.
- Erik van Rossum: I have no conflict of interest to report.
- Hilde Verbeek: I have no conflict of interest to report.
Funding: This project has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 812656.
