Phase V .Apa seven

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Influence Of Transitional Care in Hospital Readmission Among Elderly Patients

Dania Morejon

Florida National University

June 12, 2021

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LITERATURE REVIEW

According to mounting data, transitional care lineups can assist significant

discourse difficulties confronting health care organizations and our expanding older adult

population in many nations by lowering wasteful health service consumption. According to Weeks

et al. (2018), four case-control studies revealed that out of the 20,997 participants, whose mean age

was 76, transitional care significantly reduced hospital readmission rates at one month. Transitional

care usually has an auspicious influence on preventative care since it can increase the utilization of

primary care amenities (Weeks et al., 2018). Transitional care is an effective way of reducing

readmission or rehospitalization in the most significant merger and reducing home health

consumption. It is considered the best way o dealing with the issue of readmissions among many

adults in society.

Transitional care has some effects on hospital readmission and mortality rate in

patients with Chronic Obstructive Pulmonary Disease. Transitional care usually meaningfully

decreases the jeopardy of chronic obstructive pulmonary disease correlated readmissions (Ridwan

et al., 2019). The benefits of transitional care typically depend on the form of care providers and

the intervention period to the patients. The effects of transitional care on hospital rehospitalization

are always moderated by the period of intervention and the use of different elements for follow-up

as a way of intervening. According to the online research carried out by Ridwan et al. (2019), there

is a significant effect of transitional care on both chronic obstructive pulmonary disease and all

other causes of hospital readmission in patients with such problems.

Transitional care also has impacts on chronically ill old patients. Transitional care

for older patients with chronic disease from the hospital to primary care is complex and often result

in higher mortality and service utilization (Berre et al., 2017). Transitional care solutions are being

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increasingly deployed in response to these problems. They include; self-management programs,

discharge scheduling, prearranged follow-up, and partnership amongst healthcare providers.

Transitional care advances change for older patients and should be included in the reorganization

of healthcare services. Compared to the usual care, transitional care usually improves the patients'

conditions, especially those with chronic diseases. Where transitional care is provided, the rate of

readmission decreases, making it practical to improve the hospital organization to make it a better

running place.

Transitional care treatments, which link the care gap between the hospital and the

home, have been shown to reduce the strain on healthcare organizations by lowering hospital

readmissions (Li et al., 2021). For adults suffering from heart failure, transitional care interventions

effectively decrease mortality and improve their quality of life. Without the provision of

transitional care, patients with heart diseases are seen to be readmitted frequently in hospitals.

Increasing concentration and intricacy of transitional care treatments improve mortality and quality

of life (Li et al., 2021). The issue of hospital readmissions usually affects the quality of life if

proper care is not provided. Transitional care should be administered to patients with heart

problems to deal with the issue of hospital readmissions.

Transitional care programs, which hospital professionals frequently supervise, have

mixed results to prevent readmissions. Family physician-led interventions may be more effective—

family-related transitional care intervention aids in solving the length of stay among patients within

the hospital. The home-based intervention method helps ensure that patients usually have a long

stay at home with decreased hospital readmission compared to the usual care (Arsenault-Lapierre

et al., 2020). Hospital organizations usually concentrate on the use of such care to ensure that

patients do not have to spend much time in hospitals due to the issue of readmissions.

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DESIRED METHODOLOGIES

Some of the beneficial methods that can be applicable in conducting the research include the

following:

Online Survey

This is one of the methods of carrying out research that involves gathering much of the information

from records of the works of prominent scholars. It contributes much in providing enough

knowledge of the same thing that one desires to tackle and the different tactics employed to

develop the solution. By acquiring the information, an individual becomes able to deal with the

most relevant, which contributes much to the research to be a successful one. This method

contributes much to doing research effectively and efficiently since it does not consume much

time. Some of the reasons as to why this method should be put into many considerations include:

It provides readily available information.

It is easy to access the information

The method provides the correct findings

It is easy to analyze the data.

Interviews

In this method, an interviewee and an interviewer are tangled in a research discussion. The

interviewer succeeds in the communication and asks queries while the interviewee responds to the

questions. Interviews are an effective strategy when detailed data concerning people’s concepts,

views, involvements, and emotional state is essential. This can be an operative method in carrying

this research through interviewing the health care providers to provide information on what should

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be done to make transitional care an effective one. It can also be the best method since the

interviewer will gain first-hand knowledge, meaning it will be the correct one. Some of the

advantages of using this method include the following:

They support one in elucidation, understanding, and discovering the perspectives, conduct,

involvements, and phenomena of study contestants.

The popular interview questions are open-ended, consenting for the gathering of detailed

information.

It allows interviewers to be more flexible.

Questionnaire

This research tool entails collecting queries or other methods of prods intended to collect

information from a respondent. A research questionnaire generally comprises an amalgamation of

closed-ended and open-ended questions. In this case, it would also be applicable to gather the

information from either the patients or the healthcare providers. In most cases, the questionnaires

should not consist of the slots of filling the names of the participants since it will lead to the

provision of false information. For effective research, questionnaires should be clear and concise,

addressing the issue of concern. Some of the advantages of using this method include:

It is appropriate in a particular form of response.

It is an inexpensive method of collecting information

When related to other approaches such as scheduling, interview, or observation, the questionnaire

approach is more beneficial and cost-effective because it regularly collects redundant data.

Document Analysis

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Document analysis is a form of qualitative explore in which the researcher construes documents to

give them a voice and connotation about a specific evaluation issue. In this case, this may be

applicable by going through the health records of different patients within a hospital and

understanding the kind of treatment they receive to conclude what needs to be done to ensure

effective transitional care. The information gathered contributes much to ensure that the well-being

of the patients is improved. There are several reasons as to why this method should be put into

consideration, including:

Document analysis is a valuable and advantageous strategy for most studies since documents can

supply supplemental research information.

Documents may contain contextual data and a wide variety of facts, making them helpful in

engaging one's study in the background of its focus or field.

SAMPLING METHODOLOGY

Various sampling methodologies can be used to make the research a success some includes:

Random Sampling

When carrying out the research using the questionnaire method, the sampling methodology can be

random. This means that no specific individual will be entitled to the population, but one can pick

any participant. This contributes much in saving much time rather than focusing on particular

people allowing it to take the shortest time. Each sample has the same chance of being chosen as a

representative of the total populace as other samples.

Systematic Sampling

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When it comes to the use of the interview method, this can be applicable. As we all understand, an

interview has to be systematic and planned and cannot happen without proper preparation. The

participant can be selected so that those who have experience in the health care system will be the

ones to represent the rest in the participation. It is usually the easiest in executing and

understanding the information.

Cluster Sampling

Cluster sampling is a prospect selection approach that splits the populace into different collections

(clusters) for exploring drives. Researchers use a basic haphazard or systematic random sampling

methodology to pick arbitrary sets for information gathering and scrutiny. It would contribute

much to the research since it requires fewer resources and it is still more feasible. Cluster sampling

requires fewer funds for the sampling procedure since it takes just specific clusters from the overall

populace. The realism of sampling is amplified by separating the entire public into similar sets.

References

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Arsenault-Lapierre, G., Kremer, B., Sourial, N., Gagnon, J., Ladores, M., & Vedel, I. (2020).

Impact of a family medicine-based transitional care intervention on readmission

and length of stay: a pilot study. McGill Journal of Medicine, 18(1).

Le Berre, M., Maimon, G., Sourial, N., Guériton, M., & Vedel, I. (2017). Impact of transitional

care services for chronically ill older patients: a systematic evidence

review. Journal of the American Geriatrics Society, 65(7), 1597-1608.

Li, Y., Fu, M. R., Fang, J., Zheng, H., & Luo, B. (2021). The effectiveness of transitional care

interventions for adult people with heart failure on patient-centered health

outcomes: A systematic review and meta-analysis including dose-response

relationship. International Journal of Nursing Studies, 103902.

Ridwan, E. S., Hadi, H., Wu, Y. L., & Tsai, P. S. (2019). Effects of transitional care on hospital

readmission and mortality rate in subjects with COPD: a systematic review and

meta-analysis. Respiratory care, 64(9), 1146-1156.

Weeks, L. E., Macdonald, M., Martin-Misener, R., Helwig, M., Bishop, A., Iduye, D. F., &

Moody, E. (2018). The impact of transitional care programs on health services

utilization in community-dwelling older adults: a systematic review. JBI Evidence

Synthesis, 16(2), 345-384.

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