A systematic review of outcomes reported in studies to optimise the medication use of patients at hospital discharge by Joke Wuyts, Veerle Foulon, Samuel Sebastian Allemann, Fabienne Boeni

Subjects: “…Transitional care…”
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Challenges Faced by Nurses in Transitioning Pediatric Sickle Cell Disease Patients to Adult Care by Gifty Enyonam Amoaku, Delali Adwoa Wuaku, Vivian Efua Senoo-Dogbey

“…Conclusion Nurses at the regional health facility have inadequate education on transitional care of adolescent patients, in-service training and workshop on transitional care on the management of patients, and formulating a policy on transitional care to guide nurses at the pediatric unit.…”
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Environmental surveillance of SARS-CoV-2 for outbreak detection in hospital: A single centre prospective study by Hania Siddiqui, Alexandra M.A. Hicks, Aaron Hinz, Prachi Ray, Jennie Johnstone, Derek R. MacFadden, Jason A. Moggridge, Michael Fralick

“…This floor consisted of two separate units: the Medical Rehab Unit and the Transitional Care Unit, each accommodating 32 patients. …”
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Caregivers’ Perspectives on Transitioning Dental Care for Adolescents with Special Healthcare Needs–A Cross-Sectional Study by Glenn Canares, Roxanne Clarke, Erica Caffrey, Sydnee Chavis

“…Sixty-six percent of caregivers were aware that dental needs change as child ages and thought that transitioning was a logical next step, 78% had concerns about transitional care, and 70% did not have the desire to transition. …”
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Application progress of continuous nursing based on Wechat platform in patients with acute mastitis (基于微信平台的延续护理在急性乳腺炎患者中的应用进展) by FAN Dongpan (范东盼), CHEN Hong (陈宏)

“…This paper introduces the definition of continuous nursing and the application advantages of Wechat platform in the transitional care of acute mastitis. The application status, effect and existing problems of continuous nursing measures based on Wechat group and Wechat public account in the nursing of patients with acute mastitis were mainly summarized. …”
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Health professionals’ experience of implementing and delivering a ‘Community Care’ programme in metropolitan Melbourne: a qualitative reflexive thematic analysis by Cylie Williams, Kelly-Ann Bowles, Brendan Shannon, Hollie Shannon, Nadine Andrew, Julia Morphet

“…Objectives To explore the experiences of health professionals involved in delivering a multidisciplinary Community Care programme that provides a transitional care coordination service for patients visiting a tertiary hospital service in Melbourne, Australia.Design Reflexive thematic analysis was used to identify themes from descriptions of delivering the programme, including its perceived strengths and challenges.Participants 12 healthcare professionals from four disciplines working in the Community Care programme were interviewed.Results Four themes were identified: (1) ‘increasingly complex’, depicts the experience of delivering care to patients with increasingly complex health needs; (2) ‘plugging unexpected gaps’, describes meeting patient’s healthcare needs; (3) ‘disconnected’, explains system-based issues which made participants feel disconnected from the wider health service; (4) ‘a misunderstood programme’, illustrates that a poor understanding of the programme within the health service is a barrier to patient enrolment which may have been exacerbated by a service name change.Conclusions The healthcare professionals involved in this study described the experience of providing care to patients as challenging, but felt they made a positive difference. …”
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Outpatient treatment of worsening heart failure with intravenous and subcutaneous diuretics: a systematic review of the literature by Eric Wierda, Cathelijne Dickhoff, Martin Louis Handoko, Liane Oosterom, Wouter Emmanuel Kok, Y. deRover, B.A.J.M. deMol, Loek vanHeerebeek, Jutta Maria Schroeder‐Tanka

“…Abstract Aims In the coming decade, heart failure (HF) represents a major global healthcare challenge due to an ageing population and rising prevalence combined with scarcity of medical resources and increasing healthcare costs. A transitional care strategy within the period of clinical worsening of HF before hospitalization may offer a solution to prevent hospitalization. …”
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Models of Integrated Acute Care for Older Adult Inpatients That Incorporate Integrative Health: An Integrative Review by Bonvin E, Perruchoud E, Tacchini-Jacquier N, Perrenoud J, Melly P, Celik S, Jean M, Verloo H

“…Three integrated acute care models were identified: the Acute Care for Elders model, the Integrated General Hospital model, and the Transitional Care model. Three integrated acute psychogeriatric-care models were identified: the Admiral Nursing model, the Lewy body dementia Admiral nursing service model, and the Care for Acute Mentally Infirm Elders model. …”
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Outcomes in heart failure patients discharged to skilled nursing facilities with delirium by Jacob Lafo, Mriganka Singh, Lan Jiang, Stephen Correia, Caroline Madrigal, Rachel Clements, Wen‐Chih Wu, Sebhat Erqou, James L. Rudolph

“…Managing HF after hospitalization is a complex cognitive task and an increased focus on mental status in the acute care setting prior to discharge is needed to improve HF management and transitional care, mitigate adverse outcomes, and reduce healthcare costs.…”
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Factors associated with the revolving door phenomenon in patients with schizophrenia: results from an acute psychiatric hospital in Romania by Vlad Dionisie, Vlad Dionisie, Maria Gabriela Puiu, Maria Gabriela Puiu, Mihnea Costin Manea, Mihnea Costin Manea, Emanuel Moisa, Ana Maria Dumitru, Leila Ibadula, Aliss Madalina Mares, Aliss Madalina Mares, Corina Ioana Varlam, Mirela Manea, Mirela Manea

“…A binary linear logistic regression revealed that male gender (OR=1.92, 95%CI:1.21-3.08), shorter hospitalization (OR=0.982, 95%CI:0.964-1.000), substance use disorder (OR=2.47, 95%CI:1.16-5.26), verbal (OR=1.44, 95%CI:1.05-1.98) and physical (OR=1.331, 95%CI:1.017-1.744) aggression were predictive factors for frequent use of inpatient services.ConclusionsThe results may facilitate development of future reform policies aimed at reducing the revolving door phenomenon, including implementing transitional care interventions between hospital and community services.…”
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Family caregiver frailty in adult congenital heart disease is overlooked: A call to action by Arianna Magon, Serena Francesca Flocco, Laura Schianchi, Massimo Chessa, Daniele Ciofi, Salvatore Angileri, Maddalena De Maria, Gianluca Conte, Silvia Favilli, Cristina Arrigoni, Rosario Caruso

“…This perspective calls for immediate action in research and policy to prioritize caregiver well-being in transition care programs, enhancing the quality of life for both caregivers and patients.…”
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Programmes to support transitions in community care for children with complex care needs: a scoping review by Shelley Doucet, Jennifer Splane, Patricia Charlton, Alison Luke, Janet A Curran, Christine Cassidy, Sydney Breneol, Shelley McKibbon, Holly McCulloch, Jessie-Lee McIsaac, Angela Riveroll

“…The most reported barriers and enablers to implementing these transition care programmes were related to physical opportunities.Limitations Included articles were limited to English and French.Conclusions This review identified important gaps within the literature, as well as areas for future consideration to ensure the effective development and implementation of programmes to support children and youth with complex care needs during transitions in care.…”
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Rehabilitation, reablement, and restorative care approaches in the aged care sector: a scoping review of systematic reviews by Claire Gough, Raechel A. Damarell, Janine Dizon, Paul D.S. Ross, Jennifer Tieman

“…Ten distinct themes highlight the importance of multidisciplinary teams, allied health, risk of falls, hip fracture, reduced functional independence, and specific types of interventions including physical activity, technology, cognitive rehabilitation, goal setting, and transition care. Most reviews described the role of occupational therapists (n = 22), physiotherapists (n = 20) and nurses (n = 14) with wider support from the multidisciplinary team. …”
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