Interprofessional Teams Supporting Care Transitions from Hospital to Community: A Scoping Review
References
- Shepperd S, Lannin NA, Clemson LM, McCluskey A, Cameron ID, Barras S. Discharge planning from hospital to home. Cochrane Database Syst Rev. 2013; 1. DOI: 10.1002/14651858.CD000313.pub4
- Allen J, Hutchinson AM, Brown R, Livingston PM. User experience and care integration in transitional care for older people from hospital to home: a meta-synthesis. Qual Health Res. 2017; 27(1): 24–36. DOI: 10.1177/1049732316658267
- Kansagara, D, Chiovaro, JC, Kagen, D, Jencks, S, Rhyne, K, O’Neil, M, et al. So many options, where do we start? An overview of the care transitions literature. J Hosp Med. 2016; 11(3): 221–30. DOI: 10.1002/jhm.2502
- Laugaland K, Aase K, Barach P. Interventions to improve patient safety in transitional care—a review of the evidence. Work. 2012; 41(Suppl 1): 2915–24. DOI: 10.3233/WOR-2012-0544-2915
- Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Aging with multimorbidity: A systematic review of the literature. Ageing Res Rev. 2011; 10(4): 430–9. DOI: 10.1016/j.arr.2011.03.003
- Rennke S, Nguyen OK, Shoeb MH, Magan Y, Wachter RM, Ranji SR. Hospital-initiated transitional care interventions as a patient safety strategy: A systematic review. Annals of Internal Medicine. 2013; 158: 433–40. DOI: 10.7326/0003-4819-158-5-201303051-00011
- Ohuabunwa U, Jordan Q, Shah S, Fost M, Flacker J. Implementation of a care transitions model for low-income older adults: A high-risk, vulnerable population. J Am Geriatr Soc. 2013; 61(6): 987–92. DOI: 10.1111/jgs.12276
- Leppin AL, Gionfriddo MR, Kessler M, Brito JP, Mair FS, Gallacher K, et al. Preventing 30-day hospital readmissions: A systematic review and meta-analysis of randomized trials. JAMA Intern Med. 2014; 174(7): 1095–107. DOI: 10.1001/jamainternmed.2014.1608
- Goncalves-Bradley DC, Lannin NA, Clemson L, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database Syst Rev. 2022; 2(2):
CD000313 . DOI: 10.1002/14651858.CD000313.pub6 - Preen DB, Bailey BES, Wright A, Kendall P, Phillips M, Hung J, et al. Effects of a multidisciplinary, post-discharge continuance of care intervention on quality of life, discharge satisfaction, and hospital length of stay: A randomized controlled trial. International journal for quality in health care: Journal of the International Society for Quality in Health Care. 2005; 17(1): 43–51. DOI: 10.1093/intqhc/mzi002
- StraBner C, Hoffmann M, Forstner J, Roth C, Szecsenyi J, Wensing M. Interventions to improve hospital admission and discharge management: An umbrella review of systematic reviews. Qual Manag Health Care. 2020; 29(2): 67–75. DOI: 10.1097/QMH.0000000000000244
- Feltner C, Jones CD, Cené CW, Zheng Z-J, Sueta CA, Coker-Schwimmer EJL, Arvanitis M, Lohr KN, Middleton JC, Jonas DE. Transitional care interventions to prevent readmissions for persons with heart failure: A systematic review and meta-analysis. Annals of internal medicine. 2014; (160): 774–84. DOI: 10.7326/M14-0083
- Coffey A, Leahy-Warren P, Savage E, Hegarty J, Cornally N, Day MR, et al. Interventions to promote early discharge and avoid inappropriate hospital (re)admission: A systematic review. Int J Environ Res Public Health. 2019; 16(14). DOI: 10.3390/ijerph16142457
- Hansson A, Svensson A, Ahlstrom BH, Larsson LG, Forsman B, Alsen P. Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients. Scand. J. 2018; 46(7): 680–9. DOI: 10.1177/1403494817716001
- Rattray NA, Sico JJ, Cox LM, Russ AL, Matthias MS, Frankel RM. Crossing the communication chasm: Challenges and opportunities in transitions of care from the hospital to the primary care clinic. Jt Comm J Qual Patient Saf. 2017; 43(3): 127–37. DOI: 10.1016/j.jcjq.2016.11.007
- Storm M. The role of professionals’ competencies in care transitions. Researching Quality in Care Transitions. 2017; 143–57. DOI: 10.1007/978-3-319-62346-7_8
- Aase K, Schibevaag L, Waring J.
Crossing boundaries: Quality in care transitions . In: Aase K, Waring J, Schibevaag L, (eds.), Researching Quality in Care Transitions: International Perspectives. Cham, Switzerland: Springer, Nature; 2017. pp. 3–29. DOI: 10.1007/978-3-319-62346-7_1 - Ganann R, McAiney C, Johnson W. Engaging older adults as partners in transitional care research. CMAJ. 2018; 190(Suppl): S40–S1. DOI: 10.1503/cmaj.180396
- Allen J, Hutchinson AM, Brown R, Livingston PM. Quality care outcomes following transitional care interventions for older people from hospital to home: a systematic review. BMC health services research. 2014; 14(1): 1–18. DOI: 10.1186/1472-6963-14-346
- Braet A, Weltens C, Sermeus W, Vleugels A. Risk factors for unplanned hospital re-admissions: A secondary data analysis of hospital discharge summaries. Journal of Evaluation in Clinical Practice. 2015; 21(4): 560–6. DOI: 10.1111/jep.12320
- Hansen LO, Young RS, Hinami K, Leung A, Williams MV. Interventions to reduce 30-day rehospitalization: a systematic review. Annals of Internal Medicine. 2011; 155(8): 520–8. DOI: 10.7326/0003-4819-155-8-201110180-00008
- Hesselink G, Schoonhoven L, Barach P, Spijker A, Gademan P, Kalkman C, Liefers J, Vernooij-Dassen M, Wollersheim H. Improving patient handovers from hospital to primary care: a systematic review. Annals of Internal Medicine. 2012; 157(6): 417–28. DOI: 10.7326/0003-4819-157-6-201209180-00006
- Kamermayer AK, Leasure AR, Anderson L. The Effectiveness of Transitions-of-Care Interventions in Reducing Hospital Readmissions and Mortality: A Systematic Review. Dimens Crit Care Nurs. 2017; 36(6): 311–6. DOI: 10.1097/DCC.0000000000000266
- Goncalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database Syst Rev. 2016(1):
CD000313 . DOI: 10.1002/14651858.CD000313.pub5 - Gonçalves-Bradley DC, Lannin NA, Clemson L, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database Syst Rev. 2022 Feb 24. 2(2):
CD000313 . PMID: 35199849; PMCID: PMC8867723. DOI: 10.1002/14651858.CD000313.pub6 - Brown CL, Tittlemier B, Tiwari KK, Loewen H. Teams supporting care transitions: A scoping review protocol. Center for Open Science; 2020.
- Arksey H, O’Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005; 8(1): 19–32. DOI: 10.1080/1364557032000119616
- Levac D, Colquhoun H, O’Brien KK. Scoping studies: Advancing the methodology. Implement Sci. 2010; 5:
69 . DOI: 10.1186/1748-5908-5-69 - Peters MD, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, McInerney P, Godfrey CM, Khalil H. Updated methodological guidance for the conduct of scoping reviews. JBI evidence implementation. 2021; 10(1): 3–10. DOI: 10.1097/XEB.0000000000000277
- Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid, A. Rayyan — a web and mobile app for systematic reviews. Systematic Reviews. 2016; 5. DOI: 10.1186/s13643-016-0384-4
Covidence systematic review software . Melbourne, Australia: Veritas Health Innovation; 2022.- Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Rodgers M, Britten N, Roen K, Duffy S. Guidance on the conduct of narrative synthesis in systematic reviews. A product from the ESRC methods programme; 2006.
- Bull MJ, Roberts J. Components of a proper hospital discharge for elders. Journal of advanced nursing. 2001; 35(4): 571–81. DOI: 10.1046/j.1365-2648.2001.01873.x
- Duner A. Care planning and decision-making in teams in Swedish elderly care: a study of interprofessional collaboration and professional boundaries. Journal of interprofessional care. 2013; 27(3): 246–53. DOI: 10.3109/13561820.2012.757730
- Baillie L, Gallini A, Corser R, Elworthy G, Scotcher A, Barrand A. Care transitions for frail, older people from acute hospital wards within an integrated healthcare system in England: a qualitative case study. International journal of integrated care. 2014; 14:
e009 . DOI: 10.5334/ijic.1175 - Sims-Gould J, Byrne K, Hicks E, Khan K, Stolee P. Examining “success” in post-hip fracture care transitions: a strengths-based approach. J Interprof Care. 2012; 26(3): 205–11. DOI: 10.3109/13561820.2011.645090
- Schottenfeld L, Petersen D, Peikes D, Ricciardi R, Burak H, McNellis R, et al. Creating Patient-Centered Team-Based Primary Care. Mathematica Policy Research.
- Centeno MM, Kahveci KL. Transitional Care Models. Critical Care Nursing Clinics of North America. 2014; 26(4): 589–97. DOI: 10.1016/j.ccell.2014.08.009
- Lukey A, Johnston S, Montesanti S, Donnelly C, Wankah P, Breton M, Gaboury I, Parniak S, Pritchard C, Berg S, Maiwald K, Mallinson S, Green LA, Oelke ND. Facilitating integration through team-based primary healthcare: A cross-case policy analysis of four Canadian provinces. International Journal of Integrated Care. 2021; 21(4):
12 . DOI: 10.5334/ijic.5680 - Busari JO, Moll FM, Duits AJ. Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource limited health care environment. Journal of Multidisciplinary Healthcare. 2017; 10: 227–34. DOI: 10.2147/JMDH.S140042
- Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021; 64(8): 1072–90. DOI: 10.1080/00140139.2021.1906454
- Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013; 3(1). DOI: 10.1136/bmjopen-2012-001570
- Valentine MA, Nembhard IM, Edmondson AC. Measuring teamwork in health care settings: A review of survey instruments. Medical Care. 2015; 53(4). DOI: 10.1097/MLR.0b013e31827feef6
- Canadian Interprofessional Health Collaborative. A National Interprofessional Competency Framework. Vancouver, BC; 2010.
- Wener P, Leclair L, Fricke M, Brown, C. Interprofessional Collaborative Relationship-Building Model in action in primary care: A secondary analysis. Frontiers in Rehabilitation Sciences. 2022; 3. DOI: 10.3389/fresc.2022.890001
- Staniszewska S, Brett J, Simera I, Seers K, Mockford C, Goodlad S, et al. GRIPP2 reporting checklists: Tools to improve reporting of patient and public involvement in research. BMJ. 2017; 358:
j3453 . DOI: 10.1136/bmj.j3453 - Government of Ontario. Your Health: A Plan for Convenient and Connected Care. Ontario: Minitry of Health; 2023.
- Maresova, P, Javanmardi E, Barakovic S, Barakovic Husic J, Tomsone S, Krejcar, O, Kuca, K. Consequences of chronic diseases and other limitations associated with old age: A scoping review. BMC Public Health. 2019; 19(1). DOI: 10.1186/s12889-019-7762-5
DOI: https://doi.org/10.5334/ijic.7623 | Journal eISSN: 1568-4156
Language: English
Submitted on: Mar 30, 2023
Accepted on: Mar 11, 2024
Published on: Apr 2, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2024 Cara Liane Brown, Brenda J. Tittlemier, Komal Krishna Tiwari, Hal Loewen, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.