Abstract:
BACKGROUND:Kidney transplantation is the major treatment for end-stage renal disease (ESRD). However, kidney transplant recipients (KTRs) face severe challenges during the transition period from hospital discharge to home, increasing the risk of early hospital readmission (EHR) and affecting patient safety. Nevertheless, knowledge of effective transitional care for KTRs is limited in China. OBJECTIVE:To evaluate the effectiveness of an innovative transitional care program in improving discharge readiness, transitional care quality, health services utilization and patient satisfaction among KTRs in China. DESIGN:A prospective randomized controlled trial. SETTINGS AND PARTICIPANTS:Patients admitted to undergo kidney transplantation were recruited in a general tertiary hospital in Chengdu, China. METHODS:A total of 220 eligible patients were recruited and randomly assigned to the intervention and control groups. Participants in the intervention group received a transitional care intervention developed by the research team, including a risk assessment for early readmission, health education from admission to predischarge, individualized discharge planning, and a telephone follow-up once per week for one month and WeChat follow-up postdischarge. The control group received routine care of comparable length and follow-up contact. A trained research assistant collected all patients' baseline data on admission (T0), evaluated the discharge readiness (by the Readiness for Hospital Discharge Scale) on the day of discharge (T1), collected data on transitional care quality (by the Care Transition Measure-15) and patients' satisfaction with transitional care services (by a self-developed patient satisfaction scale) on the 30th day postdischarge (T2), and collected data on hospital readmission, unscheduled outpatient department visits, and emergency room visits on the 30th and 90th days (by a self-developed health services utilization record table) (T3) postdischarge. Intervention effects were analyzed using independent samples t-tests, Wilcoxon-Mann-Whitney U tests, Chi-square tests or Fisher's exact test. RESULTS:Compared with the control group, the intervention group showed significantly better discharge readiness (personal status, P<0.001; knowledge, P = 0.010; coping ability, P<0.001; expected support, P = 0.007; total score, P<0.001), better transitional care quality (importance of preferences, P<0.001; management preparation, P<0.001; critical understanding, P = 0.003; written and understandable care plan, P = 0.012; total score, P<0.001), lower readmission rate at T2 (P = 0.033) and at T3 (P = 0.013), lower emergency room visit rate at T3 (P = 0.014), and better satisfaction with transitional care services (P<0.001). CONCLUSIONS:This study provides evidence that an innovative transitional care program is effective in promoting KTRs' discharge readiness, transitional care quality, reducing hospital readmission and emergency room visits, and improving their satisfaction with transitional care services. TRIAL REGISTRATION:Clinical Trials ChiCTR1800014971.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Hu R,Gu B,Tan Q,Xiao K,Li X,Cao X,Song T,Jiang Xdoi
10.1016/j.ijnurstu.2020.103700subject
Has Abstractpub_date
2020-10-01 00:00:00pages
103700eissn
0020-7489issn
1873-491Xpii
S0020-7489(20)30184-Xjournal_volume
110pub_type
杂志文章abstract:BACKGROUND:Local forearm warming before tourniquet application is often used to promote venodilation for peripheral intravenous cannulation; however, few studies have compared the effect of tourniquet application with and without local warming on vein size. OBJECTIVE:To evaluate the effectiveness of tourniquet applica...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2017.03.009
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVES:There is some evidence that mental health nurses have poor attitudes towards people with a diagnosis of borderline personality disorder and that this might impact negatively on the development of helpful therapeutic relationships. We aimed to collate the current evidence about interventions that have been de...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.10.019
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Social capital can be an important resource to facilitate the needed improvements in quality of care and efficiency in hospitals. OBJECTIVES:To assess the importance of social capital (recognition, vertical trust, horizontal trust and reciprocity) for job satisfaction, work engagement and engagement in clin...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.07.012
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Child-to-parent violence is an often hidden serious problem for parental caregivers of mentally ill adult children who experience violence toward them. To date, the comprehensive dyadic parent-adult child intervention to manage child-to-parent violence is scarce. OBJECTIVE:To evaluate the effect of Child- a...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2016.03.002
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Oral care of intubated patients is essential to the prevention of infection and patient discomfort. However, barriers to oral access and delivery of oral care have received little attention. OBJECTIVE:To determine prevalence and predictors of oral access difficulty. DESIGN:A prospective, observational, mul...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2017.12.009
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Parents who are connected into strong family and community networks are said to have high social capital enabling them to provide a positive context where their children's social, emotional and educational needs are met. OBJECTIVES:To identify parent satisfaction with, strengths and weaknesses of, opportuni...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.09.008
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Post-traumatic stress disorder is one of the most prevalent mental health sequelae of intimate partner violence, and as a result, it has been extensively documented in Western literature. However, whether abused women from non-Western cultures experience similar post-traumatic responses to intimate partner v...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.01.003
更新日期:2010-07-01 00:00:00
abstract::This paper reports on the findings of a pilot study that collated and categorised a range of Welsh-medium chronic pain descriptors and their conceptually equivalent English translations in order to provide a preliminary basis for chronic pain assessment amongst patients in the bilingual community of North West Wales. ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(03)00055-5
更新日期:2003-11-01 00:00:00
abstract::A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 di...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(01)00046-3
更新日期:2002-05-01 00:00:00
abstract::Following their introduction in the United States in the 1970s various forms of compulsory treatment in the community have been introduced internationally. Compulsory treatment in the community involves a statutory framework that mandates enforceable treatment in a community setting. Such frameworks can be categorized...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2009.02.006
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Peripherally inserted central catheters (PICCs) are a common vascular access device used in clinical practice. Their use may be complicated by adverse events such as venous thromboembolism (VTE). The size of the vein used for PICC insertion and thus the catheter to vein ratio is thought to be a controllable ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.12.002
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:The past decade has seen a growing recognition in Ireland and internationally that children and young people have a right to participate in matters that affect their lives. OBJECTIVES:To critique the research literature on children's, parents and healthcare professionals' experiences of children's participa...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2008.05.002
更新日期:2008-11-01 00:00:00
abstract::The purpose of this study was to evaluate primary and team nursing on two 45-bed geriatric units. A 2 year longitudinal study with a quasi-experimental ABA cross-over design and a staff survey, permitted comparisons of the two nursing systems on indices of patient well-being, nursing practice, staff morale and costs. ...
journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章
doi:10.1016/0020-7489(89)90042-4
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Oral health of nursing home residents is generally poor, with severe consequences for residents' general health and quality of life and for the health care system. Care aides in nursing homes provide up to 80% of direct care (including oral care) to residents, but providing oral care is often challenging. In...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2017.05.003
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Antiretroviral treatment for HIV is gradually being made available across sub-Saharan Africa. With antiretroviral treatment, HIV can be approached as a chronic, manageable condition rather than a shorter-term issue of palliative care. This treatment involves repeated interaction between health staff and pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.07.019
更新日期:2011-02-01 00:00:00
abstract::The latent structure of feeding difficulty in elderly patients with dementia was investigated using multivariate statistical techniques including exploratory and confirmatory factor analysis. A survey design of 345 elderly patients with the diagnosis of dementia using a questionnaire completed by key workers and prima...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(97)00033-3
更新日期:1997-12-01 00:00:00
abstract:AIM:To explore the relationship between sources of stress and psychological burn-out and to consider the moderating and mediating role played sources of stress and different coping resources on burn-out. BACKGROUND:Most research exploring sources of stress and coping in nursing students construes stress as psychologic...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.02.015
更新日期:2010-10-01 00:00:00
abstract::As opposed to studies on the immediate psychological impact of traumatic nursing experiences, little attention has been directed to the persistence of certain long-standing hidden symptoms of trauma in some nurses. Since psychological reactions to trauma are claimed to be similar, irrespective of the source of trauma,...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(85)90033-1
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Dysphagia in patients with stroke can cause serious complications, such as aspiration and pneumonia, that often lead to increase in mortality and length of hospitalization. Several screening tests for dysphagia have been developed and are used in clinical practice to prevent dysphagia complications. The Gugg...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103588
更新日期:2020-07-01 00:00:00
abstract::The Tel Aviv University post-basic nursing program, established in 1968, was the first step of nursing academization in Israel. Since then, one-third of the nursing schools in Israel have been academized. The objectives of the present study were to document changes in the worklife of the graduates since completion of ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(93)90094-b
更新日期:1993-02-01 00:00:00
abstract:AIM:This paper reports a study that examined the extent to which nurse researchers internationally disproportionately include females as participants in their research. BACKGROUND:A bias toward predominantly male samples has been well-documented in medical research, but recently a gender bias favoring women in nursing...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.002
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Public health emergencies and epidemics shatter the assumptions of the world as a safe place. Healthcare workers are at the forefront of such pressures resulting from a persistent threat to their safety and well being. It is therefore important to study such mechanisms that can influence and predict the psyc...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103725
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Korean adolescents' smoking is currently being considered as a crucial factor determining the health status of adolescents and an important public health and social issue. OBJECTIVES:The purpose of the study was to test the applicability of the Transtheoretical model to gain an understanding of smoking beha...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.06.008
更新日期:2006-05-01 00:00:00
abstract::The purpose of this study was to describe the context and relational aspects that characterize male caregiving. The sample comprised 323 older husbands caring for their wives in Quebec (Canada). Nearly 60% of them spent at least 84 h/week caregiving and about 40% regularly performed personal care and instrumental task...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.07.007
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Feasibility studies are often a helpful prelude to constructing fundable research proposals. Where the intended research is in a foreign country, focuses on a vulnerable population, and is aggravated by political and pragmatic challenges, feasibility studies become essential. Albinism, a genetic condition of...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2007.05.009
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Nurse managers play an important role in implementing patient safety practices in hospitals. However, the influence of their professional background on their clinical leadership behaviour remains unclear. Research has demonstrated that concepts of Bourdieu (dispositions of habitus, capital and field) help to...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.006
更新日期:2016-11-01 00:00:00
abstract::New ways of working in critical care are emerging in response to increasing demands for care in the context of a limited critical care workforce. This review appraised the comparative safety, effectiveness and costs of new ways of working in critical care. All papers published in peer reviewed journals during 1990-200...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2006.01.006
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Early miscarriage has been conceptualised as loss and bereavement where nurses are urged to provide sympathetic, psychological care for women. However, the reality of women's experience is also about blood, 'dirt' and failure which are under explored in the literature. OBJECTIVE:To explore the management an...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.10.011
更新日期:2010-05-01 00:00:00
abstract::Qualitative analysis is problematic from two perspectives, which exist in the science and art debate [Tesch, R., 1990. Qualitative Research. Analysis types and software tools. The Falmer Press, London; Robson, C., 1993. Real World Research. Blackwell, Oxford]. The science view claims that the absence of clear and agre...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00040-1
更新日期:1999-10-01 00:00:00
abstract::The aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). The BPAF is a systems based checklist of physiological measurements, signs, and symptoms designed to structure and document the assessment of a patients physical condition by nursing staff. Initially th...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(98)00042-x
更新日期:1998-12-01 00:00:00