1. Annotated Bibliography on Transitions of Care.
Annotated Bibliography on Transitions of Care. An annotated bibliography is a combination
of the words annotation and bibliography. An annotation is a set of notes, comments, or
critiques. A bibliography is a list of references that helps a reader identify sources of
information. An annotated bibliography, then, is a list of references that not only identifies
the sources of information but also includes information such as a summary, a critique or
analysis, and an application of those sources' information.Annotated Bibliography on
Transitions of Care.ORDER A PLAGIARISM-FREE PAPER HEREYour Module 2 Assignment
(due in Week 5) will be a paper on nurse leadership during transitions of care for two
selected entities. In preparation for that paper, you will develop an Annotated Bibliography
and submit it to your Instructor for feedback.Annotated Bibliography on Transitions of
Care.To prepare:Select a transition of care (hospital, specialty care, rehabilitation, nursing
home, homebound, etc.).Use the Walden Library and other reputable academic resources to
locate 5 scholarly resources on nurse leadership during this transition of care. Identify what
constitutes effectiveness (i.e., cost, care management, best/effective providers, best setting,
sustaining outcomes) for this transition of care within each setting. What evidence supports
this transition of care or transition of care intervention?Review the Writing Center
resources on annotated bibliographies and scholarly writing. Also review the Week 4
Assignment Rubric for specific details about the requirements for your annotated
bibliography.AssignmentCreate an annotated bibliography of the 5 scholarly resources you
located on your selected transition of care. Follow the annotated bibliography format
presented in the Writing Center resource.Annotated Bibliography on Transitions of
Care.*Reminder: The School of Nursing requires that all papers submitted include a title
page, introduction, summary, and references. The Sample Paper provided at the Walden
Writing Center provides an example of those required elements (available at
http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this
formatting.The Importance of Nursing Leadership During Homebound Transition of Care
From the Hospital: An Annotated BibliographyCare transition from one care setting to
another is an important milestone in all patient's care continuum. Care transition means
coordinating continuity of care from one care setting to another (Zangerle et al., 2016).
Many authors and scholars agree that it is the weakest point in the process of caring for the
patient. Therefore, if not managed properly, itbmay result in negative outcomes and
adverse effects to the patient. These negative outcomes include unnecessary readmissions
and even mortality in the worst case scenario (Fuji et al., 2012; Abrashkin et al., 2012;
2. Werner et al., 2016).Annotated Bibliography on Transitions of Care. Werner et al. (2016)
argue that care transitions are usually costly and effective care management is therefore
crucial in reducing costs and preventing adverse outcomes like noncompliance to treatment
due to misunderstanding at discharge. This paper looks at the evidence available about
transition of care. It further narrows down ti transition of care fron the hospital setting to
the home setting.Annotated Bibliography on Transitions of Care.Annotated
BibliographyAbrashkin, K.A., Cho, H.J., Torgalkar, S., & Markoff, B. (2012). Improving
transitions of care from hospital to home: What works? Mount Sinai Journal of Medicine,
79(5), 535–544. DOI: 10.1002/msj.21332The authors in this paper try to paint the ideal
scenario of effective care transition according to them. They argue, rightly, that it is the
quality of the care transition that ultimately affects factors such as the patient's compliance
to treatment and their general outcome.These authors also argue, rightly, that timely
discharge summaries that are shared with the next level provider, post-discharge two-way
communication, and follow up are important steps in ensuring an effective patient care
transition from the hospital to the home setting. However, the authors clearly miss the point
when they insist that the most important players in this care transition are physicians and
pharmacists. Nurses are only mentioned in passing, as merely part of the care team. This is
misleading. Nurses are the leaders and the most important link in care transitions. In fact,
they are the primary contact between the provider and the patient.Annotated Bibliography
on Transitions of Care.Fuji, T., Abbott, A.A., & Norris, J.F. (2012). Exploring care transitions
from patient, caregiver, and health-care provider perspectives. Clinical Nursing Research,
22(3), 258-274. DOI: 10.1177/1054773812465084Fuji et al. (2012) aver that if care
transitions are not well managed, negative patient outcomes like readmissions inevitably
occur. They examined the nature of care transitions from the standpoint of the patient, the
caregiver, and the provider. The qualitative descriptive study methodology that they used
was apt. What they assessed were the perceptions of these groups of stakeholders on their
role, the nature of care transition, barriers to seamless transition, and possible ways of
surmounting the barriers. Among the answers they got were that it is important to plan for
admissions (and discharges), and that a multidisciplinary approach is necessary to prepare
patients for discharge. All these are important factors that nurse leaders must consider as
yhe drivers of patient welfare during transitions to the home environment.Annotated
Bibliography on Transitions of Care.Weaver, F.M., Perloff, L., & Waters, T. (1999). Patients’
and caregivers’ transition from hospital to home: Needs and recommendations. Home
Health Care Services Quarterly, 17(3), 27-48. DOI: 10.1300/J027v17n03_03The authors
opine that the need for effective care transition from the hospital to the home environment
has become even more important. This is because hospital stay is reducing in duration, with
preference being goven to continuation of care at home. Theirs was a descriptive study of
hospital patients discharged to continue care at home. Data collected revealed that there
was a positive correlation between satisfaction with care at home and the amount of
information received from the discharging team. In this, it is instructive to note that nurse
leaders have the most important role in ensuring this information on discharge is timely,
accurate, and appropriate for the patient and the next of kin.Annotated Bibliography on
Transitions of Care.Werner, N.E., Gurses, A.P., Leff, B. & Arbaje, A.I. (2016). Improving care
3. transitions across healthcare settings through a human factors approach. Journal for
Healthcare Quality, 38(6), 328–343. Doi: 10.1097/JHQ.000000000These authors argue that
the quality of care transitions is coming into sharp focus lately. This is because preventable
readmissions and other adverse outcomes are becoming more frequent, with patient and
next of kin satisfaction dipping due to low quality of the transitions. They thus suggest that
significant financial investment by the provider is necessary to train staff for better care
transition services. These staff include the nurse leaders who are the primary contacts.
They also suggest the adoption of the Human Factors and Ergonomics (HFE) systems
approach that will assess the human factors that impede the success of an effective care
transition model in the healthcare system.Annotated Bibliography on Transitions of
Care.Zangerle, C. & Kingston, M.B. (2016). Managing care coordination and transitions: The
nurse leader’s role. Nurse Leader, 14(3), 171-173. DOI:10.1016/j.mnl.2016.04.002On their
part, Zangerle et al. (2016) suggest the employment in care transitions of six principes.
These were formulated by nurse leaders from the American Organization of Nurse
Executives (AONE) and the American Academy of Ambulatory Care Nursing
(AAACN).Annotated Bibliography on Transitions of Care.ConclusionThe fact that effective
and thoughtful care transitions are crucial in discharged patients' outcomes is not in
dispute. However, there is need for nurse leaders and team members in the care transition
team to step up their efforts in their role as patient educators and advocates.Annotated
Bibliography on Transitions of Care.
