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Discussion: Care Transitions

What is a Care Transition? According to the National Association of Clinical Nurse Specialists (2024), it is the “care involved when a patient/client leaves one care setting (i.e. hospital, nursing home, assisted living facility, SNF, primary care physician, home health, or specialist) and moves to another.” It is a way for the healthcare team to ensure coordination and continuity of patient care.

Step 1: Upload an initial post to the Discussion Forum (at least 250 words in length)

Respond to the following prompts and, if it’s relevant, include your own personal experience:

  • What are some barriers and challenges to the transition of care from one level to another? Describe at least two. Examples: transition from the ICU to a step down unit, from the hospital to primary care follow-up, or a long-term care discharge to home care.
  • Give an example from the literature of a procedure aimed at improving the process of care transitions. What impact do you suppose it will have, or had, on patient safety? 
  • Give an example from your own experience as a nurse of a procedure that assisted you in the safe transfer of care for your patients.

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