title: APN-directed transitional home care model: achieving positive outcomes for patients with COPD.
abstract: Advanced practice nurses (APNs) have not been widely used in home care, despite evidence of their effectiveness with a variety of patient groups. This study examined the use of the transitional model for home care patients with chronic obstructive pulmonary disease. The study found patients cared for by an APN-directed visit team had fewer nursing visits, rehospitalizations, and acute care visits. Depressive symptoms were also less, and functional abilities increased compared with patients cared for by a usual care model.
authors.affiliation: College of Nursing, The University of Akron, OH, USA. felber@uakron.edu
authors.forename: Donna Felber
authors.initials: DF
authors.lastname: Neff
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Madigan
authors.forename: Georgia
authors.initials: G
authors.lastname: Narsavage
mesh_terms: D003362:Cost-Benefit Analysis; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D010359:Patient Readmission; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing*; D011785:Quality Assurance, Health Care; D000078329:Workforce