title: The effectiveness of a nurse-led transitional care model for patients with congestive heart failure.
abstract: This research brief reports on a study that evaluated the effectiveness of a transitional care model for patients with congestive heart failure (CHF). The model focused on improving the transition from hospital to home care by upgrading traditional discharge practices and implementing an evidence-based educational program. It used usual care nurses, rather than specialist nurses, to carry out the intervention. The study found that health-related quality of life improved and the number of emergency room visits was reduced.
authors.affiliation: Center for Home Care Policy and Research, Visiting Nurse Service of New York, 5 Penn Plaza, 11th floor, New York, NY 10001-1810, USA. amyclark@vnsny.org
authors.forename: Amy
authors.initials: A
authors.lastname: Clark
authors.forename: Pamela
authors.initials: P
authors.lastname: Nadash