title: Comorbidities in the context of care transitions.
abstract: The growing number of individuals with comorbidities experiencing care transitions represents a challenge to the current health care system. A qualitative study of empirical literature, using the Dimensional Analysis approach, was conducted to elucidate the theoretical underpinnings of the phenomenon of individuals with comorbidities undergoing care transitions. The findings were arranged in a novel schematic demonstrating that the relationship among individual attributes, comorbidities, and care processes informed the individual's risk for adverse outcomes. This schematic is useful for future nursing research studies evaluating innovative programs implemented to improve health outcomes among vulnerable populations undergoing care transitions.
authors: Hartford Institute for Geriatric Nursing, New York University College of Nursing, New York, New York 10003, USA. janet.vancleave@nyu.edu
authors: Janet H
authors: JH
authors: Van Cleave
authors: Rebecca L
authors: RL
authors: Trotta
authors: Susan
authors: S
authors: Lysaght
authors: Melinda R
authors: MR
authors: Steis
authors: Rebecca A
authors: RA
authors: Lorenz
authors: Mary D
authors: MD
authors: Naylor
mesh_terms: D002908:Chronic Disease / Q000451:nursing*; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D006801:Humans; D008297:Male; D009742:Nursing Theory; D017063:Outcome Assessment, Health Care; D010346:Patient Care Management / Q000458:organization & administration*; D010351:Patient Discharge; D062209:Patient Handoff; D036301:Qualitative Research; D018570:Risk Assessment; D035862:Vulnerable Populations
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