title: The Varying Roles of Nurses During Interfacility Care Transitions.
abstract: This study explored health care professionals' perceptions and experiences associated with the role of point-of-care nurses during care transitions from an acute care hospital to a rehabilitation setting to being discharged home. We used a qualitative exploratory design and semistructured interviews. Content analysis revealed 3 themes that point to the ambiguity related to the roles that nurses enact with older patients during care transitions. We suggest ways to better support nurses to engage in quality care transitions.
authors.affiliation: Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada (Dr Jeffs); St Michaels Hospital, Toronto, Canada (Dr Jeffs and Mss Saragosa, Parker, and Collins); Department of Health Science, Brock University, St Catharines, Ontario, Canada (Dr Law); Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada (Dr Kuluski); and Daphne Cockwell School of Nursing, Ryerson University, Toronto Ontario, Canada (Dr Espin).
authors.forename: Lianne
authors.initials: L
authors.lastname: Jeffs
authors.forename: Marianne
authors.initials: M
authors.lastname: Saragosa
authors.forename: Madelyn
authors.initials: M
authors.lastname: Law
authors.forename: Kerry
authors.initials: K
authors.lastname: Kuluski
authors.forename: Sherry
authors.initials: S
authors.lastname: Espin
authors.forename: Heidi
authors.initials: H
authors.lastname: Parker
authors.forename: Kristen
authors.initials: K
authors.lastname: Collins
mesh_terms: D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D010351:Patient Discharge; D010360:Patient Transfer / Q000379:methods*; D036301:Qualitative Research; D011787:Quality of Health Care; D014481:United States