Care transitions among oncological patients: from hospital to community.
Caroline Donini Rodrigues, Elisiane Lorenzini, Manuel Portela Romero and 3 others
PMID 36718767WHAT IT FOUND
Participants rated hospital to community care transitions as satisfactory overall, but care plans and preference inclusion were weakest.
Discharge work should check those, not assume medication understanding solved it.
Key findings
01Participants' overall CTM-15 score averaged 74.1 on a 0 to 100 scale.
02The care plan factor averaged 66.1, and the preferences factor averaged 69.4; the paper reported these as unsatisfactory.
03Understanding of medications averaged 83.3, the highest factor score.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Cross-sectional design, so it describes perceptions at one time and cannot show whether care transitions caused readmission or other outcomes. Single hospital in southern Brazil, only cancer patients, so results may not apply to other services or conditions. Telephone survey after discharge may miss patients who did not answer after three attempts or were excluded for cognitive conditions. Responses came from patients, caregivers, or family members, so the score may reflect different perspectives. The outcome was a patient-reported questionnaire, not an objective measure of discharge safety.
The easy way to misread this
Do not read the overall 74.1 score as proof the discharge system was safe or effective. It is a perception survey, and the care plan and preference scores were weak.