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. 2023 Jul-Sep;38(3):286-292.
doi: 10.1097/NCQ.0000000000000698. Epub 2023 Feb 27.

Implementation and Evaluation of a Training Curriculum for Experienced Nurses in Care Coordination: The VA Rural Transitions Nurse Training Program

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Implementation and Evaluation of a Training Curriculum for Experienced Nurses in Care Coordination: The VA Rural Transitions Nurse Training Program

Lynette Kelley et al. J Nurs Care Qual. 2023 Jul-Sep.

Abstract

Background: High-quality transitional care at discharge is essential for improved patient outcomes. Registered nurses (RNs) play integral roles in transitions; however, few receive structured training.

Purpose: We sought to create, implement, and evaluate an evidence-informed nursing transitional care coordination curriculum, the Transitions Nurse Training Program (TNTP).

Methods: We conceptualized the curriculum using adult learning theory and evaluated with the New World Kirkpatrick Model. Self-reported engagement, satisfaction, acquired knowledge, and confidence were assessed using surveys. Clinical and communication skills were evaluated by standardized patient assessment and behavior sustainment via observation 6 to 9 months posttraining.

Results: RNs reported high degrees of engagement, satisfaction, knowledge, and confidence and achieved a mean score of 92% on clinical and communication skills. Posttraining observation revealed skill sustainment (mean score 98%).

Conclusions: Results suggest TNTP is effective for creating engagement, satisfaction, acquired and sustained knowledge, and confidence for RNs trained in transitional care.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure.
Figure.
Transitions Nurse Training Program Curriculum Within Situated Learning Theory (Left): Break down of the components of the Transitions Nurse Training Program Curriculum into dimensions of Situated Learning Theory, embedded in Mentor-Led learning; (Right): Product/Results of this learning within the dimensions of the New World Kirkpatrick Model

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