Complete sentences, well organized, grammatically correct and free of spelling errors (have used spell check to help ensure this)
initial posting thoroughly addresses all parts of the discussion, is clearly and concisely stated, and demonstrates that the content was appropriately reviewed, understood, and synthesized. At least two references are
In replies to peer’s postings, offered a critical analysis of an existing posted idea or introduced a different interpretation to an existing idea. Critical analysis must be substantial, including support by a valid resource/reference, and may include a story about a related experience, a probing question, or point(s).
Provides evidence-based, scholarly resources to support one’s position on the posed topic or idea; References for initial posting are correctly & accurately presented in APA format — uses in-text referencing within the posting.
Please response to the post


Abdullahi posted Jul 6, 2020 5:20 PMLast edited: Monday, July 6, 2020 5:21 PM CDT
Q#4  Investigate the role of the nurse specifically as it relates to transitions of care and coordination of care. 



Transition of care involves in patient’s movement from one setting to another, such as moving to rehabilitation centers, discharge back to home or being transferred within the hospital units. Transitional care is essential for patient outcome, if not managed correctly, it may have negative consequence on patient’s recovery process. Nurses play vital role in preventing these negative consequences, they provide direct care to the patients, hence recognize settle changes in patient status and they are more aware of patients overall functional capabilities. For a transitional care to be successful nurses need to communicate effectively when giving patient reports. When discharging a patient home discharge instruction should simple and clear to follow, and also provide a copy of any resources available to patient.



As front-line practitioners, nurses are highly attuned to the fact that patients’ needs can be very different depending on their setting of care. Promoting safe and effective care across the many settings where patients receive care is a complex challenge—one that can be addressed only with the input and leadership of nurses. Working together with nurses and other front-line clinicians, AHRQ will continue to develop tools and resources to ensure that all patients receive the safest care possible, no matter where it is delivered. (ahrq.gov)



Nurses as patient care coordinators, they organize patient’s care, monitor and coordinate treatment plans, communicate with other providers and follow patient’s health progress. Nurses coordinate with patient’s family, help patients set up medical appointments and also educate patients about their condition. The goal of care coordination is to eliminate medical errors, and an unnecessary test and reduce healthcare costs.



Quality improvement and cost control rely on effective coordination of patient care. Registered nurses (RNs) across the continuum of care play an essential role in care coordination. Greater health care efficiencies can be realized through coordination of care centered on the needs and preferences of patients and their families. Professional nursing links these approaches, promoting quality, safety, and efficiency in care, resulting in improved health care outcomes that are consistent with nursing's holistic, patient-centered framework of care. (nursingworld.org)



Question

What are some barriers related to care transitions? and what can nurses do to prevent them?

Reference

Jeffrey Brady M.D. Making Care Transitions Safer: The Pivotal Role of Nurses. https://www.ahrq.gov/news/blog/ahrqviews/pivotal-role-nurses.html.

Care Coordination and the Essential Role of Nurses: American Nurses Association (ANA). ANA. https://www.nursingworld.org/practice-policy/health-policy/care-coordination/.