Author:
Wang Huiting,Takiue Keigo,Liu Xiaoji,Koujiya Eriko,Takeya Yasushi,Yamakawa Miyae
Abstract
Purpose:
To systematically identify knowledge patterns and gaps in the appropriateness of nursing home (NH) to emergency department (ED) transitional care for older adults with dementia.
Method:
A systematic search of multiple information sources was performed from July to August 2023 using predesigned search strategies.
Results:
From 13 articles, 54 identified pieces of specific care evidence were grouped into six major care domains: (1)
Resource Support for Assessing Transfer Needs and Patient Status
; (2)
Resource Support, Shared Decision Making, and Early Advance Care Planning
; (3)
Standardized Multimodal Information Transfer
; (4)
Designated ED and NH Transition Coordinators
; (5)
Enhanced Interfacility Collaboration
; and (6)
Appropriate Transitional Care Education, Research, and Policy Beyond the Transfer Interface
.
Conclusion:
A comprehensive, consensus-based body of evidence is lacking. Despite person-centered, standardized, and professional resources supporting transitional care, reorienting NH cultural models remains unclear. Gaps include evidence tailored to diverse participants and contexts. Thus, a focus on policies, education, and research is required. [
Journal of Gerontological Nursing, 50
(9), 37–45.]