Table 1.
Meleis' Transitions Theory | |||||
---|---|---|---|---|---|
Nature of Transition | Transition Conditions | Nursing Therapeutics | Patterns of Response | ||
Donabedian's Quality Model | |||||
Structure | Process | Outcome | |||
Patient-level control variables | Patient-level control variables | Nurse staffing | Quality of discharge teaching | Readiness for hospital discharge | Postdischarge utilization |
Measures | |||||
Type of admission | Age | RN non-OT HPPD | Quality of discharge teaching scale | Readiness for hospital discharge scale | Readmission |
MDC | Sex | RN OT HPPD | ED visits | ||
Severity of illness | Race | Non-RN non-OT HPPD | |||
Length of stay | Socioeconomic status | Non-RN OT HPPD | |||
Living alone | |||||
Prior hospitalization | Unit-level controls | ||||
Transition coordination | RN vacancy | ||||
Discharge content needed | Patient turnover | ||||
Costs | |||||
RN nonovertime and overtime salaries | ED and readmission costs and net revenue/loss |
ED, emergency department; HPPD, hours-per-patient-day; MDC, major diagnostic category; OT, overtime; RN, registered nurse.