Identifying Effective Nurse‐Led Care Transition Interventions for Older Adults With Complex Needs Using a Structured Expert Panel

Abstract

Key insights on optimizing the nurses' roles and scope of practice during care transitions included having nurses provide "warm hand-offs" and serve as the "go-to person." The panel also identified current challenges to optimizing the nurses' roles and scope of practice across care transition points. Future research is required to determine effective nurse-led intervention components and in which context do they work or do not.