Abstract
Introduction: Transitional care for older people with multiple chronic conditions is complex, and it is essential to identify the competencies of the nurses who provide such care. Aim: This study aimed to describe and compare the self-reported characteristics of transitional care nurses to their work areas, job satisfaction, competencies, and need for further training. Methods: A cross-sectional study design was used, and STROBE was followed for reporting. The total population of transitional care nurses (n=28) in Denmark was invited to participate. Data were collected through a questionnaire covering work areas, job satisfaction, competencies, and the need for further training. Results: Respondents reported high confidence in competencies related to direct clinical practice, cooperation and consultation, caregiver involvement, and use of electronic communication, and a limited need for further training. Expert transitional care nurses have high confidence in their work competencies related to patients and administrative tasks and increased job satisfaction.
Highlights
Transitional care for older people with multiple chronic conditions is complex, and it is essential to identify the competencies of the nurses who provide such care
The majority of transitional care nurse (TCN) had been employed in their current positions for less than two years (65%); six TCNs had been in their current position for three to six years (26%), and two TCNs had been in their positions for more than ten years (9%) (Table 1)
TCN work areas The work areas data analysis revealed that overall, TCNs employed at the hospital reported a higher agreement (5.61) with the work area statements than the TCNs from the municipal settings (3.94), measured on a 7-point Likert scale
Summary
Transitional care for older people with multiple chronic conditions is complex, and it is essential to identify the competencies of the nurses who provide such care. Aim: This study aimed to describe and compare the self-reported characteristics of transitional care nurses to their work areas, job satisfaction, competencies, and need for further training. Expert transitional care nurses have high confidence in their work competencies related to patients and administrative tasks and increased job satisfaction. The trajectories of older people with various chronic conditions are complicated by deficits in activities of daily living or risk factors such as social barriers. These individuals experience challenges in managing their healthcare needs across hospital and municipal healthcare settings [4]. According to Naylor and Van Cleave [6], a transitional care nurse (TCN) holds advanced knowledge and skills to care for vulnerable older people with chronic conditions
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