APN-directed transitional home care model: achieving positive outcomes for patients with COPD

Home Healthc Nurse. 2003 Aug;21(8):543-50. doi: 10.1097/00004045-200308000-00010.


Advanced practice nurses (APNs) have not been widely used in home care, despite evidence of their effectiveness with a variety of patient groups. This study examined the use of the transitional model for home care patients with chronic obstructive pulmonary disease. The study found patients cared for by an APN-directed visit team had fewer nursing visits, rehospitalizations, and acute care visits. Depressive symptoms were also less, and functional abilities increased compared with patients cared for by a usual care model.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cost-Benefit Analysis
  • Home Care Services / organization & administration
  • Humans
  • Models, Nursing*
  • Nurse Practitioners / statistics & numerical data*
  • Outcome Assessment, Health Care
  • Patient Readmission
  • Pulmonary Disease, Chronic Obstructive / nursing*
  • Quality Assurance, Health Care
  • Workforce