|Tipo di tesi||Tesi di laurea magistrale|
|Titolo||Transition of Care in stroke's patients. Dissemination & Implementation Research|
|Titolo in inglese||Transition of Care in stroke's patients. Dissemination & Implementation Research|
|Struttura||Dipartimento di Medicina Diagnostica, clinica e di sanita' pubblica|
|Corso di studi||SCIENZE INFERMIERISTICHE E OSTETRICHE (D.M. 270/04)|
|Data inizio appello||2017-03-15|
|Disponibilità||Accessibile via web (tutti i file della tesi sono accessibili)|
BACKGROUND: The analysis of the need to create a TOC program, starts from the analysis of data. The cerebrovascular event is the fifth cause of death in the United States. Emerged from the data, from an analysis of 2013 performed by the American Stroke Association, that 2.7% of men and 2.7% of women with an age ≥18 hecve an history of stroke; 2.5% of non-Hispanic Whites, 4.0% of non-Hispanic blacks, the '1.3% of Asians and inhabitants of the Pacific Islands, 2.3% of Hispanics Any race, 4.6% Native American Indians and 'Alaska and 4, 6% of the rest of the population have got an history of stroke. Every 40 seconds in the United State a person have a stoke attack. METHOD: The research started from a literature review of articles related to the dissemination and implementation methods. In front of the analysis of the data, it was determined that to conduct a D & I Reserch in a TOC Program for all patients with is important starting from the actual data that we konw. In specific for patients with a stroke/ TiA we have to start from specific questions: What we know about people who had a stroke or a TIA after their discharge? What we know about the cargivers? What they need when come back in their daily reality? What are the issues that they have in their daily habits? RESULTS: We devloped a Transition of Care Program for stroke's patients, which provides the development of a stroke team during the acute phase, where the teamleader is a nurse navigator. Afetre the acute phase (postacute phase, rehabilitation, long term, discharge) the patinets starts a care pathway with the advocate nurse who takes care of him (follow up, drugs, program of discharge) and he becames his point of reference in case of need for all one yesr from the event. Inside this program of care were inserted the “weekend passes” to facilitate what will be the return home of patients and facilitate the management of theier cargivers.