{"id":"https://openalex.org/W2265987166","doi":"https://doi.org/10.1161/circoutcomes.8.suppl_2.126","title":"Abstract 126: Inside Transitional Care: What Actually Happens During These Visits?","display_name":"Abstract 126: Inside Transitional Care: What Actually Happens During These Visits?","publication_year":2015,"publication_date":"2015-05-01","ids":{"openalex":"https://openalex.org/W2265987166","doi":"https://doi.org/10.1161/circoutcomes.8.suppl_2.126","mag":"2265987166"},"language":"en","primary_location":{"id":"doi:10.1161/circoutcomes.8.suppl_2.126","doi":"https://doi.org/10.1161/circoutcomes.8.suppl_2.126","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circoutcomes.8.suppl_2.126","pdf_url":null,"source":{"id":"https://openalex.org/S52278559","display_name":"Circulation Cardiovascular Quality and Outcomes","issn_l":"1941-7705","issn":["1941-7705","1941-7713"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Cardiovascular Quality and Outcomes","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045607305","display_name":"Sherry M. Bumpus","orcid":"https://orcid.org/0000-0002-7812-5183","observed_orcids":["https://orcid.org/0000-0002-7812-5183"]},"institutions":[{"id":"https://openalex.org/I138216421","display_name":"Eastern Michigan University","ror":"https://ror.org/02ehshm78","country_code":"US","type":"education","lineage":["https://openalex.org/I138216421"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sherry M Bumpus","raw_affiliation_strings":["Eastern Michigan Univ, Ypsilanti, MI","Sherry M Bumpus"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Eastern Michigan Univ, Ypsilanti, MI","institution_ids":["https://openalex.org/I138216421"]},{"raw_affiliation_string":"Sherry M Bumpus","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089709057","display_name":"Minnie Bluhm","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I138216421","display_name":"Eastern Michigan University","ror":"https://ror.org/02ehshm78","country_code":"US","type":"education","lineage":["https://openalex.org/I138216421"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Minnie Bluhm","raw_affiliation_strings":["Eastern Michigan Univ, Ypsilanti, MI","Minnie Bluhm"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Eastern Michigan Univ, Ypsilanti, MI","institution_ids":["https://openalex.org/I138216421"]},{"raw_affiliation_string":"Minnie Bluhm","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032146635","display_name":"Rachel Sylvester","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel Sylvester","raw_affiliation_strings":["Univ of Michigan, Ann Arbor, MI","Rachel Sylvester"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Michigan, Ann Arbor, MI","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Rachel Sylvester","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045042619","display_name":"Joshua H. Dean","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joshua Dean","raw_affiliation_strings":["Univ of Michigan, Ann Arbor, MI","Joshua Dean"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Michigan, Ann Arbor, MI","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Joshua Dean","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061112875","display_name":"Michaela Steinbacher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I138216421","display_name":"Eastern Michigan University","ror":"https://ror.org/02ehshm78","country_code":"US","type":"education","lineage":["https://openalex.org/I138216421"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michaela Steinbacher","raw_affiliation_strings":["Eastern Michigan Univ, Ypsilanti, MI","Michaela Steinbacher"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Eastern Michigan Univ, Ypsilanti, MI","institution_ids":["https://openalex.org/I138216421"]},{"raw_affiliation_string":"Michaela Steinbacher","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032223835","display_name":"Eva M Kline-Rogers","orcid":"https://orcid.org/0000-0002-3245-7895","observed_orcids":["https://orcid.org/0000-0002-3245-7895"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eva Kline-Rogers","raw_affiliation_strings":["Univ of Michigan, Ann Arbor, MI","Eva Kline-Rogers"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Michigan, Ann Arbor, MI","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Eva Kline-Rogers","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062362744","display_name":"Lynette Mollo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lynette Mollo","raw_affiliation_strings":["Univ of Michigan, Ann Arbor, MI","Lynette Mollo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Michigan, Ann Arbor, MI","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Lynette Mollo","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049266332","display_name":"Kim Allen Eagle","orcid":"https://orcid.org/0000-0003-0031-0191","observed_orcids":["https://orcid.org/0000-0003-0031-0191"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kim A Eagle","raw_affiliation_strings":["Univ of Michigan, Ann Arbor, MI","Kim A Eagle"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Michigan, Ann Arbor, MI","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Kim A Eagle","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5035672915","display_name":"Melvyn Rubenfire","orcid":"https://orcid.org/0000-0002-0290-7154","observed_orcids":["https://orcid.org/0000-0002-0290-7154"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melvyn Rubenfire","raw_affiliation_strings":["Univ of Michigan, Ann Arbor, MI","Melvyn Rubenfire"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Michigan, Ann Arbor, MI","institution_ids":["https://openalex.org/I27837315"]},{"raw_affiliation_string":"Melvyn Rubenfire","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":"suppl_2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.38449999690055847,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.38449999690055847,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.11389999836683273,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.09529999643564224,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/care-transitions","display_name":"care transitions","score":0.9929999709129333},{"id":"https://openalex.org/keywords/nurse-practitioners","display_name":"nurse practitioners","score":0.7200000286102295},{"id":"https://openalex.org/keywords/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":0.9810000061988831},{"id":"https://openalex.org/keywords/doctor-patient-rapport","display_name":"physician-patient rapport","score":0.5189999938011169},{"id":"https://openalex.org/keywords/empathy","display_name":"empathy","score":0.6010000109672546},{"id":"https://openalex.org/keywords/patient-perspectives","display_name":"patient perspectives","score":0.47600001096725464},{"id":"https://openalex.org/keywords/secondary-prevention","display_name":"secondary prevention","score":0.7170000076293945},{"id":"https://openalex.org/keywords/medication-reconciliation","display_name":"medication reconciliation","score":0.6460000276565552},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.8629999756813049},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.6439999938011169},{"id":"https://openalex.org/keywords/fear-of-death","display_name":"fear of death","score":0.6269999742507935},{"id":"https://openalex.org/keywords/everyday-life-management","display_name":"daily life management","score":0.4429999887943268},{"id":"https://openalex.org/keywords/bridge-program","display_name":"bridge programs","score":0.6639999747276306},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.39399999380111694},{"id":"https://openalex.org/keywords/guideline-directed-therapy","display_name":"guideline-directed therapy","score":0.5789999961853027}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.645132303237915},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.5722290873527527},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.5042845010757446},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.443410724401474},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2106758952140808},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circoutcomes.8.suppl_2.126","doi":"https://doi.org/10.1161/circoutcomes.8.suppl_2.126","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circoutcomes.8.suppl_2.126","pdf_url":null,"source":{"id":"https://openalex.org/S52278559","display_name":"Circulation Cardiovascular Quality and Outcomes","issn_l":"1941-7705","issn":["1941-7705","1941-7713"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Cardiovascular Quality and Outcomes","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2952151599","https://openalex.org/W2038815930","https://openalex.org/W2616651529","https://openalex.org/W2265201208","https://openalex.org/W2191836495","https://openalex.org/W2622736540","https://openalex.org/W2724906650","https://openalex.org/W2763112766","https://openalex.org/W2228036383","https://openalex.org/W2252320911"],"abstract_inverted_index":{"Background:":[0],"Bridging":[1],"the":[2,72,127,160,266,270,313,333,403,406],"Discharge":[3],"Gap":[4],"Effectively":[5],"(BRIDGE)":[6],"is":[7,55,69,395,415],"a":[8,21,48,135,229,233],"nurse":[9],"practitioner":[10],"(NP)":[11],"delivered":[12],"transitional":[13],"care":[14],"program":[15,408],"designed":[16],"to":[17,37,70,84,118,253,345,369,378,402,426],"provide":[18],"cardiac":[19],"patients":[20,103,155,338,388],"timely,":[22],"guideline-based,":[23],"first":[24,75,316],"post-discharge":[25,76,317],"visit.":[26],"BRIDGE":[27,88,407],"follow-up":[28],"within":[29,121],"14":[30],"days":[31],"of":[32,66,74,87,94,145,246,265,269,312,315,358,405,424],"discharge":[33],"has":[34],"been":[35],"shown":[36],"reduce":[38],"early":[39],"adverse":[40],"events,":[41],"including":[42],"rehospitalization,":[43],"for":[44,198,325],"ACS":[45,102],"patients,":[46],"at":[47],"cost":[49],"savings.":[50],"Despite":[51],"this":[52,67,381],"success,":[53],"there":[54],"little":[56],"evidence":[57],"documenting":[58],"what":[59],"occurs":[60],"during":[61,184],"these":[62,326,398],"visits.":[63,77,124,271,318,327],"The":[64],"purpose":[65],"study":[68],"examine":[71,85],"content":[73,86,116,268,314],"Methods:":[78],"Mixed":[79],"methods":[80],"design":[81],"was":[82,173],"used":[83],"visits":[89,185],"and":[90,106,112,122,129,134,143,167,193,210,244,288,320,351,354,361,389,421],"assess":[91,428],"patient":[92,151,191,371],"perceptions":[93],"rapport":[95,386],"with":[96,100,223,276,331,348,387,417],"their":[97,384,429],"NP.":[98],"Visits":[99],"17":[101,157],"were":[104,110,148,163,196,364],"audio-recorded":[105],"transcribed":[107],"verbatim.":[108],"Transcripts":[109],"coded":[111],"analyzed":[113],"using":[114],"conventional":[115],"analysis":[117],"identify":[119],"themes":[120],"across":[123],"Patients":[125,195,272,319],"completed":[126,159],"Consultation":[128],"Relational":[130],"Empathy":[131],"(CARE)":[132],"scale":[133],"modified":[136],"Patient-Doctor":[137],"Relationship":[138],"Questionnaire":[139],"(PDRQ9).":[140],"Demographic":[141],"information":[142],"details":[144],"30-day":[146,411],"readmissions":[147],"abstracted":[149],"from":[150],"charts.":[152],"Results:":[153],"Nineteen":[154],"consented;":[156],"(89%)":[158],"study.":[161],"Most":[162],"male":[164],"(14,":[165],"73.7%)":[166],"white":[168],"(15,":[169],"78.9%).":[170],"Average":[171],"age":[172],"61.6":[174],"years.":[175],"One":[176],"(5%)":[177],"had":[178],"an":[179,367],"unplanned":[180],"readmission.":[181],"NP":[182],"priorities":[183,213,324],"included":[186,214],"clinical":[187,226],"history,":[188],"medication":[189],"reconciliation,":[190],"education,":[192],"referrals.":[194],"screened":[197],"guideline-driven":[199],"secondary":[200],"prevention":[201],"queues":[202],"such":[203,342],"as":[204,291,343],"physical":[205,208],"symptoms,":[206],"diet,":[207],"activity,":[209],"smoking.":[211],"Patient":[212],"questions":[215,227],"about":[216],"daily":[217,349],"life":[218,350],"(can":[219,228],"I":[220,241,251,255],"play":[221],"catch":[222],"my":[224],"grandson);":[225],"stress":[230],"test":[231],"cause":[232],"heart":[234],"attack);":[235],"feelings":[236,353],"(he":[237],"feels":[238],"like":[239],"dying;":[240],"feel":[242],"helpless),":[243],"fear":[245],"death":[247],"(I\u2019m":[248],"afraid":[249],"if":[250],"go":[252],"sleep":[254],"might":[256],"not":[257],"wake":[258],"up).":[259],"On":[260],"average,":[261],"NPs":[262,277,321,373],"contributed":[263],"59%":[264],"verbal":[267],"felt":[273],"highly":[274],"connected":[275],"(mean":[278,294],"PDRQ9":[279],"43.05":[280],"+":[281,297],"3.1;":[282],"possible":[283,299],"range":[284,300],"5,":[285],"45,":[286],"\u03b1=.95)":[287],"viewed":[289],"them":[290],"deeply":[292],"empathic":[293],"CARE":[295],"43.5":[296],"2.8);":[298],"0,":[301],"50,":[302],"\u03b1=.94).":[303],"Discussion:":[304],"A":[305],"qualitative":[306],"approach":[307],"resulted":[308],"in":[309,391,409],"nuanced":[310],"understandings":[311],"have":[322],"overlapping":[323],"Both":[328],"concern":[329],"themselves":[330],"managing":[332],"medical":[334],"condition.":[335],"In":[336],"addition,":[337],"reveal":[339],"other":[340,422],"priorities,":[341],"how":[344],"carry":[346],"on":[347],"manage":[352],"fears.":[355],"Notably,":[356],"assessment":[357],"psychosocial":[359],"issues":[360],"mental":[362],"health":[363],"absent,":[365],"suggesting":[366],"opportunity":[368],"enhance":[370],"care.":[372],"may":[374],"be":[375],"ideally":[376],"suited":[377],"begin":[379],"filling":[380],"gap":[382],"given":[383],"excellent":[385],"expertise":[390],"motivational":[392],"interviewing.":[393],"It":[394],"plausible":[396],"that":[397],"factors":[399],"also":[400],"contribute":[401],"success":[404],"reducing":[410],"readmissions.":[412],"Further":[413],"research":[414],"needed":[416],"larger":[418],"sample":[419],"sizes":[420],"types":[423],"providers":[425],"fully":[427],"impact.":[430]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2016-06-24T00:00:00"}