When patients transition from one level of care or unit to another, it is critical that nurses can communicate specific patient needs with each other. Nursing concerns for patients with chronic diseases or long term treatment plans often extend beyond a specific episode of care. A team of nurses representing inpatient and outpatient units developed a longitudinal nursing plan of and evaluated six months later for compliance and barriers to adoption.
Review the rationale for developing a longitudinal plan of care for the care of the pediatric hematology oncology patient
Determine barriers to design and implementation
Identify processes for evaluating adoption of the longitudinal plan of care