Date of Conferral



Doctor of Nursing Practice (DNP)




Deborah Lewis


Chronic heart failure (CHF) is often associated with high morbidity, mortality, and increased health expenditures. The readmission rate of patients with CHF is approximately 30% within 30 to 60 days following discharge. This project examined the literature to identify best practices based on the use of the transitional care model (TCM) in the reduction of hospital readmissions among older patients with CHF. The review included articles that were published between 2015 and 2019, used a quantitative study methodology, were peer-reviewed, and written in English. Keywords used in the search were chronic heart failure, the transitional care model, and hospital readmissions. Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to identify selected studies for review. After evaluation, 10 empirical articles were retained. Findings revealed that the use of the TCM framework resulted in the reduction of hospital readmission among patients with CHF, thereby improving patients’ quality of life. The implications of these findings for social change include encouraging healthcare institutions to develop policies aimed at increasing the use of the TCM framework. Such policies could support improved patient outcomes for elderly patients with CHF.

Included in

Nursing Commons