Define the concept of vulnerability during transitions.
There is a need to produce RNs with the knowledge, skills, and attitudes (KSAs) necessary to care for the growing older adult population. The NLN Advancing Care Excellence for Seniors (ACE.S) project developed a framework to help faculty and pre-licensure students develop these KSAs. Key to this framework is the concept of vulnerability during transitions.
Rogers and Knafl’s evolutionary method of concept analysis.
The analysis revealed two antecedents (use of multiple medications to treat disease, fragmentation of the health care system), two attributes (inadequate continuity of care, poor communication and coordination of care among health care providers, patients, and families), and two consequences (readmission to a previous or new care setting, potential negative health outcomes).
Knowledge of the antecedents, attributes, and consequences of vulnerability during transitions will facilitate improved care for older adults in all setting.