This section will assist in identifying primary components of self-management in the CCTM role, including assisting patients with identifying barriers in self-management. The CCTM RN will provide comprehensive care recognizing the patient as the source of control in his or her care process. This section contains Structure, Process, and Outcomes in providing support for the self-management of the patient.
Reducing readmission rates through improved care transitions requires an evidence-based approach that incorporates adequate communication, optimized workflows and institutional commitment to improving patient outcomes.
Regardless of faith or religious affiliation, any registered nurse that is a member of a congregation is invited to be a parish nurse. As parish nurses, registered nurses act as a vital link between the faith and medical communities.
The Transtheoretical Model is an integrative, biopsychosocial model to conceptualize the process of intentional behavior change. Whereas other models of behavior change focus exclusively on certain dimensions of change (e.g. theories focusing mainly on social or biological influences), the TTM seeks to include and integrate key constructs from other theories into a comprehensive theory of change that can be applied to a variety of behaviors, populations, and settings.