Development and psychometric evaluation of transition of care for older adults scale: Barriers and facilitators (TOCAS-BF)

Dolu İ., Satış N. K., Gümüşçubuk O., Demirel E., SILAY K., VARLI M., ...Daha Fazla

Geriatric Nursing, cilt.64, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 64
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1016/j.gerinurse.2025.103429
  • Dergi Adı: Geriatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, Abstracts in Social Gerontology, AgeLine, CINAHL, EMBASE
  • Anahtar Kelimeler: Caregivers, Continuing care, Home care, Integrated services, Older people care, Quantitative methodology, Transitional care
  • Ankara Üniversitesi Adresli: Evet

Özet

Background: Healthcare systems strive to improve hospital-to-home transitions for older adults, but existing tools often miss key facilitators and barriers. Therefore, this study aimed to develop a tool for assessing the facilitators of and barriers to effective transitional care for older adults and to evaluate its psychometric properties. Methods: A methodological study was conducted from September 2023 to February 2024 with 229 older adult volunteers to develop and test the tool. Results: The Transition of Care for Older Adults Scale is a 32-item scale with a 4-factor structure accounting for 52 % of the total variance explained. The indicators of confirmatory factor analysis were satisfactory. Cronbach's alpha coefficient for reliability was 0.925, indicating an optimal score. Conclusion: The Transition of Care for Older Adults Scale supports nurses in improving discharge planning, follow-up, and family support, while aiding educators in teaching strategies and researchers in studying care models and policies.