{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T13:41:07Z","timestamp":1792762867003,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Nurs Res"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore how hospital nurses (HNs) and community nurses (CNs) in France manage chronic wound care for older adults across settings, and how their practices shape continuity of care during hospital-to-home transitions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative descriptive study combining ethnographic shadowing and a focus group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fieldwork took place in a French university hospital, across four units: acute geriatrics, rehabilitation, vascular surgery, dermatology. The focus group involved CNs from seven different self-employed nursing practices. We shadowed 15 HNs for approximately 92\u2005h and conducted one focus group with 7 CNs. Data were analyzed inductively using constant comparison, with a second-stage interpretive analysis informed by Meleis\u2019 transitions theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four interconnected processes shaped continuity of chronic wound care across the transition: (1) nursing expertise in wound management was expressed differently across hospital and community settings; (2) discharge coordination was fragmented, with rare nurse-to-nurse communication and insufficient transfer of wound-specific information; (3) organizational logics diverged, with discontinuous hospital workflows and time-pressured, fee-for-service-constrained community visits; and (4) patient involvement during hospitalization was limited, constraining engagement and preparedness post-discharge. Continuity was frequently maintained through compensatory work from nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Continuity of chronic wound care depends less on nursing expertise than on the organizational conditions enabling that expertise to be mobilized across settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study highlights the need for more integrated transitional care, including clearer and more consistent responsibilities at discharge, structured nurse-to-nurse discharge communication, and earlier patient involvement in wound care management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08445621261498966","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:05:17Z","timestamp":1792591517000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Continuity of Chronic Wound Care Across Hospital-to-Home Transitions: A Qualitative Study of Hospital and Community Nurses\u2019 Experiences"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4801-7518","authenticated-orcid":false,"given":"\u00c9lodie","family":"Montaigne","sequence":"first","affiliation":[{"name":"University of Rennes","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9146-4323","authenticated-orcid":false,"given":"Anne-Marie","family":"Ollitrault","sequence":"additional","affiliation":[{"name":"Lannion Hospital Center, Lannion, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6150-2585","authenticated-orcid":false,"given":"Nsuni","family":"Met","sequence":"additional","affiliation":[{"name":"University of Rennes, CNRS, ARENES (UMR 6051)","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2318-6878","authenticated-orcid":false,"given":"Aline","family":"Corvol","sequence":"additional","affiliation":[{"name":"CHU de Rennes","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17177"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.5643"},{"key":"e_1_3_4_4_1","volume-title":"Constructing grounded theory","author":"Charmaz K.","year":"2014","unstructured":"Charmaz K. (2014). Constructing grounded theory (2nd ed.). Sage."},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/15574"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.56294\/nds2025154"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S533416"},{"key":"e_1_3_4_8_1","volume-title":"Qualitative inquiry and research design: Choosing among five approaches","author":"Creswell J. W.","year":"2023","unstructured":"Creswell J. W., Poth C. N. (2023). Qualitative inquiry and research design: Choosing among five approaches (5th ed.). Sage."},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15278"},{"key":"e_1_3_4_10_1","volume-title":"Les infirmi\u00e8res lib\u00e9rales: Une profession face au d\u00e9fi des soins \u00e0 domicile [Independent nurses: A profession facing the challenges of home care]","author":"Douguet F.","year":"2018","unstructured":"Douguet F., Vilbrod A. (2018). Les infirmi\u00e8res lib\u00e9rales: Une profession face au d\u00e9fi des soins \u00e0 domicile [Independent nurses: A profession facing the challenges of home care]. Seli Arslan."},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac128"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01403-9"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2015.0635"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.21650"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4035-z"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14219"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333393615584550"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.5518"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14991"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/10848223211052031"},{"key":"e_1_3_4_21_1","volume-title":"Focus groups: A practical guide for applied research","author":"Krueger R. A.","year":"2015","unstructured":"Krueger R. A., Casey M. A. (2015). Focus groups: A practical guide for applied research (5th ed.). Sage Publications, Incorporated."},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2786"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2021.11.003"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-025789"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14128"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794105056923"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00012272-200009000-00006"},{"key":"e_1_3_4_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13120"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2024.07.014"},{"key":"e_1_3_4_30_1","first-page":"133","article-title":"Requirements for collaborative decision support systems in wound care: No information continuity without management continuity","volume":"253","author":"Przysucha M.","year":"2018","unstructured":"Przysucha M., Vogel S., H\u00fcsers J., Wache S., Sellemann B., H\u00fcbner U. (2018). Requirements for collaborative decision support systems in wound care: No information continuity without management continuity. 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