{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:47:21Z","timestamp":1782470841938,"version":"3.54.5"},"reference-count":45,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100005667","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa e Inova\u00e7\u00e3o do Estado de Santa Catarina","doi-asserted-by":"publisher","award":["2021TR1530"],"award-info":[{"award-number":["2021TR1530"]}],"id":[{"id":"10.13039\/501100005667","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Nurs Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    Care transition is a strategy that aims to overcome the fragmentation of healthcare services, ensuring continuity of care. The review question was: What scientific evidence is available on care transition strategies for patients after hospitalization for COVID-19 and what are the opportunities and challenges of their implementation? Integrative literature review was guided by Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines and carried out between March and June 2024 in the Medical Literature Analysis and Retrieval System Online, Web of Science, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature,\n                    <jats:italic toggle=\"yes\">Literatura Latino-Americana e do Caribe em Ci\u00eancias da Sa\u00fade<\/jats:italic>\n                    , Cochrane Library, Scientific Electronic Library Online and Scopus databases, using Medical Subject Headings, Health Sciences Descriptors, and Entry Terms. Fourteen articles published between 2020 and 2023 were included, with 57% originating from the Americas, 28.6% using a qualitative approach, 78.6% addressing the transition from hospital to home, and 78.6% involving patients. The results were organized into four thematic categories: virtual care transition; patients\u2019 and healthcare professionals\u2019 experiences in care environments; patients\u2019 needs after hospital discharge; and care transition assessment through Care Transition Measure (CTM-15). Care transition strategies, including teleconsultations, videoconferencing, telerehabilitation, and discharge guidance, can reduce complications and readmissions and improve patient satisfaction, but challenges such as early discharge, poor communication, lack of protocols, variability in care transition strategies, and discontinuity of care still persist. The results of this review highlight the importance of structured, patient-centered transition planning, integration of telehealth and remote monitoring, and the use of systematic assessment tools, such as the CTM-15, to optimize post-hospital care for COVID-19 survivors.\n                  <\/jats:p>","DOI":"10.1177\/10547738261429358","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T09:50:52Z","timestamp":1776765052000},"page":"235-247","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Care Transition Strategies, Opportunities, and Challenges for Patients Following COVID-19 Hospitalization: An Integrative Review"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7615-8912","authenticated-orcid":false,"given":"M\u00e1rcia Liane Klauck","family":"Santos","sequence":"first","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7711-4370","authenticated-orcid":false,"given":"Catiele Raquel","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6224-0582","authenticated-orcid":false,"given":"Camila Xavier","family":"Dalc\u00f3l","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Mariah","family":"Malkiewiez","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Graziela","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greici Capellari","family":"Fabrizzio","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Marcellino","family":"de Melo Lanzoni","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8426-2080","authenticated-orcid":false,"given":"Elisiane","family":"Lorenzini","sequence":"additional","affiliation":[{"name":"Federal University of Santa Catarina, Florian\u00f3polis, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Anderson M. 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