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  1. Neff, Donna Felber PhD, RN, CS
  2. Madigan, Elizabeth PhD, RN
  3. Narsavage, Georgia PhD, RN, CS


Advanced practice nurses (APNs) have not been widely used in home care, despite evidence of their effectiveness with a variety of patient groups. This study examined the use of the transitional model for home care patients with chronic obstructive pulmonary disease. The study found patients cared for by an APN-directed visit team had fewer nursing visits, rehospitalizations, and acute care visits. Depressive symptoms were also less, and functional abilities increased compared with patients cared for by a usual care model.