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在未来的十年里,高级实践护理角色的成长和使用将得到飞速发展.当今医疗卫生服务模式旨在改善患者和医疗体系的临床结局,明确高级实践护理角色在该模式中的临床职责对确保其成功实施以及发挥影响有着重要作用.延续护理模式是借助于护士的临床经验和专业知识从而发挥其高级角色功能的一种方法.本文旨在描述目前延续护理的需求和定义,总结由高级实践护士引导的延续护理的目标患者群体、特点和效果,同时提出高层护理管理者和领导者可用于发展和评估加入高级实践护理角色的延续护理新模式的策略.“,”Rapid growth in the development and use of Advanced Practice Nursing (APN) roles is expected to occur over the next decade. Situating the clinical responsibilities of these roles within models of care delivery designed to achieve improved patient and health systems outcomes will be important for ensuring their successful implementation and impact. Transitional care models are one approach to leveraging the clinical experience and expertise of nurses in advanced roles. The purpose of this paper is to describe the need for and define transitional care followed by a summary of the target patient populations, characteristics and outcomes of advanced practice nurse-led models of transitional care. Strategies senior nurse managers and leaders can use to develop and evaluate new models of transitional care involving APN roles will be provided.