AimTo evaluate the implementation of the Transitional Care Model (TCM), an evidence‐based, advanced practice registered nurse‐led multi‐component intervention, as part of a randomised controlled trial during the first year of the COVID‐19 pandemic.DesignParallel convergent mixed‐methods approach.MethodsData for this study were collected between June 2020 and February 2021. Data from 78 patients who received the intervention and 68 recorded meetings with system leaders and clinical teams were analysed using descriptive statistics, directed content analysis, and joint display.ResultsFidelity to delivery of elements of the TCM components was variable, with the Hospital‐to‐Home visit elements having the widest range (14.3%–100%) and Maintaining Relationships elements having the highest range (97.3%–98.6%). There were 27 identified challenges and 15 strategies for implementing the TCM with fidelity during the pandemic.ConclusionThe COVID‐19 pandemic impacted all aspects of the delivery of the TCM across all sites. This historical event highlighted the need for services and support for patients and caregivers transitioning from the hospital to home.Implications for Nursing and Patient CareEvidence‐based solutions are needed to enhance healthcare delivery and patient outcomes. Findings will guide nurses in implementing proven transitional care interventions.ImpactFindings will inform the implementation and scaling of transitional care and other evidence‐based interventions across diverse healthcare settings.Reporting MethodGRAMMS reporting guidelines.Patient or Public ContributionNo patient or public contribution.Trial RegistrationClinicalTrials.gov identifier: NCT04212962. https://www.clinicaltrials.gov/study/NCT04212962?titles=NCT04212962&rank=1

中文翻译：

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在 COVID-19 大流行期间实施 MIRROR-TCM 随机对照试验：混合方法评估


目的评估过渡期护理模型 （TCM） 的实施情况，这是一种循证、高级实践注册护士主导的多组分干预措施，作为 COVID-19 大流行第一年随机对照试验的一部分。DesignParallel 收敛混合方法。方法本研究的数据是在 2020 年 6 月至 2021 年 2 月期间收集的。使用描述性统计、定向内容分析和联合展示分析了来自 78 名接受干预的患者的数据以及与系统领导和临床团队的 68 次录音会议。结果中医成分要素交付的保真度是可变的，其中医院到家访要素的范围最广 （14.3%–100%），维护关系要素的范围最高 （97.3%–98.6%）。在大流行期间，有 27 个已确定的挑战和 15 个策略可以忠实地实施 TCM。结论COVID-19 大流行影响了所有地点中药交付的各个方面。这一历史事件凸显了从医院过渡到家庭的患者和护理人员对服务和支持的需求。对护理和患者护理的影响需要基于证据的解决方案来加强医疗保健服务和患者预后。研究结果将指导护士实施经过验证的过渡期护理干预措施。ImpactFindings 将为过渡期护理和其他循证干预措施在不同医疗保健环境中的实施和扩展提供信息。报告方法 GRAMMS 报告指南。患者或公众捐款没有患者或公众捐款。试用 RegistrationClinicalTrials.gov 标识符：NCT04212962。https://www.clinicaltrials.gov/study/NCT04212962?titles=NCT04212962&rank=1