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Transitional care involves coordination of care for patients transitioning between primary care and hospital care. This necessitates collaboration with patients, health professionals and organizations with different goals for patient care. This can result in fragmented patient care pathways. Education of health professionals is a means to improve transitional care. We therefore developed a learning intervention in order to enable nurses to develop transitional care.

The objective was to understand how participants identified needs for development can improve transitional care.

The design was that of a formative intervention design based on Cultural Historical Activity Theory.

A regional hospital and a primary care department in a municipality in Denmark.

Nine health professionals from primary care services and seven health professionals from hospital services.

The …