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1.
Rev Gaucha Enferm ; 39: e20180119, 2018 Nov 29.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-30517436

RESUMEN

OBJECTIVE: To identify and analyze available literature on care transition strategies in Latin American countries. METHODS: Integrative literature review that included studies indexed in PubMed, LILACS, Web of Science Core Collection, CINAHL, SCOPUS databases, and the Scientific Electronic Library Online (SciELO), published in Portuguese, Spanish or English, between 2010 and 2017. RESULTS: Eleven articles were selected and the strategies were grouped into components of care transition: discharge planning, advanced care planning, patient education and promotion of self-management, medication safety, complete communication of information, and outpatient follow-up. These strategies were carried out by multidisciplinary team members, in which nurses play a leading role in promoting safe care transitions. CONCLUSIONS: Care transition activities are generally initiated very close to patient discharge, this differs from recommendations of care transition programs and models, which suggest implementing care transition strategies from the time of admission until discharge.


Asunto(s)
Continuidad de la Atención al Paciente/organización & administración , Planificación Anticipada de Atención/organización & administración , Humanos , América Latina , Errores de Medicación/prevención & control , Alta del Paciente , Educación del Paciente como Asunto/organización & administración , Autocuidado
2.
Rev Gaucha Enferm ; 38(3): e67278, 2017.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-29641688

RESUMEN

Objective To analyze the work object and the technologies in the working process of a Mental Health Itinerant Team in the attention to drug users. Methods Qualitative case study, carried out in a municipality in the South of Brazil. The theoretical framework was the Healthcare Labor Process. The data was collected through participant observation and semi-structured interviews with the professionals of an itinerant team in the year of 2015. For data analysis we used the Thematic Content Analysis. Results In the first empirical category - work object - the user is considered as a focus, bringing new challenges in the team's relationship with the network. In the second category - technologies of the work process - potentialities and contradictions of the team work tools are highlighted. Conclusions As an innovation in the mental health context, the itinerant team brings real possibilities to reinvent the care for the drug user as well as new institutional challenges.


Asunto(s)
Servicios de Salud Mental/organización & administración , Grupo de Atención al Paciente , Trastornos Relacionados con Sustancias/terapia , Brasil , Reforma de la Atención de Salud , Humanos , Investigación Cualitativa
3.
Rev Esc Enferm USP ; 50(4): 594-601, 2016.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-27680044

RESUMEN

OBJECTIVE: To identify and analyze the aspects necessary to provide an elder-friendly emergency service (ES) from the perspective of nurses. METHOD: This is a descriptive, quantitative study using the Delphi technique in three rounds. Nurses with professional experience in the ES and/or researchers with publications and/or conducting research in the study area were selected. The first round of the Delphi panel had 72 participants, the second 49, and the third 44. An online questionnaire was used based on a review of the scientific literature with questions organized into the central dimensions of elder-friendly hospitals. A five-point Likert scale was used for each question and a 70% consensus level was established. RESULTS: There were 38 aspects identified as necessary for elderly care that were organized into central dimensions. CONCLUSIONS: The study's results are consistent with the findings in scientific literature and suggest indicators for quality of care and training for an elder-friendly ES. OBJETIVO: Identificar e analisar aspectos necessários para um atendimento amigo do idoso nos serviços de emergência (SE), na perspectiva de enfermeiros. MÉTODO: Estudo descritivo, quantitativo, com utilização da Técnica Delphi, em três rodadas. Foram selecionados enfermeiros com experiência profissional em SE e/ou pesquisadores com publicações e/ou desenvolvendo pesquisas na área de estudo. A primeira rodada do painel Delphi contou com 72 participantes, a segunda com 49 e a terceira com 44. Foi utilizado questionário on-line, baseado na revisão da literatura científica, com questões organizadas em dimensões centrais de hospitais amigos do idoso. Foi utilizada uma escala de Likert de 5 pontos para cada questão e estabelecido nível de consenso de 70%. RESULTADOS: Foram identificados 38 aspectos necessários para o atendimento ao idoso, organizados em dimensões centrais. CONCLUSÕES: Os resultados do estudo são consistentes com os achados na literatura científica e sugerem indicadores para qualidade do cuidado e para formação de SE amigos do idoso.


Asunto(s)
Servicios Médicos de Urgencia/normas , Servicios de Salud para Ancianos/normas , Anciano , Brasil , Femenino , Humanos , Masculino , Guías de Práctica Clínica como Asunto
4.
Rev Gaucha Enferm ; 37(1): e50178, 2016 Mar.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-26934508

RESUMEN

Objective to analyze the strategies used by nurses to promote teamwork in a hospital emergency room. Method qualitative case study research with 20 nurses in the emergency unit of a university hospital in southern Brazil. Data were collected between June and September 2009 through participant observation and semi-structured interviews, and analyzed using thematic analysis. Results the strategies used by the nurses to promote teamwork in the emergency unit were articulating professional actions; establishing relationships of cooperation; building and maintaining friendly ties; and managing conflict. Conclusion nurses notably make the connections between the practices of the health teams and mediate the relationships established between health professionals to improve care practices.


Asunto(s)
Enfermería de Urgencia/organización & administración , Atención de Enfermería/organización & administración , Grupo de Enfermería/organización & administración , Actitud del Personal de Salud , Brasil , Enfermería de Urgencia/métodos , Servicio de Urgencia en Hospital , Hospitales Universitarios , Humanos , Relaciones Interprofesionales , Entrevistas como Asunto , Negociación , Asistentes de Enfermería/organización & administración , Atención de Enfermería/métodos , Relaciones Médico-Enfermero
5.
Rev Gaucha Enferm ; 43(spe): e20220222, 2023.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-36888817

RESUMEN

OBJECTIVE: To develop and validate the content of a measurement instrument to assess the quality of care transitions and patient safety at hospital discharge from the nurses' perspective. METHODS: A methodological study developed in southern Brazil between April 2019 and January 2022, in three stages: integrative review and semi-structured interviews with six nurses for construction of the instrument; content validation with a committee of 14 experts; and a pre-test with 20 nurses. A Content Validity Index above 0.80 was employed. RESULTS: A measurement instrument with 37 items organized into six domains was developed, as follows: structure; discharge planning; care education; referral for continuity of care; safety culture, and care transitions results. The general Content Validity Index reached 0.93. CONCLUSIONS: The measurement instrument presented content validation and will contribute to understanding transitional care in the Brazilian context, proposing changes to qualify and strengthen patient safety at hospital discharge.


Asunto(s)
Alta del Paciente , Transferencia de Pacientes , Humanos , Reproducibilidad de los Resultados , Seguridad del Paciente , Hospitales , Encuestas y Cuestionarios , Psicometría/métodos
6.
Rev Gaucha Enferm ; 33(4): 181-90, 2012 Dec.
Artículo en Portugués | MEDLINE | ID: mdl-23596933

RESUMEN

This present study aimed at identifying and assessing available literature regarding the activities of the nurse involved in assessing risk classification in emergency services. The integrative review carried out searches in the following databases: Science Direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin-American and Caribbean Health Sciences Database (LILACS), and Scientific Electronic Library Online (SCIELO). Twenty-two articles that met inclusion criteria were selected. Results indicated that the major attributions of this professional are the assessment of the patient's healthcare status and decision-making, a process that demands clinical knowledge and experience The nurse is capable of organizing the workflow of patients according to the priority of the rendered care and service demands, and stands out as a professional of excellence in the development of triage/risk classification practices in emergency services.


Asunto(s)
Enfermería de Urgencia , Proceso de Enfermería , Triaje , Humanos
7.
Rev Gaucha Enferm ; 33(2): 146-52, 2012 Jun.
Artículo en Portugués | MEDLINE | ID: mdl-23155593

RESUMEN

The Mobile Emergency Care Services handle urgent situations of various types, and demand for this service occurs according to the perception of the user regarding what is urgent. The aim of the study was to analyze the perceptions of urgency by users who demand care from a Mobile Emergency Care Service in Porto Alegre and to identify the reasons for these requests. In this explomratory-descriptive study, with qualitative approach, data were collected through semi-structured interviews conducted by telephone, during theperiod from February to April 2009. Thematic analysis was used to analyze the information. Users consider urgent life-threatening conditions, which require a quick response, and visible situations, such as bleeding, chronic diseases, and difficulties in transportation. Users themselves feel motivated to call the service due to it being rapid and free, and for transportation. The perceptions of users regarding urgency were diverse, sometimes consistent with the biomedical perspective of health providers and sometimes with their own social context.


Asunto(s)
Actitud Frente a la Salud , Servicios Médicos de Urgencia/estadística & datos numéricos , Unidades Móviles de Salud/estadística & datos numéricos , Aceptación de la Atención de Salud , Humanos
8.
Rev Esc Enferm USP ; 56: e20220100, 2022.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-35951450

RESUMEN

This is a theoretical-reflective study, with the objective of discussing the concepts of continuity and coordination of care, its conceptual interface and nurses' actions for its effectiveness in health services, based on international and national scientific publications. The concepts have been studied for decades and, although they are interrelated, they are used in a similar way, indicating a lack of conceptual understanding. The concept of continuity underwent paradigm shifts and began to adopt patients' perspectives. Currently, it involves interpersonal, longitudinal, management and informational domains. Coordination consists of establishing connections between the possible elements involved in care. It is classified as horizontal and vertical and is organized into categories: sequential, parallel and indirect. Nurses stand out through actions aimed at coordination and continuity at different levels of care, which contributes to strengthening a cohesive and people-centered care. The interface between concepts indicates that, in order to achieve integrated and continuous services, continuity and coordination of care need to be interconnected and act together.


Asunto(s)
Continuidad de la Atención al Paciente , Enfermeras y Enfermeros , Humanos
9.
Rev Gaucha Enferm ; 32(4): 695-702, 2011 Dec.
Artículo en Portugués | MEDLINE | ID: mdl-22299271

RESUMEN

This study aimed to analyze care management actions performed by nurses in a hospital emergency service. This is a qualiative research of the case study type, carried out with nurses from the Emergency Service of a University Hospital in southern Brazil. The data were collected through participant observation and semi-structured interviews, and analyzed using thematic analysis. The results show nurses' actions in care planning, forecasting and provisioning of resources, supervision, leadership and training of the nursing team. In care planning, there is the execution of the nursing process and the control of the realization of laboratory and radiological tests. The actions of forecasting and provisioning of resources were: elaboration of the monthly schedule of employees, daily distribution of the staff and the management of material resources. Leadership encourages the planning of care, the coordination of the nursing staff and the delegation of activities.


Asunto(s)
Enfermería de Urgencia , Servicio de Urgencia en Hospital , Proceso de Enfermería , Manejo de Atención al Paciente , Humanos
10.
Rev Gaucha Enferm ; 32(2): 345-51, 2011 Jun.
Artículo en Portugués | MEDLINE | ID: mdl-21987997

RESUMEN

The following research is a quantitative-qualitative study that aimed to analyze the view of users on the problem-solving capacity of care in a Family Health Unit and its relation with their satisfaction. The quantitative data were collected through a semi-structured form. The results showed the fact that 61.3% of users had their problems solved always or most times. The view of users on the problem-solving capacity is related to how they perceive their health problems' solution, and, for some, is associated to referral to specialized service. There is a relationship between always or most times finding a solution and being very satisfied. Results show that users' satisfaction and their view on the problem-solving capacity of care contribute to the organization and improvement of health services.


Asunto(s)
Comportamiento del Consumidor , Salud de la Familia , Medicina Familiar y Comunitaria/organización & administración , Atención Primaria de Salud/organización & administración , Solución de Problemas , Adulto , Anciano , Brasil , Femenino , Promoción de la Salud/organización & administración , Accesibilidad a los Servicios de Salud , Humanos , Masculino , Persona de Mediana Edad , Modelos Teóricos , Investigación Cualitativa , Mejoramiento de la Calidad , Adulto Joven
11.
Rev Lat Am Enfermagem ; 28: e3325, 2020.
Artículo en Portugués, Español, Inglés | MEDLINE | ID: mdl-32696919

RESUMEN

OBJECTIVE: to map the available evidence on the components of the transition of care, practices, strategies, and tools used in the discharge from the Intensive Care Unit (ICU) to the Inpatient Unit (IU) and its impact on the outcomes of adult patients. METHOD: a scoping review using search strategies in six relevant health databases. RESULTS: 37 articles were included, in which 30 practices, strategies or tools were identified for organizing and executing the transfer process, with positive or negative impacts, related to factors intrinsic to the Intensive Care Unit and the Inpatient Unit and cross-sectional factors regarding the staff. The analysis of hospital readmission and mortality outcomes was prevalent in the included studies, in which trends and potential protective actions for a successful care transition are found; however, they still lack more robust evidence and consensus in the literature. CONCLUSION: transition of care components and practices were identified, in addition to factors intrinsic to the patient, associated with worse outcomes after discharge from the Intensive Care Unit. Discharges at night or on weekends were associated with increased rates of readmission and mortality; however, the association of other practices with the patient's outcome is still inconclusive.


Asunto(s)
Unidades de Cuidados Intensivos , Alta del Paciente , Transferencia de Pacientes , Adulto , Estudios Transversales , Mortalidad Hospitalaria , Humanos , Readmisión del Paciente , Estudios Prospectivos , Estudios Retrospectivos
12.
Rev Gaucha Enferm ; 41(spe): e20190155, 2020.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-32401891

RESUMEN

OBJECTIVE: To evaluate the quality of the care transition for patients with chronic non-communicable diseases discharged from the emergency department to home. METHOD: A cross-sectional observational and epidemiological study conducted at an emergency department in the South of Brazil with 117 patients and 81 caregivers. The Care Transitions Measure was applied by phone to collect data. A descriptive and analytical statistical analysis was performed. RESULTS: The quality of the care transition's total score was close to satisfactory (69.5). The "Self-Management Training" factor had the highest score (70.6), while "Understanding medications" had the lowest (68.3). Items related to understanding medications and confidence in carrying out care after discharge obtained lower scores. CONCLUSIONS: A moderate quality of the care transition was evidenced, as well as the need to adopt strategies to improve the emergency department discharge process and the continuity of the care of patients with chronic diseases.


Asunto(s)
Enfermedad Crónica , Servicio de Urgencia en Hospital , Servicios de Atención de Salud a Domicilio , Alta del Paciente , Transferencia de Pacientes/normas , Calidad de la Atención de Salud , Anciano , Estudios Transversales , Estudios Epidemiológicos , Femenino , Humanos , Masculino , Persona de Mediana Edad
13.
Rev Esc Enferm USP ; 43(2): 320-7, 2009 Jun.
Artículo en Portugués | MEDLINE | ID: mdl-19655672

RESUMEN

The objective of this study is to characterize prehospital teamwork service for traffic accident victims, identifying the actors' activities, the teamwork and the relations with actors from other areas. This is a qualitative study, in which data collection took place by observing the events that occurred at a public service in the city of Porto Alegre, in addition to interviews with each professional involved in the service. The results showed that prehospital care is founded on teamwork and that the understanding among professionals should go beyond the historical hierarchic relation existing in health organizations. There is a need to value the broad field of knowledge, which is associated with the core of care activities that meet most trauma victim needs.


Asunto(s)
Accidentes de Tránsito , Servicios Médicos de Urgencia , Grupo de Atención al Paciente , Servicios Médicos de Urgencia/organización & administración , Humanos
14.
Rev Gaucha Enferm ; 30(3): 525-32, 2009 Sep.
Artículo en Portugués | MEDLINE | ID: mdl-20187435

RESUMEN

Nursing work is divided into different dimensions: health care, education, management and research. Considering hospital environment, nurses are in charge of many managerial activities. The following study aimed at analyzing how the managerial dimension in the nursing is described in Brazilian nursing papers through a systematic review on the literature. The papers were researched on the database LILACS and SciELO from 2003 to 2007 with keywords as nursing, work, and management, constituting a 12-papers sample. The results displayed that the managerial practices of the nurses are mainly related to the technical management dimension, emphasizing the activities of coordination, supervision, and control. The precepts of the classical theories of administration still guide nursing management, even though some studies relate a slight transposition of this model and present suggestions for new nursing management ways.


Asunto(s)
Atención de Enfermería , Personal de Enfermería en Hospital/organización & administración
15.
Rev Gaucha Enferm ; 30(4): 625-32, 2009 Dec.
Artículo en Portugués | MEDLINE | ID: mdl-20586204

RESUMEN

The following study aimed at analyzing the conceptions of basic health units' professionals on the service rendered to users with violence situations, within their different manifestations. It is a qualitative research conducted with nurses, doctors, nursing technicians, and communitarian health agents through semi-structured interviews. The set of data was collected from October 2007 and March 2008 in Porto Alegre, Rio Grande do Sul, Brazil, and analyzed through theme analysis. The professionals have a role in identifying situations of violence and in elaborating intervention strategies aiming users' welfare through the recovery of physical and mental health. The break of the violence assistance net, lack of security, lack of capable professionals, and inadequate infrastructure are some of the factors that jeopardize the service. The results might support the elaboration of public policies that help the identification, gathering and assistance to individuals in violence situations.


Asunto(s)
Actitud del Personal de Salud , Atención Primaria de Salud , Violencia , Humanos
16.
Rev Lat Am Enfermagem ; 16(5): 889-94, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-19061027

RESUMEN

On Public Health, nurses can influence the care of the health needs of the population. The objective of this paper is to feature and understand the practices of nurses working at Health Basic Units. It is a qualitative research whereby semi-structured interviews were made with 15 nurses who work at Porto Alegre-Brasil. The treatment of the data was based on analysis of content of the thematic type. Outcomes indicate that the activities performed by nurses are influenced by the Health System and its limitations, especially the lack of nursing workers. Nurses are sought to solve problems that are not always related with their work, demonstrating the diversity of their practices. The conclusion is that the presence of nurses in the daily care and their articulating role contributes to change the realities of health.


Asunto(s)
Instituciones de Atención Ambulatoria , Servicios de Enfermería/organización & administración , Pautas de la Práctica en Medicina/organización & administración , Servicios Urbanos de Salud/organización & administración , Brasil , Áreas de Influencia de Salud , Humanos , Salud Pública
17.
Rev Esc Enferm USP ; 42(1): 41-7, 2008 Mar.
Artículo en Portugués | MEDLINE | ID: mdl-18450146

RESUMEN

This research was aimed at examining the organization of labor processes in an emergency service as well as the autonomy nursing workers have when providing care. It is a qualitatively-oriented case study. Data were collected by free observation, with focus on the service provided to users. It was observed that the labor process is organized around the treatment of the main complaint, having the doctor's visit as its core action. Technological organization places doctors as the main power holders, followed by nurses in their spaces of powerandautonomy-an autonomy that is seldom exercised by the remaining agents. Nurses' work is crucial, traversing all spaces of service and interlinking actions; however, it is seen as supplementary to primary care activities.


Asunto(s)
Servicio de Urgencia en Hospital/organización & administración , Enfermería/organización & administración , Autonomía Profesional
18.
Rev Esc Enferm USP ; 42(2): 256-61, 2008 Jun.
Artículo en Portugués | MEDLINE | ID: mdl-18642736

RESUMEN

This study was aimed at knowing the conception nurses who work in the Family Health Program have about the development of teamwork regarding the coordination of the actions of the various professionals that comprise it. It is a descriptive study with a qualitative approach. The data collection was carried out through semi-structured interviews with 23 nurses. The analysis of the data was carried out based on Theme Analysis. The results showed that the nurses, at certain moments, coordinate their actions with the other professionals of the team. However, there are factors that make this coordination difficult, such as excess of demand from users and lack of time for the professionals to prepare the collective planning of their practices and develop preventive actions. According to the results obtained, it is necessary to reorganize the work process in order to perform an effectively integrated work.


Asunto(s)
Salud de la Familia , Relaciones Interprofesionales , Enfermeras y Enfermeros , Grupo de Atención al Paciente , Entrevistas como Asunto
19.
Acta Paul. Enferm. (Online) ; 36: eAPE00291, 2023. tab
Artículo en Portugués | LILACS, BDENF - enfermagem (Brasil) | ID: biblio-1419859

RESUMEN

Resumo Objetivo Analisar a qualidade da Transição do Cuidado de idosos que receberam alta do hospital para casa. Métodos Estudo observacional transversal, realizado com 156 idosos, após internação em hospital público, localizado no município de Piracicaba, estado de São Paulo. Os dados foram coletados em prontuário eletrônico do paciente e por ligações telefônicas com idosos, seus familiares e/ou cuidadores, até quatro semanas após alta hospitalar. Foram utilizados questionário com dados sociodemográficos e instrumento Care Transitions Measure, versão validada para o Brasil. Resultados A duração média da última internação foi de 8,27 dias causada, majoritariamente (72,44 %) por COVID-19 e 75% dos idosos apresentaram entre 1 e 3 comorbidades, sendo a hipertensão arterial sistêmica (57,7%) a mais frequente. A média de escore do CTM 15 - Brasil foi 68,6. O Fator 1 - Preparação para o autogerenciamento obteve o maior escore (70,5) e o Fator 4 - Plano de Cuidados, o menor (59,14). Houve correlação positiva entre os 4 fatores do Care Transitions Measure, também entre estes fatores e do número de medicamentos utilizados para tratamento dos idosos, de acordo com a Classificação Anatômica Terapêutica Química. Conclusão Evidenciou-se a qualidade da Transição do Cuidado no hospital, próxima do valor considerado satisfatório, sendo dois dos quatro fatores com pontuação maior que 70; entretanto há necessidade de adoção de estratégias para melhorar o processo de alta do hospital para casa, principalmente, no que se refere a preferências asseguradas e plano de cuidado dos idosos.


Resumen Objetivo Analizar la calidad de la transición del cuidado de adultos mayores que recibieron alta del hospital a su casa. Métodos Estudio observacional transversal, realizado con 156 adultos mayores, después de estar internados en un hospital público ubicado en el municipio de Piracicaba, estado de São Paulo. Los datos fueron recopilados de la historia clínica del paciente y mediante llamados telefónicos a los adultos mayores, sus familiares o cuidadores, hasta cuatro semanas después del alta hospitalaria. Se utilizó un cuestionario con datos sociodemográficos y el instrumento Care Transitions Measure, versión validada para Brasil. Resultados La duración promedio de la última internación fue de 8,27 días, causada principalmente por COVID-19 (72,44 %) y el 75 % de los adultos mayores presentó entre una y tres comorbilidades, con hipertensión arterial sistémica como la más frecuente (57,7 %). El promedio de puntuación del CTM 15 - Brasil fue de 68,6. El Factor 1: Preparación para la autogestión obtuvo la mayor puntuación (70,5) y el Factor 4: Plan de cuidados, el menor (59,14). Se observó correlación positiva entre los cuatro factores del Care Transitions Measure, también entre estos factores del y número de medicamentos utilizados para el tratamiento de los adultos mayores, de acuerdo con la Clasificación Anatómica Terapéutica Química. Conclusión Se evidenció la calidad de la transición del cuidado en el hospital, cercana al valor considerado satisfactorio, donde dos de los cuatro factores obtuvieron puntuación superior a 70. Sin embargo, existe la necesidad de adoptar estrategias para mejorar el proceso del alta del hospital a la casa, principalmente respecto a las preferencias aseguradas y al plan de cuidado de los adultos mayores.


Abstract Objective To analyze the quality of care transition of older adults who were discharged from hospital to home. Methods This is a cross-sectional observational study, conducted with 156 older adults after public hospital admission, located in the municipality of Piracicaba, state of São Paulo. Data were collected in patients' electronic medical records and by telephone calls with older adults, their relatives and/or caregivers, up to four weeks after hospital discharge. We used a questionnaire with sociodemographic data and the Care Transitions Measure, version validated for Brazil. Results The mean duration of the last hospitalization was 8.27 days, mostly caused (72.44%) by COVID-19 and 75% of older adults had between 1 and 3 comorbidities, with hypertension (57.7%) being the most frequent. The mean CTM-15 score was 68.6. Factor 1, Management preparation, obtained the highest score (70.5), and Factor 4, Care plan, the lowest (59.14). There was a positive correlation between the 4 factors of Care Transitions Measure, also among these factors is the number of drugs used to treat older adults, according to the Anatomical Chemical Therapeutic Classification. Conclusion We evidenced the quality of the transition of care in the hospital close to the value considered satisfactory, with two of the four factors with a score greater than 70; however, there is a need to adopt strategies to improve the discharge process from hospital to home, especially with regard to preferences imported and care plan for older adults.


Asunto(s)
Humanos , Anciano , Continuidad de la Atención al Paciente , Cuidado de Transición , Transición del Hospital al Hogar , Alta del Paciente
20.
Rev. Esc. Enferm. USP ; 56: e20220100, 2022. graf
Artículo en Inglés, Portugués | LILACS, BDENF - enfermagem (Brasil) | ID: biblio-1387272

RESUMEN

ABSTRACT This is a theoretical-reflective study, with the objective of discussing the concepts of continuity and coordination of care, its conceptual interface and nurses' actions for its effectiveness in health services, based on international and national scientific publications. The concepts have been studied for decades and, although they are interrelated, they are used in a similar way, indicating a lack of conceptual understanding. The concept of continuity underwent paradigm shifts and began to adopt patients' perspectives. Currently, it involves interpersonal, longitudinal, management and informational domains. Coordination consists of establishing connections between the possible elements involved in care. It is classified as horizontal and vertical and is organized into categories: sequential, parallel and indirect. Nurses stand out through actions aimed at coordination and continuity at different levels of care, which contributes to strengthening a cohesive and people-centered care. The interface between concepts indicates that, in order to achieve integrated and continuous services, continuity and coordination of care need to be interconnected and act together.


RESUMEN Estudio teórico-reflexivo, con el objetivo de discutir los conceptos de continuidad y coordinación del cuidado, su interfaz conceptual y las acciones del enfermero para su eficacia en los servicios de salud, a partir de publicaciones científicas internacionales y nacionales. Los conceptos se han estudiado durante décadas y, aunque están interrelacionados, se utilizan de manera similar, lo que indica una falta de comprensión conceptual. El concepto de continuidad sufrió cambios de paradigma y pasó a adoptar la perspectiva de los pacientes. Actualmente, involucra dominios interpersonales, longitudinales, gerenciales e informacionales. La coordinación consiste en establecer conexiones entre los posibles elementos que intervienen en el cuidado. Se clasifica en horizontal y vertical y se organiza en categorías: secuencial, paralela e indirecta. Enfermeras se destacan por acciones dirigidas a la coordinación y continuidad en los diferentes niveles de atención, que contribuye al fortalecimiento de una atención cohesionada y centrada en las personas. La interfaz entre conceptos indica que, para lograr servicios integrados y continuos, la continuidad y la coordinación de la atención deben estar interconectadas y actuar juntas.


RESUMO Estudo teórico-reflexivo, com objetivo de discutir os conceitos de continuidade e coordenação do cuidado, sua interface conceitual e ações de enfermeiros para sua efetivação nos serviços de saúde, com base em publicações científicas internacionais e nacionais. Os conceitos são estudados há décadas e, embora sejam inter-relacionados, observa-se sua utilização de maneira semelhante, indicando falta de entendimento conceitual. O conceito de continuidade teve mudanças de paradigma e passou a adotar a perspectiva dos pacientes. Atualmente, envolve domínios interpessoal, longitudinal, gerencial e informacional. Coordenação consiste em estabelecer conexões entre os possíveis elementos envolvidos no cuidado. Classifica-se como horizontal e vertical e está organizada em categorias: sequencial, paralela e indireta. Enfermeiros destacam-se por meio de ações voltadas à coordenação e continuidade nos diferentes níveis de atenção, o que contribui para o fortalecimento do cuidado coeso e centrado nas pessoas. A interface entre conceitos indica que, para o alcance de serviços integrados e contínuos, continuidade e coordenação do cuidado precisam estar interligadas e atuar em conjunto.


Asunto(s)
Enfermería , Continuidad de la Atención al Paciente , Colaboración Intersectorial , Atención Integral de Salud , Atención a la Salud
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