Introduction: despite the evidence of the Case Management effectiveness in health outcomes, there is no scientific evidence of the implementation and evaluation of the Colombian Health System effectiveness. Objectives: understand nurses' experiences, facing the implementation of the Case Management Model, for the care of people with pluripathology and their family caregivers. Method: qualitative descriptive study. Field diaries were made, that collected the significant experiences of the Case Managers Nurses during the intervention. All data were analyzed. Results: 6 Case Managers Nurses participated, with an average age of 31.8 years, 2 or more years of experience in the clinic or community field, all of them has specialization or master's degree. The emerging categories were: 1. Nurse's perception about the pluripathological care subject and their social environment. 2. Nursing care experience in Case Management: role, input and difficulties. Conclusions: the perception over people with pluripathology, even it is centered in physiological aspects, in the assessment and care, integrates the spiritual, psychological and social aspects of the subject.
Objetivo: compreender a experiência de Enfermeiros e tomadores de decisão na implementação do modelo de gerenciamento de caso no cuidado a pacientes com PLURIPATOLOGIAs e seus cuidadores familiares. Método: estudo descritivo qualitativo com enfermeiras e profissionais tomadores de decisão, Bogotá - Colômbia. Análise de conteúdo de diários de campo e entrevistas semiestruturadas em 2019-2020. Processamento e análise de dados com ATLASTi. Resultados: participaram seis enfermeiras e dois profissionais tomadores de decisão. Categorias emergentes:Percepção da enfermagem sobre a temática do cuidado patológico múltiplo e seu meio social; Experiência assistencial de enfermagem no gerenciamento de casos: papéis, contribuições e dificuldades; Implementação do modelo de gestão de casos no contexto colombiano: implementação, efetivação e papel dos profissionais. Conclusões: Os gestores de casos requer experiência e habilidades para se comunicar adequadamente. O gerenciamento de casos melhora a qualidade de vida, a adesão terapêutica, a utilização de serviços de saúde e reduz a sobrecarga.
Background
Renal transplantation is the treatment of choice in end-stage renal disease (ESRD)(1, 2), nonetheless; there are still limitations in improving long-term renal graft survival in a significant way, post-transplant glomerular disease being one of the main causes of renal graft loss (3, 4).
Methods
A retrospective cohort study, with renal transplant patients in 3 centers in the city of Bogota D.C
Results
399 patients were included, 61.15% predominantly male, with a median age of 44.3 years, interquartile range (IQR) (32.9–55.9). Post-transplant glomerular
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