A continuidade de cuidados de saúde na perspetiva dos utentes

Mendes, Felismina Rosa Parreira; Gemito, Maria Laurência; Caldeira, Ermelinda; Serra, Isaura da Conceição Cascalho; Casas-Novas, Maria Vitória

doi:10.1590/1413-81232017223.26292015

Cited by 33 publications

(46 citation statements)

References 16 publications

(21 reference statements)

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“…It is acknowledged that nurses have a fundamental role in choosing appropriate interventions that ensure continuity of care between the hospital and the community, in order to minimize side effects and disabilities secondary to surgery and to promote the knowledge and skills of the patient and caregiver to adapt to the new health condition (3)(4)(5) .…”

Section: Introductionmentioning

confidence: 99%

“…The complexity of current health problems, the reduction of the average hospitalization time and economic containment require a multidisciplinary and interinstitutional approach. Therefore, coordination between levels of care (hospital and home care) requires a multi-and interdisciplinary intervention (5) .…”

Section: Introductionmentioning

confidence: 99%

“…This question is more relevant when people who are undergoing arthroplasty present an increased risk of frailty, imposed by comorbidities or prior dependence on self-care (3) . Other studies add that patients are vulnerable to loss of continuity experiences when there are health changes or when moving between care organizations, requiring that the elderly person and their caregiver integrate the guidelines and develop specific skills to maintain the care initiated at the hospital (5) . However, this process can be hindered by the difficulty in understanding or executing specific guidelines that result from this health-disease transition (3) .…”

Section: Introductionmentioning

confidence: 99%

“…Continuity of care guarantees the improvement of the quality of care provided and constitutes an adequate strategy for a policy to be followed by different health services (5) . Adequate discharge planning results in a reduction in length of hospital stay and post-discharge readmissions (2) associated with surgical or immobility-induced complications.…”

Section: Introductionmentioning

confidence: 99%

“…The researchers also point out that these obstacles contribute to their invisibility in the practice of the profession (5,8) , providing gaps in planning the person's return home after arthroplasty and subsequent safe and informed transition between different contexts of care.…”

Section: Introductionmentioning

confidence: 99%

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Active Life: a project for a safe hospital-community transition after arthroplasty

Ferreira¹,

Lourenço

Costa³

et al. 2019

Rev. Bras. Enferm.

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Objective: To define the criteria for the continuity of care to elderly people submitted to arthroplasty. Method: This is a qualitative study, inserted in the constructivist paradigm, whose methodological option fell on research-action. The participants were the health professionals of an orthopedic service and of the community care teams in the area of the hospital. Results: The different techniques allowed us to identify the difficulties in the safe transition from the hospital to the community. At this level, two categories of criteria for continuity of care emerged: criteria associated with the risk of ineffective management of the therapeutic regimen, and criteria associated with the knowledge and level of competence of the informal caregiver. Final Considerations: An elderly person undergoing arthroplasty (hip or knee) has functional alterations that affect their capacity for self-care and may lead to dependence, our findings allowed the design of an algorithm to facilitate clinical decision making and promote a safe hospital-community transition.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Active Life: a project for a safe hospital-community transition after arthroplasty

Ferreira¹,

Lourenço

Costa³

et al. 2019

Rev. Bras. Enferm.

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Transitional Care in Times of COVID 19: Opportunities for e-Health Interventions

Baixinho

Sousa

Ferreira

2021

Lecture Notes in Bioengineering

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People admitted to hospitals are vulnerable to experiencing care continuity loss when there are alterations in their health condition or when they are transferred between care institutions. This is a challenge for health systems to guarantee the execution of a set of actions whose objective is ensuring care continuity between different care levels. This studied aimed to understand the influence of the current pandemic on the continuity of care between the hospital and the community. The participants were five nurses, who gave free and informed consent to participate. Content analysis was the technique used in data analysis. Data anonymity and confidentiality were ensured, and the data was coded without identifying customers and their families. An ethic commission authorized the study. The findings shows that transitional care has become a missing care during the pandemic, due to the need to reorganize the services and teams to provide care to the COVID patients and by the limitations of visits to hospitalized elderly. Professionals note that not only the discharge preparation and caregiver training were affected, but also communication with primary health care became more difficult, with clear defragmentation in the transitional care. In the professionals' discourse, the need to rethink ways of ensuring continuity of care emerges, with e-health interventions being seen as an opportunity to ensure the safety of the elderly and their caregivers, the articulation with colleagues in primary health care and continuity of rehabilitation care. Despite the limitations of the study, several recommendations for the clinic and investigation emerge.

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The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway

et al. 2019

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PurposeThe purpose of this study was to investigate how changes in patient-rated health and disability from baseline to after rehabilitation were associated with communication and relationships in rehabilitation teams and patient-rated continuity of care.MethodsLinear models were used to assess the associations between relational coordination [RC] and Nijmegen Continuity Questionnaire-Norwegian version [NCQ-N] with changes in the World Health Association Disability Assessment Schedule 2.0 [WHODAS 2.0] and EuroQol EQ-VAS [EQ-VAS]. To express change in WHODAS 2.0 and EQ-VAS, the model was adjusted for WHODAS 2.0 and EQ-VAS baseline scores. Analyses for possible slopes for the various diagnosis groups were performed.ResultsA sample of 701 patients were included in the patient cohort, followed from before rehabilitation to 1 year after a rehabilitation stay involving treatment by 15 different interprofessional teams. The analyses revealed associations between continuity of care and changes in patient-rated health, measured with EQ-VAS (all p values < 0.01). RC communication was associated with more improvement in functioning in neoplasms patient group, compared to improvement of health among included patient groups. The results revealed no associations between NCQ-N and WHODAS 2.0 global score, or between RC in the rehabilitation teams treating the patients and changes in WHODAS 2.0 global score.ConclusionThe current results revealed that better personal, team and cross-boundary continuity of rehabilitation care was associated with better patient health after rehabilitation at 1-year follow-up. Measures of patient experiences with different types of continuity of care may provide a promising indicator of the quality of rehabilitation care.Electronic supplementary materialThe online version of this article (10.1007/s11136-019-02216-7) contains supplementary material, which is available to authorized users.

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A continuidade de cuidados de saúde na perspetiva dos utentes

Cited by 33 publications

References 16 publications

Active Life: a project for a safe hospital-community transition after arthroplasty

Active Life: a project for a safe hospital-community transition after arthroplasty

Transitional Care in Times of COVID 19: Opportunities for e-Health Interventions

The effect of team collaboration and continuity of care on health and disability among rehabilitation patients: a longitudinal survey-based study from western Norway

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