Brazilian version of the Care Transitions Measure: translation and validation

Acosta, Aline Marques; Lima, M.A.D.S.; Marques, Giselda Quintana; Levandovski, Patricia Fátima; Weber, Luciana Andressa Feil

doi:10.1111/inr.12326

Cited by 31 publications

(44 citation statements)

References 29 publications

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“…2020;41(esp):e20190155 who were hospitalized at the time of data collection or died after discharge were excluded. During data collection, if the patient had a cognitive or communication deficit that prevented them from answering the survey, the caregiver who assisted them in both hospitalization and discharge from the service was interviewed as a substitute respondent (proxy informant) (13) . Caregivers present only in hospitalization or only at discharge were excluded.…”

Section: Methodsmentioning

confidence: 99%

“…Care Transitions Measure (CTM-15) (13) adapted for use in Brazil was also used. This instrument was created in the United States from focus groups with patients and their caregivers to assess the quality and experience of care transition in aspects related to information transfer, instructions to the patient and caregiver, self-management support, and assurance of patient and caregiver preferences in the care plan (14) .…”

Section: Methodsmentioning

confidence: 99%

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Care transition of patients with chronic diseases from the discharge of the emergency service to their homes

Acosta

Lima

Pinto

et al. 2020

Rev. Gaúcha Enferm.

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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.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Care transition of patients with chronic diseases from the discharge of the emergency service to their homes

Acosta

Lima

Pinto

et al. 2020

Rev. Gaúcha Enferm.

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“…When collecting data from the CTM-15, by telephone, those who did not answer the calls after the third attempt were considered missing, within seven to 30 days after hospital discharge (10 losses). Data collection was carried out between the months of June and August 2019, using the sociodemographic and clinical questionnaires and the Care Transitions Measure instrument (CTM 15-Brazil) [9]. The CTM 15-Brasil was adapted and validated in 2016, being the first Brazilian instrument used to analyze the quality of CTs for inpatients discharged home.…”

Section: Data Descriptionmentioning

confidence: 99%

“…It consists of 15 items, organized into four factors: health management preparation; medication understanding; important preferences, and care plan. It is usually applied by telephone and allows the caregiver/ familiar to answer as a proxy informant if the participant has a very compromised health condition [9]. This data set encompasses 213 patients characterized by the following variables: gender, age range, place of residence, race, marital status, schooling, paid work activity, type of treatment, cancer staging, metastasis, comorbidities, main complaint, main complaint grouped as, continuing medication, diagnosis, diagnosis grouped as, cancer type, year of diagnosis, oncology treatment, first hospitalization, readmission in the last 30 days, number of hospitalizations in the last 30 days, readmission in the last 6 months, number of hospitalizations in the last 6 months, readmission in the last year, number of hospitalizations in the last year and the questions 1-15 from CTM 15-Brazil.…”

Section: Data Descriptionmentioning

confidence: 99%

Care transition from hospital to home: cancer patients’ perspective

et al. 2020

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Objectives: The present database contains information on sociodemographic and clinical data as well as data from the Care Transition Measure (CTM 15-Brazil) of cancer patients undergoing clinical or surgical treatment. Data collection was carried out 7 to 30 days after patients' hospital discharge from June to August 2019. Understanding these data can contribute to improving quality of care transitions and avoiding hospital readmissions. Data description: This data set encompasses 213 cancer patients characterized by the follow variables: gender, age range, place of residence, race, marital status, schooling, paid work activity, type of treatment, cancer staging, metastasis, comorbidities, main complaint, main complaint grouped as, continuing medication, diagnosis, diagnosis grouped as, cancer type, year of diagnosis, oncology treatment, first hospitalization, readmission in the last 30 days, number of hospitalizations in the last 30 days, readmission in the last 6 months, number of hospitalizations in the last 6 months, readmission in the last year, number of hospitalizations in the last year and the questions 1-15 from CTM 15-Brazil.

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“…In Brazil, however, little progress has been made in relation to investigations on the topic. 7,13 There is a lack of studies that identify the activities performed by nurses at discharge from the hospital to the domicile in the country, 7,11 which justifies the realization of this research.…”

mentioning

confidence: 99%

Atividades do enfermeiro na transição do cuidado: realidades e desafios

Acosta¹,

Câmara²,

Weber

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: analisar as atividades realizadas pelo enfermeiro na transição do cuidado ao paciente com alta hospitalar. Método: trata-se de estudo quantitativo, transversal e descritivo com 72 enfermeiros de unidades de internação selecionados a partir da técnica de bola de neve. Realizou-se a coleta de dados por meio de questionário estruturado online, utilizando-se a ferramenta da plataforma Google DocsOffline. Analisaram-se os dados com estatística descritiva. Resultados: observou-se que a maioria das atividades foi quanto a esclarecimento de dúvidas durante as orientações de alta e orientações sobre continuidade dos cuidados com a equipe de saúde de referência. Viu-se que atividades menos realizadas foram: o acompanhamento do paciente após alta e a comunicação com equipe da unidade de saúde de referência. Viu-se que maiores dificuldades foram referentes: à realização de encaminhamentos ao hospital para a Atenção Primária à Saúde, comunicação entre os profissionais de saúde e pouca formação em serviço para qualificação dos profissionais. Conclusão: considera-se que o enfermeiro desempenha um papel fundamental na transição do cuidado, sendo as ações de educação em saúde realizadas com maior frequência. Devem-se ser feitos esforços para melhorar integração e articulação entre profissionais e serviços hospitalares e da Atenção Primária. Descritores: Alta do Paciente; Continuidade da Assistência ao Paciente; Cuidados de Enfermagem; Educação em Saúde; Integralidade em Saúde; Papel do Profissional de Enfermagem. ABSTRACT Objective: to analyze the activities performed by nurses in the transition of patient care with hospital discharge. Method: quantitative, cross-sectional and descriptive study, with 72 nurses from hospitalization units, selected from the snowball technique. Data collection occurred through an online structured questionnaire, using the tool of Google DocsOffline platform. The data were analyzed using descriptive statistics. Results: most activities regarded clarification of doubts during discharge guidance and guidelines on continuity of care with the healthcare team. Activities least performed were patient follow-up after discharge and communication with staff from the health unit of reference. The greatest difficulties related to the completion of referrals from hospital to Primary Health Care, communication between health professionals and little in-service training for qualification of professionals. Conclusion: the nurse plays a fundamental role in the care transition, with health education actions held with greater frequency. Efforts should be made to improve integration and articulation between professionals and hospital services and primary care. Descriptors: Patient Discharge; Continuity of Patient Care; Nursing Care, Health Education; Health Integrality; Nurse’s Role. RESUMEN Objetivo: analizar las actividades realizadas por los enfermeros en la transición del cuidado al paciente con el alta hospitalaria. Método: estudio cuantitativo, descriptivo y transversal, con 72 enfermeros de unidades de hospitalización, seleccionados a partir de la técnica de bola de nieve. La recolección de datos se realizó por medio de un cuestionario estructurado en línea, utilizando la herramienta de la plataforma Google DocsOffline. Los datos fueron analizados mediante estadística descriptiva. Resultados: la mayoría de las actividades era una aclaración de dudas durante las orientaciones de descarga y directrices sobre la continuidad de los cuidados con el equipo de salud. Actividades menos realizadas fueron el seguimiento de los pacientes tras el alta y la comunicación con el personal de la unidad de salud de referencia. Las mayores dificultades estaban relacionadas con la terminación de las remisiones del hospital a la atención primaria de la Salud, la comunicación entre los profesionales de la salud y la poca capacitación en servicio para la cualificación de los profesionales. Conclusión: el enfermero tiene un papel fundamental en la transición del cuidado, con acciones de educación para la salud con mayor frecuencia. Deben hacerse esfuerzos para mejorar la integración y articulación entre los profesionales y los servicios hospitalarios y de atención primaria. Descriptores: Alta del Paciente; Continuidad de la Atención al Paciente; Atención de Enfermería; Educación en Salud; Integralidad en Salud; Rol de la Enfermera.

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Brazilian version of the Care Transitions Measure: translation and validation

Abstract: Results are beneficial for nurses, managers and policy makers for evaluating care transitions and support the need for changes in policies and practices.

Cited by 31 publications

References 29 publications

Care transition of patients with chronic diseases from the discharge of the emergency service to their homes

Care transition of patients with chronic diseases from the discharge of the emergency service to their homes

Care transition from hospital to home: cancer patients’ perspective

Atividades do enfermeiro na transição do cuidado: realidades e desafios

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