Devir Cuidadora De Prematuro E Os Dispositivos Constituintes Da Continuidade Da Atenção Pós-Alta

Braga, Patrícia Pinto; Sena, Roseni Rosângela de

doi:10.1590/0104-07072017003070016

Cited by 12 publications

(26 citation statements)

References 16 publications

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“…Research exposes that fragmented, punctual and disjointed care between services, with fragility in the flow of information, discontinuity of care, potentiates the production of illness and is unable to meet the population demands. [13][14] A study carried out at a university hospital in the city of São Paulo, in different sectors of hospitalization, showed that when communication between nurses and the multidisciplinary team…”

Section: Discussionmentioning

confidence: 99%

Continuity of Hospital Discharge Care for Primary Health Care: Spanish Practice

Costa

Ciosak

Andrade

et al. 2020

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Objective: to understand discharge plan and the facilities and difficulties for continuity of care in Primary Health Care. Method: a qualitative and exploratory study carried out in Madrid, Barcelona, Murcia, Seville and Granada, with 29 hospital liaison nurses working in university hospitals, between 2016 and 2018. For data collection, an online questionnaire was used with open and closed questions about the profile of nurses; work context; hospital discharge plan; communication between hospital nurses and primary care. All were analyzed based on Thematic Analysis. Results: hospital liaison nurses from Spain draw up a discharge plan at least 48 hours in advance. They offer a Continuity of Care Report, guide patients, families and caregivers to the necessary care after hospital discharge, coordinate consultations and referrals and carry out home visits. Communication with primary care occurs through the computerized system and telephone. Monitoring takes place using indicators and statistical reports. In cases of readmission, nurses are requested and contacted by nurses in primary care. Communication with primary care is among the facilities. Lack of liaison nurses is among the difficulties. Conclusion: hospital liaison nurses from Spain carry out a discharge plan and communicate with primary care. When patients are hospitalized, they are called when there is a need for continuity of care for primary care.

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Section: Discussionmentioning

confidence: 99%

Continuity of Hospital Discharge Care for Primary Health Care: Spanish Practice

Costa

Ciosak

Andrade

et al. 2020

Texto contexto - enferm.

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“…10,20 This situation is evidenced by another study, which suggests the difficulty of the nursing team in renouncing power in relation to care, instituting a vertical relationship, based on resistance to the insertion of the relative. [21][22] Therefore, by the recognition of the nurse as a professional capable of encouraging maternal autonomy in the care of the premature child through the promotion of maternal care -aiming at empowerment during hospitalization -, it is necessary that in this process the professional glimpses another look, the one for which the mother is an active subject of the process, can be heard, thus enabling the planning of care together with the team. [22][23][24][25]…”

Section: Discussionmentioning

confidence: 99%

Prática Social Da Enfermagem Na Promoção Do Cuidado Materno Ao Prematuro Na Unidade Neonatal

Araújo

Pacheco

Rodrigues

et al. 2018

Texto contexto - enferm.

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RESUMO Objetivo: descrever os modos de promoção do cuidado materno pela equipe de enfermagem de uma unidade neonatal e analisar os modos de promoção desse cuidado e sua interface com as políticas públicas. Método: estudo do tipo descritivo e exploratório, com abordagem qualitativa, desenvolvida com 15 profissionais da equipe de enfermagem que atuavam na assistência ao bebê prematuro e sua família na unidade neonatal de um hospital universitário, localizado na cidade do Rio de Janeiro(Brasil). Os resultados foram analisados segundo a análise crítica de discurso e interpretados à luz das concepções teóricas de Paulo Freire. Resultados: a prática social dos profissionais de enfermagem na promoção do cuidado materno foi alicerçada em três modos de promoção: fazer entender, fazer sentir e fazer fazer, e se mostrou vinculada à ideologia institucional articulada com as políticas públicas para com as mães, vigentes no Brasil. Nesse sentido, os modos de promoção do cuidado materno estavam direcionados ao cumprimento de objetivos funcionalistas vinculados a programas específicos, não considerando as demandas maternas. Os discursos filiados a uma ideologia dominante revelaram as relações de poder dos profissionais para com as mães, com vistas ao atendimento das estratégias de promoção que compõem a Política Nacional de Incentivo ao Aleitamento Materno na Atenção Hospitalar, tendo como apoio a Iniciativa Hospital Amigo da Criança e o Método Canguru. Conclusão: o enfermeiro precisa reconhecer as necessidades das mães frente ao cuidado ao recém-nascido prematuro e favorecer suas potencialidades, para que sejam capazes de cuidar de seus filhos na unidade neonatal.

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“…Concerning outpatient follow-up, studies have verified its contribution to the timely diagnosis of changes in growth and development, referral to specialized care, morbidity and mortality reduction of newborns and support to parents regarding the children's care (5)(6) . Additionally, the recording of information on the follow-up has allowed the knowledge concerning the results of care to children who were hospitalized at a NICU (6) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the discontinuance of outpatient follow-up in neonatal units

et al. 2020

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Objectives: to identify predisposing and enabling factors as well as the health needs associated with the discontinuance of outpatient follow-up of newborns who were hospitalized at neonatal intensive care unit. Methods: cross-sectional study, using the behavioral model of health services use. The study was composed of 358 mothers and newborns referred to the outpatient follow-up after discharge. Characterization, perception of social support, postnatal depression, and attendance to appointments data were collected, analyzed by the R software (3.3.1). Results: outpatient follow-up was discontinued by 31.28% of children in the first year after discharge. In multiple regression analysis, the chance of discontinuance was higher for newborns who used mechanical ventilation (OR = 1.68; 95%CI 1.04-2.72) and depended on technology (OR = 3.54; 95%CI 1.32-9.5). Conclusions: predisposing factors were associated with the discontinuance of follow-up; enabling factors and health needs did not present a significant association. Children with more complex health conditions require additional support to participate in follow-up programs, thus ensuring the continuity of care.

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Devir Cuidadora De Prematuro E Os Dispositivos Constituintes Da Continuidade Da Atenção Pós-Alta

Cited by 12 publications

References 16 publications

Continuity of Hospital Discharge Care for Primary Health Care: Spanish Practice

Continuity of Hospital Discharge Care for Primary Health Care: Spanish Practice

Prática Social Da Enfermagem Na Promoção Do Cuidado Materno Ao Prematuro Na Unidade Neonatal

Factors associated with the discontinuance of outpatient follow-up in neonatal units

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