Instrumentos de avaliação do risco de prolongamento de internação hospitalar

Modas, Diana Andreia Santos; Nunes, Elisabete

doi:10.1590/1982-0194201900032

Cited by 3 publications

(10 citation statements)

References 15 publications

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“…Percepção de pacientes e enfermeiras sobre o cateter central de inserção periférica na assistência ambulatorial A respeito da desospitalização, trata-se de um fator benéfico importante atualmente tanto por razões de custo hospitalar com tempo de internação reduzido como também pela diminuição do risco de infecções e complicações, além da perspectiva de melhor adesão do paciente ao cuidado (23)(24) . Entretanto, por conta da continui-…”

Section: Discussionunclassified

Percepção de pacientes e enfermeiras sobre o cateter central de inserção periférica na assistência ambulatorial

Biaggio Mota,

Moura Mesquita,

Turrini

2023

Rev. Baiana Enferm.

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Objetivo: analisar a percepção de pacientes e enfermeiras quanto ao uso do Cateter Central de Inserção Periférica (PICC) na assistência ambulatorial. Método: estudo exploratório de abordagem qualitativa, baseado no modelo de adaptação de Callista Roy, a partir de entrevistas realizadas em hospital público de ensino em cardiologia localizado em São Paulo, Brasil, com pacientes em uso de PICC e enfermeiras. Resultados: após transcrição das entrevistas, realizou-se a análise de conteúdo e construíram-se as categorias temáticas de cuidado no cotidiano; riscos a funcionalidade e permanência do cateter; longitudinalidade do cuidado para enfermeiras; alívio de dor do paciente; repercussões do uso prolongado do cateter. Considerações finais: a durabilidade do cateter depende da valorização do cuidado e orientações fornecidas aos pacientes e enfermeiros dos serviços de contra referência. Os relatos obtidos quanto à adaptação ao uso extra-hospitalar do PICC permitirão rever estratégias conjuntas de monitoramento e manejo.

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Section: Discussionunclassified

Percepção de pacientes e enfermeiras sobre o cateter central de inserção periférica na assistência ambulatorial

Biaggio Mota,

Moura Mesquita,

Turrini

2023

Rev. Baiana Enferm.

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“…These factors have been shown to affect the expected length of hospital stay and the likelihood of discharge delays. 10 In addition, hospitals should have a standard form of discharge that can be used when the patient is admitted and/or discharged to/from the hospital. 8,10,13 It is imperative to train nurses iterative healthcare delivery and outcomes improvements (see Figure 7) 34,35,40,43 (detailed explanation can be found in Table B1, item [3]):…”

Section: Technical/administrative Supportmentioning

confidence: 99%

“…Information technology can be used in several ways, including assessing the patient's physical and socioeconomic conditions. These factors have been shown to affect the expected length of hospital stay and the likelihood of discharge delays 10 . In addition, hospitals should have a standard form of discharge that can be used when the patient is admitted and/or discharged to/from the hospital 8,10,13 .…”

Section: Proposed Framework For Process Improvementmentioning

confidence: 99%

“…Meanwhile, van Sluisveld et al evaluated clinical handover quality at patient discharge, noting the need for better research methods 16 . Modas et al assessed tools for predicting prolonged hospital stays, with a gap noted in practical healthcare policy implications 10 . Plante et al linked cognitive impairment to longer hospital stays, suggesting the need for strategies to address the issue 8 .…”

Section: Introductionmentioning

confidence: 99%

“…This issue, known by various terms globally, prolongs hospital stays, increases costs, reduces capacity, and leads to poorer patient outcomes. Therefore, addressing DHD's root causes and effects is essential 5,7–11 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Decoding the persistence of delayed hospital discharge: An in‐depth scoping review and insights from two decades

Abdelhalim,

Zargoush,

Archer

et al. 2024

Health Expectations

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ObjectiveThis article addresses the persistent challenge of Delayed Hospital Discharge (DHD) and aims to provide a comprehensive overview, synthesis, and actionable, sustainable plan based on the synthesis of the systematic review articles spanning the past 24 years. Our research aims to comprehensively examine DHD, identifying its primary causes and emphasizing the significance of effective communication and management in healthcare settings.MethodsWe conducted the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews (PRISMA‐ScR) method for synthesizing findings from 23 review papers published over the last two decades, encompassing over 700 studies. In addition, we employed a practical and comprehensive framework to tackle DHD. Rooted in Linderman's model, our approach focused on continuous process improvement (CPI), which highlights senior management commitment, technical/administrative support, and social/transitional care. Our proposed CPI method comprised several stages: planning, implementation, data analysis, and adaptation, all contributing to continuous improvement in healthcare delivery. This method provided valuable insights and recommendations for addressing DHD challenges.FindingsOur DHD analysis revealed crucial insights across multiple dimensions. Firstly, examining causes and interventions uncovered issues such as limited discharge destinations, signaling unsustainable solutions, and inefficient care coordination. The second aspect explored the patient and caregiver experience, emphasizing challenges linked to staff uncertainty and negative physical environments, with notable attention to the underexplored area of caregiver experience. The third theme explored organizational and individual factors, including cognitive impairment and socioeconomic influences. The findings emphasized the importance of incorporating patients' data, recognizing its complexity and current avoidance. Finally, the role of transitional and social care and financial strategies was scrutinized, emphasizing the need for multicomponent, context‐specific interventions to address DHD effectively.ConclusionThis study addresses gaps in the literature, challenges prevailing solutions, and offers practical pathways for reducing DHD, contributing significantly to healthcare quality and patient outcomes. The synthesis introduces the vital CPI stage, enhancing Linderman's work and providing a pragmatic framework to eradicate delayed discharge. Future efforts will address practitioner consultations to enhance perspectives and further enrich the study.Patient or Public ContributionOur scoping review synthesizes and analyzes existing systematic review articles and emphasizes offering practical, actionable solutions. While our approach does not directly engage patients, it strategically focuses on extracting insights from the literature to create a CPI framework. This unique aspect is intentionally designed to yield tangible benefits for patients, service users, caregivers, and the public. Our actionable recommendations aim to improve hospital discharge processes for better healthcare outcomes and experiences. This detailed analysis goes beyond theoretical considerations and provides a practical guide to improve healthcare practices and policies.

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Nursing Procedures and Care Associated With the Prevention and Rehabilitation of Patients With Pressure Ulcers: An Integrative Review

Ferreira Monteiro,

Louzeiro Rocha,

Pinheiro da Silva

et al. 2024

RECIMA21

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A lesão por pressão é um grande problema para a saúde pública mundial, um verdadeiro desafio para enfermeiros e gestores, tem causa multifatorial, e seu desenvolvimento ocorre principalmente pela exposição a pressão exercida em capilares sanguíneos por longo período de tempo. Dessa maneira, o objetivo deste estudo foi avaliar os procedimentos e cuidados da enfermagem associados à prevenção e reabilitação de pacientes com úlcera por pressão. Trata-se de uma revisão integrativa construída a partir das publicações entre os anos de 2016 e 2021. A busca por artigos ocorreu em seis bancos de artigos tanto nacional quanto internacional. Após o processo de identificação e triagem de 420 artigos, 37 deles foram selecionados. Ao final 12 artigos foram incluídos no estudo. Os resultados apontam que casos de lesão por pressão acometem pacientes com diferentes perfis, em que uma das problemáticas, entre as mais comuns observadas, foi a falta de conhecimento ou habilidades de aplicar medidas de prevenção por parte da equipe que cuidava dos pacientes acamados. Com base em nosso levantamento bibliográfico conclui-se que a educação e treinamento das equipes são essenciais. Contudo, a criação e a implementação de medidas e instrumentos de avaliação são imprescindíveis, pois assim obtêm-se resultados ainda mais significativos.

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Instrumentos de avaliação do risco de prolongamento de internação hospitalar

Cited by 3 publications

References 15 publications

Percepção de pacientes e enfermeiras sobre o cateter central de inserção periférica na assistência ambulatorial

Percepção de pacientes e enfermeiras sobre o cateter central de inserção periférica na assistência ambulatorial

Decoding the persistence of delayed hospital discharge: An in‐depth scoping review and insights from two decades

Nursing Procedures and Care Associated With the Prevention and Rehabilitation of Patients With Pressure Ulcers: An Integrative Review

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