Nursing Resources and Innovations for Hospital Discharge: An Integrative Review

Abstract

RESUMOEste estudo objetivou identificar recursos e inovações de enfermagem aplicados à alta de pacientes. Trata-se de revisão integrativa da literatura em que foram utilizadas as bases de dados PubMed, Cochrane, LILACS e SciELO. A amostra constituiu-se de 12 artigos. Como inovações de enfermagem foram identificados o uso de checklist, programa de internação ultracurta e enfermeira de ligação. Os recursos em geral identificados foram: trabalho em equipe multidisciplinar; integração entre atenção primária, especializada e serviços sociais para a alta hospitalar; acompanhamento por telefone pós-alta; quadro branco; registro eletrônico de saúde; material educativo escrito; plano de cuidado impresso; protocolos de alta; gerenciamento de caso; fita de áudio; folheto com telefones e web sites de serviços da comunidade; educação continuada dos profissionais de saúde; coordenador de alta, enfermeira-facilitadora da alta e enfermeira educadora. Os recursos e inovações para a alta podem contribuir com gestores e profissionais de saúde no sentido de fornecer subsídios para melhorias do processo de alta. Palavras-chave: Alta do Paciente; Inovação; Recursos em Saúde; Enfermagem. ABSTR ACT

The continuity of hospital nursing care for Primary Health Care in Spain

“…The participants were 19 Hospital Nurse Liaisons working in university hospitals in Madrid (8) and Barcelona (11), and were selected because they perform counter-referral in a systematic and consolidated manner, which enables care continuity between hospital care and Primary Care. The recruitment of these nurses was facilitated through the support of an informant researcher from Madrid and another from Barcelona, with both having knowledge about the study objective.…”

“…Several strategies can be adopted as a system for sharing information between the hospital and the health unit at hospital discharge, such as systematizing protocol-based user follow-up, management planning for discharge, case management, post-discharge telephone follow-up, contact phone number of the lead nurse responsible for the patient during hospitalization, a printed care plan, written educational material, leaflets with telephones and community service websites, nurse liaison, nurse educator, among others (7)(8) . The counter-referral mechanism in the hospital setting may be able to enable care continuity after discharge to the patient in Primary Care and contribute to comprehensiveness in care.…”

Instruments for assessing adverse events associated with the use of geriatric diapers

“…It aims to generate knowledge about a problem and determine if the application is feasible in practice (6) . In order to do so, we used the checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) to guide the organization of information (7) .…”

“…To classify the level of evidence, the following classification was chosen: level 1 -evidence from a systematic review or meta-analysis of relevant randomized controlled clinical trials or from clinical guidelines based on systematic reviews of randomized controlled trials; level 2 -evidence obtained from at least one well-delineated randomized controlled trial; level 3 -evidence obtained from well-delineated clinical trials without randomization; level 4 -evidence from well-delineated cohort and case-control studies; level 5 -evidence originating from a systematic review of descriptive and qualitative studies; level 6 -evidence from a single descriptive or qualitative study; level 7 -evidence from the opinion of authorities and/or expert committee reports (7) . To analyze the material, it was decided to group and categorize the information according to the data of the instruments used in geriatric diaper care and respective measurement strategies.…”

Drug-Related Problems in the transitional care of the elderly from hospital to home

“…The multidisciplinary team plays a fundamental role in the CT of the elderly, aiming at simplifying the post-discharge medication regimen and reducing DRPs. The nurse acts as coordinator of care and is responsible for ensuring safe the transitional care, and can collaborate in the development of care activities, such as discharge planning; implementation of protocols; use of checklists; orientations, appointment scheduling; follow-up before discharge; health education activities; post-discharge home visits; and post-discharge follow-up phone calls (22,(30)(31)33) .…”