Sistematização Da Alta De Enfermagem - Uma Análise Fundamentada Em Roy

Nunes, Emanuelle Caires Dias Araújo; Filho, Nilton Alves de Menezes

doi:10.5380/ce.v21i2.45875

Cited by 3 publications

(7 citation statements)

References 11 publications

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“…In this sense, systematized protocols or instruments ensure quality of life and excellence in the service, which corroborates that patients are able to adhere to the treatment proposed with more safety and quality at home. [10][11] However, few institutions have such strategies.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, continuing education at hospital institutions can help professionals to perform the systemized care with quality and safety. [11][12] One of the factors described in the literature that hinder care transition is the dedication of nurses for administrative activities. 10 Nevertheless, this fact was of little relevance in this work, since only 22.3% of the participants believe that this is one of the difficulties for planning hospital discharge.…”

Section: Resultsmentioning

confidence: 99%

“…In practice, the process played by nurses regarding discharge is disorganized, and the performance of the team is often restricted to withdrawal of invasive devices and rapid provision of simple and general guidelines, without considering each patient's needs, with little information and follow-up after hospital discharge. 11 A study carried out in São Paulo identified that the nurse performs technical and routine guidance to the patient and family, and, sometimes, he/she cannot provide guidance. 12 The lack of guidance by professionals results in frustrated patients, insecure to continue their treatment at home.…”

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confidence: 99%

“…12 The lack of guidance by professionals results in frustrated patients, insecure to continue their treatment at home. 11 Several factors hinder nurses' involvement in care transition, including the dedication to administrative activities, work overload and lack of time, ineffective communication between the nurse and the doctor and lack of support and structure in the health care system. [10][11] There was also little knowledge about the theme and lack of recognition that nurses are responsible for care transition.…”

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confidence: 99%

“…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.…”

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confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Atividades do enfermeiro na transição do cuidado: realidades e desafios

Acosta¹,

Câmara²,

Weber

et al. 2018

Rev enferm UFPE on line.

View full text Add to dashboard Cite

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Transitional care of nurses to older adults with artificial pacemaker

et al. 2022

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Objective: to understand how the transitional care of nurses to olde adults with artificial pacemaker occurs. Method: a qualitative research, carried out in a philanthropic hospital in the city of Salvador, Bahia, Brazil. Fourteen nurses working in surgical and cardiac inpatient units participated. Data were collected between August and November 2020, through semi-structured interviews, and analyzed using the methodological framework Discourse of the Collective Subject and discussed in the light of Afaf Meleis’ theory of transitions. Results: nurses’ incipient knowledge about transitional care was identified. It was observed that the nursing discharge report is a facilitating instrument for transitional care. Final considerations: the study pointed out that the transitional care of nurses to older adults with artificial pacemakers does not have a theoretical foundation, reporting as a priority the care with the pacemaker identification card and with the surgical wound.

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