Transição e continuidade do cuidado na percepção dos enfermeiros da atenção primária à saúde

Abstract

Identificar as percepções dos enfermeiros da Atenção Primária à Saúde, quanto à transição e continuidade do cuidado. Estudo qualitativo e descritivo com enfermeiros de uma região de saúde de Curitiba, com coleta de dados utilizando questionário on-line (perguntas objetivas e descritivas) e análise de conteúdo, a partir das fases de pré-análise, exploração e tratamento dos resultados. Participaram nove enfermeiros, com idades entre 40 e 59 anos; com tempo de atuação profissional entre 10 e 20 anos; predominou formação de pós-graduação lato sensu. Emergiram 144 unidades de registro, agrupadas em 39 categorias iniciais, nove intermediárias e duas finais. O enfermeiro da Atenção Primária à Saúde percebe as características da transição e continuidade do cuidado, porém, apresenta dificuldade de conceituá-las. Traz à tona a necessidade de ações voltadas à educação permanente em saúde na temática de continuidade do cuidado.
 Descritores: Enfermagem, Atenção Primária à Saúde, Cuidado Transicional; Continuidade da Assistência ao Paciente.
 
 Transition and continuity of care in the perception of nurses in primary health care
 Abstract: To identify the perceptions of nurses in Primary Health Care regarding the transition and continuity of care. Qualitative and descriptive study with nurses from a health region in Curitiba, with data collection using an online questionnaire (objective and descriptive questions) and content analysis, from the phases of pre-analysis, exploration and treatment of results. Nine nurses participated, aged between 40 and 59 years; with professional experience between 10 and 20 years; lato sensu postgraduate training predominated. 144 registration units emerged, grouped into 39 initial, nine intermediate and two final categories. The Primary Health Care nurse perceives the characteristics of transition and continuity of care, however, it is difficult to conceptualize them. It brings out the need for actions aimed at continuing health education in the theme of continuity of care.
 Descriptors: Nurse, Primary Health Care, Care Transition, Continuity of Patient Care.
 
 Transición y continuidad del cuidado en la percepción de los enfermeros en la atención primaria de salud
 Resumen: Identificar las percepciones de los enfermeros de Atención Primaria de Salud sobre la transición y continuidad asistencial. Estudio cualitativo y descriptivo con enfermeros de una región de salud de Curitiba, con recolección de datos mediante cuestionario en línea (preguntas objetivas y descriptivas) y análisis de contenido, desde las fases de preanálisis, exploración y tratamiento de resultados. Participaron nueve enfermeras, con edades entre 40 y 59 años; con experiencia profesional entre 10 y 20 años; Predominó la formación de posgrado lato sensu. Surgieron 144 unidades de registro, agrupadas en 39 categorías iniciales, nueve intermedias y dos finales. La enfermera de Atención Primaria de Salud percibe las características de transición y continuidad de la atención, sin embargo, es difícil conceptualizarlas. Destaca la necesidad de acciones encaminadas a la educación continua en salud en el tema de la continuidad asistencial.
 Descriptores: Enfermería, Atención Primaria de Salud, Cuidado de Transición, Continuidad de la Atención al Paciente.

Percepções da enfermagem frente ao planejamento de alta hospitalar de pessoas pós acidente vascular encefálico

“…Therefore, it is underlined that a qualified transition of care requires the implementation of effective strategies, where preparation for hospital discharge is considered a crucial element in ensuring effective continuity of care. However, weaknesses have been identified in this context, which emphasizes the need to look for practices that act positively 16 .…”

Transition of care in post-hospitalization patients due to covid-19 in a hospital in northeastern Brazil

“…It is important to emphasize the role of other Health Care Networks (HCN), especially Primary Health Care (PHC), as a constituent part of the effective transition of care. It is necessary for hospitals to articulate with these services so as not to have fragmentation of the assistance provided, since, in the community, there is the promotion of home visits and progressive follow-up of the patient, with a view to verifying their evolution and demands that arise ( 25 ) .…”

Weaknesses in the continuity of care for preterm infants discharged from the neonatal unit

“…In developed countries, especially the United States of America and some European countries, the search for continuity of care is ensured by the transition of care and driven to the improvement of care quality and life of users, reducing costs with avoidable readmissions ( 7 ) . However, in Brazil and in border countries such as Paraguay and Argentina, the literature reveals deficiencies in coordination between different levels of care, resulting in difficulties in accessing health services ( 6 , 8 , 9 ) .…”

“…Brazilian studies have been exploring the theme of continuity of care for preterm infants; however, indicators show that we still live with low adherence to follow-up and high dropout rates ( 9 ) . Allied to this, we identified that despite the relevance of the theme and the wide dissemination in the literature on the conceptual and practical exploration of continuity of care, with themes focused on children’s health and chronic conditions ( 11 ) , in the hospital setting ( 12 ) , and on the understanding of primary health care nurses regarding the concept ( 7 ) , a gap is still evident, based on the perception of primary care professionals regarding the continuity of care for preterm infants discharged from the NICU. Involving all primary care professionals is important because the continuity of health care is achieved through interpersonal relationships, information sharing, and effective coordination of interventions, with these elements being attributes of PHC that must qualify the Health Care Network ( RAS ) ( 12 ) .…”