Coordinated hospital-home care for kidney patients on hemodialysis from the perspective of nursing personnel.

Autor:	Tejada-Tayabas LM; Facultad de Enfermería, Universidad Autónoma de San Luis Potosí, San Luis Potosí, San Luis Potosí, Mexico., Partida-Ponce KL; Instituto Mexicano del Seguro Social, San Luis Potosí, SLP, Mexico., Hernández-Ibarra LE; Facultad de Enfermería, Universidad Autónoma de San Luis Potosí, San Luis Potosí, San Luis Potosí, Mexico.
Jazyk:	English; Portuguese; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2015 Feb-Apr; Vol. 23 (2), pp. 225-33.
DOI:	10.1590/0104-1169.0058.2546
Abstrakt:	Objective: To examine, from the nursing perspective, the needs and challenges of coordinated hospital-home care for renal patients on hemodialysis. Methods: A qualitative analysis was conducted with an ethnographic approach in a hemodialysis unit in San Luis Potosi, Mexico. Semistructured interviews were conducted with nine nurses, selected by purposeful sampling. Structured content analysis was used. Results: Nurses recounted the needs and challenges involved in caring for renal patients. They also identified barriers that limit coordinated patient care in the hospital and the home, mainly the work overload at the hemodialysis unit and the lack of a systematic strategy for education and lifelong guidance to patients, their families and caregivers. Conclusions: This study shows the importance and necessity of establishing a strategy that goes beyond conventional guidance provided to caregivers of renal patients, integrating them into the multidisciplinary group of health professionals that provide care for these patients in the hospital to establish coordinated hospital-home care that increases therapeutic adherence, treatment substitution effectiveness and patient quality of life.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu