Hospital discharge planning in care transition of patients with chronic noncommunicable diseases.

Autor: Barbosa SM; Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil., Zacharias FCM; Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil., Schönholzer TE; Universidade Federal do Paraná. Toledo, Paraná, Brazil., Carlos DM; Universidade Federal São Carlos. São Carlos, São Paulo, Brazil., Pires MEL; Prefeitura Municipal de Batatais. Batatais, São Paulo, Brazil., Valente SH; Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil., Fabriz LA; Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil., Pinto IC; Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista brasileira de enfermagem [Rev Bras Enferm] 2023 Dec 04; Vol. 76 (6), pp. e20220772. Date of Electronic Publication: 2023 Dec 04 (Print Publication: 2023).
DOI: 10.1590/0034-7167-2022-0772
Abstrakt: Objective: to analyze care transition in hospital discharge planning for patients with chronic noncommunicable diseases.
Method: a qualitative study, based on the Care Transitions Intervention theoretical model, with four pillars of intervention, to ensure a safe transition. Twelve professionals participated in a public hospital in the countryside of São Paulo. Data were collected through observation, document analysis and semi-structured interviews.
Results: there was a commitment of a multidisciplinary team to comprehensive care and involvement of family members in patient care. The documents facilitated communication between professionals and/or levels of care. However, the lack of time to prepare for discharge can lead to fragmented care, impairing communication and jeopardizing a safe transition.
Final Considerations: they were shown to be important elements in discharge planning composition, aiming to ensure a safe care transition, team participation with nurses as main actors, early discharge planning and family involvement.
Databáze: MEDLINE
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