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

ABSTRACT 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 profes...

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Main Authors: Sara Maria Barbosa, Fabiana Costa Machado Zacharias, Tatiele Estefâni Schönholzer, Diene Monique Carlos, Maria Estela Lacerda Pires, Silvia Helena Valente, Luciana Aparecida Fabriz, Ione Carvalho Pinto
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2023-12-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023001000210&lng=en&tlng=en
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author Sara Maria Barbosa
Fabiana Costa Machado Zacharias
Tatiele Estefâni Schönholzer
Diene Monique Carlos
Maria Estela Lacerda Pires
Silvia Helena Valente
Luciana Aparecida Fabriz
Ione Carvalho Pinto
author_facet Sara Maria Barbosa
Fabiana Costa Machado Zacharias
Tatiele Estefâni Schönholzer
Diene Monique Carlos
Maria Estela Lacerda Pires
Silvia Helena Valente
Luciana Aparecida Fabriz
Ione Carvalho Pinto
author_sort Sara Maria Barbosa
collection DOAJ
description ABSTRACT 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.
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spelling doaj.art-c76343dd743e41fa82614dbb445057f12023-12-05T07:37:38ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462023-12-0176610.1590/0034-7167-2022-0772Hospital discharge planning in care transition of patients with chronic noncommunicable diseasesSara Maria Barbosahttps://orcid.org/0000-0001-6657-6203Fabiana Costa Machado Zachariashttps://orcid.org/0000-0003-1150-6114Tatiele Estefâni Schönholzerhttps://orcid.org/0000-0002-4294-8807Diene Monique Carloshttps://orcid.org/0000-0002-4950-7350Maria Estela Lacerda Pireshttps://orcid.org/0000-0002-3102-6620Silvia Helena Valentehttps://orcid.org/0000-0002-3593-9590Luciana Aparecida Fabrizhttps://orcid.org/0000-0001-7633-0127Ione Carvalho Pintohttps://orcid.org/0000-0001-7541-5591ABSTRACT 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.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023001000210&lng=en&tlng=enTransitional CareContinuity of Patient CareProcess AssessmentPatient DischargeNurse’s RolePatient-Centered Care.
spellingShingle Sara Maria Barbosa
Fabiana Costa Machado Zacharias
Tatiele Estefâni Schönholzer
Diene Monique Carlos
Maria Estela Lacerda Pires
Silvia Helena Valente
Luciana Aparecida Fabriz
Ione Carvalho Pinto
Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
Revista Brasileira de Enfermagem
Transitional Care
Continuity of Patient Care
Process Assessment
Patient Discharge
Nurse’s Role
Patient-Centered Care.
title Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
title_full Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
title_fullStr Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
title_full_unstemmed Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
title_short Hospital discharge planning in care transition of patients with chronic noncommunicable diseases
title_sort hospital discharge planning in care transition of patients with chronic noncommunicable diseases
topic Transitional Care
Continuity of Patient Care
Process Assessment
Patient Discharge
Nurse’s Role
Patient-Centered Care.
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0034-71672023001000210&lng=en&tlng=en
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