Project K: Training for hospital-community safe transition

• Autor(a) principal: Paniagua,David Valsera
• Data de Publicação: 2018
• Outros Autores: Ribeiro,Maria Paula Homem, Correia,Ana Marta, Cunha,Carla Rosa Ferreira e, Baixinho,Cristina Lavareda, Ferreira,Óscar
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018001102264
• topic: Mental Health; Nursing; Continuity to Patient Care; Medication Adherence; Caregivers

ABSTRACT Objective: To define the safe transition process from hospital to community of patients with chronic mental disorders and their families. Method: This was an action research study included in the constructivist paradigm. The participants in the study were nurses from a psychiatry service and from primary healthcare services. Results: After the identification of causes of continuity fragmentation, the following items emerged from the participants’ speeches: a) two criteria categories for safe transition (those associated with health status, dependence level, and self-care capacity of patients, and those associated with knowledge and competence level of informal caregivers); b) the design of an algorithm to facilitate clinical decision-making. Final considerations: In order to promote adherence to therapeutic treatment in the hospital-community transition, treatment plans must include patients and their families, and improve communication networks and support among care levels.