Ease and challenges of the care transition process at hospital discharge

• Autor(a) principal: Gheno, Jociele
• Data de Publicação: 2023
• Outros Autores: Aires Lombardini, Amanda, Araujo, Kellen Cristina, Weis, Alisia Helena
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Enfermagem Atual In Derme
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1611
• topic: Cuidado de transição; Equipe de assistência ao paciente; Alta do paciente; Enfermagem; Transitional care; Patient care team; Patient discharge; Nursing; Cuidado de transición; Grupo de atención al paciente; Alta del paciente; Enfermería

Objective: to know the ease and challenges of the process of transition of care at hospital discharge by professionals of a multi-professional team. Methods: a qualitative and descriptive study, whose sample was intentional, by convenience. Eight professionals from a multi-professional team of a tertiary level federal hospital in Porto Alegre participated in the study. For data collection, carried out in january, february, august and september 2021, a semi-structured interview script was used for data collection. Data was analyzed using thematic content analysis. Results: the data revealed that the participants have satisfactory knowledge about the concept of transition of care, associated as facilitators of the process the discharge management office, the multidisciplinary rounds and the monitoring of patients by the Home Care Services. However, they cited as challenges gaps in communication, socioeconomic conditions of patients and families, problems with post-discharge follow-up, exhaustive demands from professionals and the pandemic. Final considerations: the joint work of the multi-professional team is fundamental in the patient discharge process. The results point to the importance of creating discharge management teams in hospitals and conducting multidisciplinary rounds as strategies to improve transitional care.