Challenges of Nursing in Better at Home Program: experience report

Detalhes bibliográficos
Autor(a) principal: Santos, Juliana Ferreira
Data de Publicação: 2022
Outros Autores: Rocha, Roseanne Montargil, Costa, Pollyanna Alves Dias, Squarcini, Camila Fabiana Rossi
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/27242
Resumo: The nurse's role in public home care service must focus on the user's safe care. Thus, the objective of this report was to describe the experience of a nurse on the safety of patients assisted by the Better at Home Program (PMC), between 2016 and 2020, in a municipality on the southern coast of Bahia, pointing out potentialities and challenges encountered. During this period, she performed dressings, administered medication, checking vital signs, among others. Besides the hospital safety protocol, there was a need to develop, with the multidisciplinary team, training, preparation of a booklet, and educational conversations for the patient, family, and caregivers. Further, other strategies used were to give more effective attention to the home environment and provide the professionals' phone numbers. We concluded that the PMC provides more humanized care for being carried out at home, but may present fragility since it uses adaptations of hospital protocols, requiring greater attention from the nursing staff to ensure patient safety.
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spelling Challenges of Nursing in Better at Home Program: experience reportDesafíos de la Enfermería en el Programa Mejor en Casa: relato de experienciaDesafios da Enfermagem no Programa Melhor em Casa: relato de experiênciaSegurança do PacienteServiços de Assistência DomiciliarEnfermagem.Seguridad del PacienteServicios de Atención DomiciliariaEnfermería.Patient SafetyHome Care ServicesNursing.The nurse's role in public home care service must focus on the user's safe care. Thus, the objective of this report was to describe the experience of a nurse on the safety of patients assisted by the Better at Home Program (PMC), between 2016 and 2020, in a municipality on the southern coast of Bahia, pointing out potentialities and challenges encountered. During this period, she performed dressings, administered medication, checking vital signs, among others. Besides the hospital safety protocol, there was a need to develop, with the multidisciplinary team, training, preparation of a booklet, and educational conversations for the patient, family, and caregivers. Further, other strategies used were to give more effective attention to the home environment and provide the professionals' phone numbers. We concluded that the PMC provides more humanized care for being carried out at home, but may present fragility since it uses adaptations of hospital protocols, requiring greater attention from the nursing staff to ensure patient safety.El papel del enfermero en la atención domiciliaria debe estar centrado en el cuidado seguro al usuario. Así que, el objetivo de este relato fue describir la experiencia de una enfermera sobre la seguridad del paciente por el Programa Mejor en Casa (PMC) de un municipio del litoral sur de Bahía, señalando las potencialidades y desafíos encontrados. Se trata de un informe de acciones desarrolladas entre 2016 y 2020 en el PMC. En ese período, ella hizo procedimientos como vendajes, administración de medicamentos, verificación de signos vitales, entre otros. Además del protocolo de seguridad hospitalaria, hubo la necesidad de desarrollar, con el equipo multiprofesional, entrenamiento, elaboración de cartillas y charlas educativas para el paciente, familiares y cuidadores. Asimismo, se han utilizado otras estrategias, tales como un proceso mayor de atención al entorno domiciliario y la posibilidad de contactar por teléfono con los profesionales. Se concluyó que el PMC ofrece un cuidado más humanizado por estar en el hogar, pero puede presentar fragilidad puesto que se utiliza adaptaciones de los protocolos hospitalarios, por eso requiere un mayor enfoque de la enfermería para garantizar la seguridad del paciente.O papel do enfermeiro na atenção domiciliar deve estar centrado no cuidado seguro ao usuário. Com isso, o objetivo deste relato foi descrever a experiência de uma enfermeira sobre a segurança do paciente atendido pelo Programa Melhor em Casa (PMC) de um município do litoral sul da Bahia apontando as potencialidades e os desafios encontrados. Trata-se de um relato sobre ações desenvolvidas entre 2016 a 2020 no PMC que foi realizado em um município do sul da Bahia. Foram atendidas ocorrências como realização de curativos, administração de medicamentos, aferição de sinais vitais, dentre outros. Além do protocolo de segurança hospitalar, houve a necessidade de desenvolver, junto com a equipe multiprofissional, treinamento, confecção de cartilha e conversas educativas para o paciente, familiares e cuidadores. Ainda, um processo maior de atenção ao ambiente domiciliar e a disponibilização do contato com os profissionais foram estratégias utilizadas. Concluiu-se que o PMC oportuniza um cuidado mais humanizado por estar no lar, mas pode apresentar fragilidade uma vez que utiliza adaptações dos protocolos hospitalares, exigindo da enfermagem maior atenção ao cuidado para garantir a segurança do paciente.Research, Society and Development2022-03-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2724210.33448/rsd-v11i4.27242Research, Society and Development; Vol. 11 No. 4; e17311427242Research, Society and Development; Vol. 11 Núm. 4; e17311427242Research, Society and Development; v. 11 n. 4; e173114272422525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/27242/23798Copyright (c) 2022 Juliana Ferreira Santos; Roseanne Montargil Rocha; Pollyanna Alves Dias Costa; Camila Fabiana Rossi Squarcinihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Juliana Ferreira Rocha, Roseanne Montargil Costa, Pollyanna Alves Dias Squarcini, Camila Fabiana Rossi 2022-03-27T17:17:09Zoai:ojs.pkp.sfu.ca:article/27242Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:45:02.685086Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Challenges of Nursing in Better at Home Program: experience report
Desafíos de la Enfermería en el Programa Mejor en Casa: relato de experiencia
Desafios da Enfermagem no Programa Melhor em Casa: relato de experiência
title Challenges of Nursing in Better at Home Program: experience report
spellingShingle Challenges of Nursing in Better at Home Program: experience report
Santos, Juliana Ferreira
Segurança do Paciente
Serviços de Assistência Domiciliar
Enfermagem.
Seguridad del Paciente
Servicios de Atención Domiciliaria
Enfermería.
Patient Safety
Home Care Services
Nursing.
title_short Challenges of Nursing in Better at Home Program: experience report
title_full Challenges of Nursing in Better at Home Program: experience report
title_fullStr Challenges of Nursing in Better at Home Program: experience report
title_full_unstemmed Challenges of Nursing in Better at Home Program: experience report
title_sort Challenges of Nursing in Better at Home Program: experience report
author Santos, Juliana Ferreira
author_facet Santos, Juliana Ferreira
Rocha, Roseanne Montargil
Costa, Pollyanna Alves Dias
Squarcini, Camila Fabiana Rossi
author_role author
author2 Rocha, Roseanne Montargil
Costa, Pollyanna Alves Dias
Squarcini, Camila Fabiana Rossi
author2_role author
author
author
dc.contributor.author.fl_str_mv Santos, Juliana Ferreira
Rocha, Roseanne Montargil
Costa, Pollyanna Alves Dias
Squarcini, Camila Fabiana Rossi
dc.subject.por.fl_str_mv Segurança do Paciente
Serviços de Assistência Domiciliar
Enfermagem.
Seguridad del Paciente
Servicios de Atención Domiciliaria
Enfermería.
Patient Safety
Home Care Services
Nursing.
topic Segurança do Paciente
Serviços de Assistência Domiciliar
Enfermagem.
Seguridad del Paciente
Servicios de Atención Domiciliaria
Enfermería.
Patient Safety
Home Care Services
Nursing.
description The nurse's role in public home care service must focus on the user's safe care. Thus, the objective of this report was to describe the experience of a nurse on the safety of patients assisted by the Better at Home Program (PMC), between 2016 and 2020, in a municipality on the southern coast of Bahia, pointing out potentialities and challenges encountered. During this period, she performed dressings, administered medication, checking vital signs, among others. Besides the hospital safety protocol, there was a need to develop, with the multidisciplinary team, training, preparation of a booklet, and educational conversations for the patient, family, and caregivers. Further, other strategies used were to give more effective attention to the home environment and provide the professionals' phone numbers. We concluded that the PMC provides more humanized care for being carried out at home, but may present fragility since it uses adaptations of hospital protocols, requiring greater attention from the nursing staff to ensure patient safety.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-15
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/27242
10.33448/rsd-v11i4.27242
url https://rsdjournal.org/index.php/rsd/article/view/27242
identifier_str_mv 10.33448/rsd-v11i4.27242
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/27242/23798
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 4; e17311427242
Research, Society and Development; Vol. 11 Núm. 4; e17311427242
Research, Society and Development; v. 11 n. 4; e17311427242
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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