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- Algorithm for transitional care for caregivers of dependent older adults: a validation studyPublication . Gomes, Thawanna; Ferreira, Bruna; Baixinho, Cristina Lavareda; Ferreira, Óscar Manuel RamosObjective: To construct and validate an algorithm for transitional care for caregivers of dependent older adults. Method: This was a methodological study developed in three phases: a literature review, designing an algorithm, and its validation by a peer panel with twenty seven experts selected according to pre-defined inclusion criteria. Results: The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers). Conclusion: Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.
- Cuidado transicional aos cuidadores de idosos dependentes:Publication . Ferreira, Bruna Alexandra da Silva; Gomes, Thawanna Jeremias Barbosa; Baixinho, Cristina Lavareda; Ferreira, ÓscarObjetivo: Identificar as necessidades dos cuidadores de idosos dependentes para o autocuidado na transição do hospital para casa. Métodos: Revisão integrativa que seguiu um protocolo pré-definido, realizada de março a maio de 2019, nas plataformas EBSCO, B-On, Scopus, Web of Science e Joanna Briggs Institute. Foram definidos descritores e critérios de elegibilidade para a amostra bibliográfica, que ficou constituída por dez artigos. Pela atualidade da evidência, limitou-se a pesquisa aos anos de 2015 a 2019. Resultados: As necessidades de cuidados transicionais para os cuidadores agrupam-se em cinco categorias: necessidades na transição para o papel de cuidador, necessidades de autocuidado dele próprio, necessidades de saúde, necessidades econômicas e necessidades sociais e comunitárias. Considerações finais: O cuidado transicional para os cuidadores deve ter dois focos de atenção, por parte dos enfermeiros: a gestão dos cuidados ao familiar dependente e a gestão das necessidades e dos cuidados ao próprio cuidador.
- Transitional Care Management from Emergency Services to Communities :Publication . Batista, José; Pinheiro, Carla Munhoz; Madeira, Carla; Manuel Gomes, Pedro; Ferreira, Óscar Manuel Ramos; Baixinho, Cristina LavaredaIn recent years, nurses have developed projects in the area of hospital to community transition. The objective of the present study was to analyze the transitional care offered to elderly people after they used emergency services and were discharged to return to the community. The action research method was chosen. The participants were nurses, elderly people 70 years old or older, and their caregivers. The study was carried out from October 2018 to August 2019. The data were collected by means of semi-structured interviews with the nurses, analysis of medical records, participatory observation, phone calls to the elderly people and caregivers, and team meetings. The qualitative data were submitted to Bardin’s content analysis. Statistical treatment was carried out by applying SPSS version 23.0. The institution’s research ethics committee approved the research. Only 31.4% of the sample experienced care continuity after discharge, and the rate of readmission to emergency services during the first 30 days after discharge was 33.4%. The referral letters lacked data on information provided to patients or caregivers, and nurses mentioned difficulties in communication between care levels, as well as obstacles to teamwork; they also mentioned that the lack of health policies and clinical rules to formalize transitional care between the hospital and the community perpetuated non-coordination of care between the two contexts. The low level of literacy of patients and their relatives are mentioned as a cause for not understanding the information regarding seeking primary health care services and handing the discharge letter. It was concluded that there is an urgent need to mobilize health teams toward action in the patients’ process of returning home, and this factor must be taken into account in care planning.