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Publication
O processo de continuidade de cuidados nos serviços de internamento de um hospital
| Name: | Description: | Size: | Format: | |
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| 2.04 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A continuidade de cuidados é um conjunto de intervenções sequenciais
centradas na recuperação ativa e contínua da pessoa em situação de
dependência, procurando promover a sua autonomia e melhorando a sua
funcionalidade. Esta continuidade tanto se promove durante o período de
internamento do doente de forma a efetivar o seu regresso ao domicílio, como
através da rede de cuidados continuados. Os objetivos deste estudo foram:
compreender o processo de continuidade de cuidados para o domicílio e para a
rede de cuidados continuados; conhecer as atividades desenvolvidas pelos
enfermeiros relacionadas com a continuidade de cuidados; e identificar as
fragilidades do processo de continuidade de cuidados nos serviços de
internamento. Foi desenvolvida uma pesquisa qualitativa, de carácter
exploratório e descritivo, tendo sido utilizado como instrumento de recolha de
dados a entrevista semiestruturada. Da análise dos dados surgiram como
resultados: que os enfermeiros têm noção que a continuidade de cuidados, quer
no internamento quer para o domicílio, é um processo dinâmico, que requer
informação precisa e uma boa comunicação entre pares e profissionais/
doente; que o processo de avaliação inicial é importante na obtenção de dados
para que possam estabelecer estratégias adequadas e tomadas de decisão
seguras e eficazes; também as redes de apoio, seja familiar, da comunidade ou
de apoio social, são importantes no processo de capacitação. Portanto, a
preparação para a alta deve ser o mais precoce possível e com ajuda de
profissionais especializados. Concluiu-se que apesar da existência do
conhecimento sobre o processo continuidade de cuidados e sobre as
atividades a serem desenvolvidas no decurso do mesmo, nem sempre o seu
desenvolvimento é possível devido às fraquezas apresentadas neste processo.
Por isso, foram identificadas como fragilidades: a rotatividade do serviço, a falta
de tempo e falta de registos atualizados. Também a comunicação é importante
neste processo, seja como força se for eficaz seja como fraqueza se não
existir.
Continuity of care is a set of sequential interventions focused on the active and continuous recovery of the person in a situation of dependence, seeking to promote their autonomy and improving their functionality. This continuity is promoted both during the patient's hospitalization period in order to facilitate their return home, and through the continued care network. The objectives of this study were: to understand the process of continuity of care for the home and the continued care network; know the activities carried out by nurses related to continuity of care; and identify weaknesses in the process of continuity of care in inpatient services. Qualitative research was developed, of an exploratory and descriptive nature, using a semi-structured interview as a data collection instrument. The following results emerged from the data analysis: that nurses are aware that continuity of care, whether in hospital or at home, is a dynamic process, which requires accurate information and good communication between peers and professionals/patient; that the initial assessment process is important in obtaining data so that appropriate strategies and safe and effective decision-making can be established; Support networks, whether family, community or social support, are also important in the training process. Therefore, preparation for discharge must be as early as possible and with the help of specialized professionals. It was concluded that despite the existence of knowledge about the continuity of care process and the activities to be developed during it, its development is not always possible due to the weaknesses presented in this process. Therefore, the following were identified as weaknesses: service turnover, lack of time and lack of updated records. Communication is also important in this process, whether as a strength if it is effective or as a weakness if it does not exist.
Continuity of care is a set of sequential interventions focused on the active and continuous recovery of the person in a situation of dependence, seeking to promote their autonomy and improving their functionality. This continuity is promoted both during the patient's hospitalization period in order to facilitate their return home, and through the continued care network. The objectives of this study were: to understand the process of continuity of care for the home and the continued care network; know the activities carried out by nurses related to continuity of care; and identify weaknesses in the process of continuity of care in inpatient services. Qualitative research was developed, of an exploratory and descriptive nature, using a semi-structured interview as a data collection instrument. The following results emerged from the data analysis: that nurses are aware that continuity of care, whether in hospital or at home, is a dynamic process, which requires accurate information and good communication between peers and professionals/patient; that the initial assessment process is important in obtaining data so that appropriate strategies and safe and effective decision-making can be established; Support networks, whether family, community or social support, are also important in the training process. Therefore, preparation for discharge must be as early as possible and with the help of specialized professionals. It was concluded that despite the existence of knowledge about the continuity of care process and the activities to be developed during it, its development is not always possible due to the weaknesses presented in this process. Therefore, the following were identified as weaknesses: service turnover, lack of time and lack of updated records. Communication is also important in this process, whether as a strength if it is effective or as a weakness if it does not exist.
Description
Keywords
Enfermagem Continuidade de Cuidados Serviço de Internamento Intervenções de Enfermagem