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Transitional Care Management from Emergency Services to Communities :

2021-11Journal article Open access
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dc.contributor.authorBatista, José
dc.contributor.authorPinheiro, Carla Munhoz
dc.contributor.authorMadeira, Carla
dc.contributor.authorManuel Gomes, Pedro
dc.contributor.authorFerreira, Óscar Manuel Ramos
dc.contributor.authorBaixinho, Cristina Lavareda
dc.date.accessioned2022-01-18T12:03:52Z
dc.date.available2022-01-18T12:03:52Z
dc.date.issued2021-11
dc.description.abstractIn 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBatista, J.; Pinheiro, C.M.; Madeira, C.; Gomes, P.; Ferreira, Ó.R.; Baixinho, C.L. Transitional Care Management from Emergency Services to Communities: An Action Research Study. Int. J. Environ. Res. Public Health 2021, 18, 12052. https://doi.org/10.3390/ ijerph182212052pt_PT
dc.identifier.doihttps://doi.org/10.3390/ijerph182212052pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/38891
dc.language.isoengpt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/1660-4601/18/22/12052pt_PT
dc.subjectEnvelhecimentopt_PT
dc.subjectCuidadorespt_PT
dc.subjectUrgênciapt_PT
dc.subjectEnfermagem de urgênciapt_PT
dc.subjectAlta do pacientept_PT
dc.subjectTransição de cuidadospt_PT
dc.titleTransitional Care Management from Emergency Services to Communities :pt_PT
dc.title.alternativeAn Action Research Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage12pt_PT
oaire.citation.issue22pt_PT
oaire.citation.startPage2pt_PT
oaire.citation.titleInt. J. Environ. Res. Public Healthpt_PT
oaire.citation.volume18pt_PT
person.familyNameManuel Gomes
person.familyNameLavareda Baixinho
person.givenNamePedro
person.givenNameCristina
person.identifier1916327
person.identifier57203119057
person.identifier.ciencia-id651B-481C-8017
person.identifier.ciencia-id3E1E-B010-2453
person.identifier.ciencia-idBF1A-C950-8BEE
person.identifier.orcid0000-0002-2788-389X
person.identifier.orcid0000-0002-1703-347X
person.identifier.orcid0000-0001-7417-1732
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication0dcda619-da09-4782-b509-cd61c9dc9b83
relation.isAuthorOfPublicationeb7d8f57-3602-4c50-8a20-b0752db8ad11
relation.isAuthorOfPublicationc256c8d4-e1f8-4a26-93fb-d6ca13c437bc
relation.isAuthorOfPublication.latestForDiscovery0dcda619-da09-4782-b509-cd61c9dc9b83

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