期刊
JOURNAL OF PERSONALIZED MEDICINE
卷 12, 期 4, 页码 -出版社
MDPI
DOI: 10.3390/jpm12040582
关键词
advanced nursing practice; rehabilitation nursing; transitional care; hospital discharge; continuity of care
资金
- Center for Research, Innovation, and Development in Nursing, in Portugal
This study analyzed the nurses' perspective on transitional care for dependent people with rehabilitation care needs after hospital discharge. The results identified strategies to minimize fragmentation risk of care and promote the person's participation in transitional care.
The increasing incidence of chronic and dependence leads to the need for hospitalization and adaptation in the process of returning home, as well as transition between care levels to ensure continuity of care. The World Health Organization has been warning about this problem since 2016, and consider reorganizing the care model as one of the solutions. The present study aimed to analyse the nurses' perspective on transitional care for dependent people with rehabilitation care needs after hospital discharge. Methods: A focus group was developed with the participation of Rehabilitation Nurses from the hospital and community context, and content analysis was defined a posteriori. Results: From the content analysis emerged four related categories: promotion of continuity of care, nurse of advanced practice as a care manager, capacitation of the person and caregiver, and promotion of the care coordination. Conclusions: The present study allowed the strategies identification that minimize fragmentation risk of care and promote the person participation in transitional care. Ensuring transitional care is imperative to increase the quality of care, the satisfaction of professionals, clients, and the development of a system of sustainable health.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据