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Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles

OBJECTIVE: To analyze the strategies used by nurses at a university hospital to ensure continuity of care at hospital discharge for patients recovered from Covid-19, under the angle of the principles of clinical management. METHOD: A descriptive study with a qualitative approach, carried out with se...

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Detalles Bibliográficos
Autores principales: Mendes, Vanessa Alves, da Costa, Maria Fernanda Baeta Neves Alonso, Martins, Anna Flávia da Silva Almeida, Mocheuti, Karina Nonato, Ferreira, Gímerson Erick, Ribeiro, Mara Regina Rosa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidade de São Paulo, Escola de Enfermagem 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10672013/
https://www.ncbi.nlm.nih.gov/pubmed/37997881
http://dx.doi.org/10.1590/1980-220X-REEUSP-2023-0123en
Descripción
Sumario:OBJECTIVE: To analyze the strategies used by nurses at a university hospital to ensure continuity of care at hospital discharge for patients recovered from Covid-19, under the angle of the principles of clinical management. METHOD: A descriptive study with a qualitative approach, carried out with seven nurses on duty in the medical and gynecology/obstetrics clinics of a university hospital in the Midwest region of the country. The data was processed using IRaMuTeQ software and analyzed using Content Analysis. RESULTS: The data resulted in five classes by the Descending Hierarchical Classification (DHC), which made up two categories: “Practices developed by nurses for continuity of care in the hospital environment” and “Continuity of care during discharge to the home”. The strategies used by the nurses were: daily care systematized in the nursing process and guidance both for preparation and for the day of discharge. CONCLUSION: The absence of an institutional protocol for safe discharge, as well as the position of nurse coordinator to manage the discharge of patients with Covid-19, can compromise the continuity of care for these patients.