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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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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
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author 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
author_facet 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
author_sort Mendes, Vanessa Alves
collection PubMed
description 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.
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spelling pubmed-106720132023-11-20 Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles 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 Rev Esc Enferm USP Original Article 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. Universidade de São Paulo, Escola de Enfermagem 2023-11-20 /pmc/articles/PMC10672013/ /pubmed/37997881 http://dx.doi.org/10.1590/1980-220X-REEUSP-2023-0123en Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
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
Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles
title Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles
title_full Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles
title_fullStr Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles
title_full_unstemmed Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles
title_short Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles
title_sort continuity of care for patients recovering from covid-19 under the angle of clinical management principles
topic Original Article
url 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
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