ROLE OF NURSES FOR CONTINUITY OF CARE AFTER HOSPITAL DISCHARGE

ABSTRACT Objective: to recognize the role of nurses to maintain continuity of care for users after hospital discharge. Method: an exploratory, descriptive study with a qualitative approach. The study was applied at hospital discharge originating from the most complex health center in Magallanes, the Hospital Clinico Magallanes, Chile. Data were collected through interviews with nurses, carried out between May and August 2018. To analyze the material, the content analysis technique was used. Results: three categories emerged, which bring together what nurses mention in their discourse: How they see the implementation of hospital nursing services, which facilitate continuity of care in the healthcare network of discharged patients (known as care networks); Who they identify in the nursing service for continuity of care after discharge (care networks), which these nursing professionals make and suggestions for their performance; and How care networks affect users in continuity of care after discharge. Conclusion: the role of nurses is key in patient discharge from hospital. With autonomy and competencies for comprehensive care, professionals facilitate the healthcare transition; manage hospital discharge, convening the institutional nursing network and the emerging networks with primary health care; aspire to develop strategies for an inter-level care network, with systematic participation.

[1]  Taka Oguisso,et al.  PRIMEIRO CÓDIGO INTERNACIONAL DE ÉTICA DE ENFERMAGEM , 2019 .

[2]  S. Peiró,et al.  The effect of telehealth, telephone support or usual care on quality of life, mortality and healthcare utilization in elderly high-risk patients with multiple chronic conditions. A prospective study. , 2018, Medicina clinica.

[3]  F. J. Martín-Sánchez,et al.  Intervención multidimensional que mejora el pronóstico a corto plazo entre los ancianos frágiles dados de alta desde una unidad de corta estancia: estudio cuasiexperimental , 2018 .

[4]  M. F. Fuentes Ferrer,et al.  Multidimensional intervention to improve the short-term prognosis of frail elderly patients discharged from a short-stay unit: A quasiexperimental study. , 2018, Revista clinica espanola.

[5]  Javier Rodríguez-Tello,et al.  Validación del cuestionario CTM-3-modificado sobre satisfacción con la continuidad de cuidados: un estudio de cohortes , 2018 .

[6]  Elisabeth Bernardino,et al.  CONTINUITY OF CARE AND THE SYMBOLIC INTERACTIONISM: A POSSIBLE UNDERSTANDING , 2018 .

[7]  L. Flores,et al.  CONOCIMIENTO, PRÁCTICA Y PERCEPCIÓN DE ENFERMERAS RESPECTO A TELE-ENFERMERÍA COMO ESTRATEGIA DE CONTINUIDAD DEL CUIDADO , 2016 .

[8]  Montserrat Gea-Sánchez,et al.  Conflictos entre la ética enfermera y la legislación sanitaria en España , 2016 .

[9]  Augusto Ferreira,et al.  International networks nursing in the Americas: Report 2015 , 2016 .

[10]  Montserrat Gea-Sánchez,et al.  [Conflicts between nursing ethics and health care legislation in Spain]. , 2016, Gaceta sanitaria.

[11]  Laura Albornos-Muñoz,et al.  Implantación de guías de buenas prácticas en España. Programa de centros comprometidos con la excelencia de cuidados , 2015 .

[12]  Julia Bella Rodriguez,et al.  La enfermera de AP como garante de la continuidad de cuidados: Intervención proactiva tras el alta hospitalaria , 2015 .

[13]  M. Subirana-Casacuberta,et al.  [Continuity of care from the acute care hospital: Results]. , 2015, Enfermeria clinica.

[14]  Marcelo A. Lopetegui,et al.  Proceso de alta hospitalaria, revisión de la literatura , 2014 .

[15]  Matías Correa Casado El informe de continuidad de cuidados como herramienta de comunicación entre atención hospitalaria y atención primaria , 2014 .

[16]  M. Lopetegui,et al.  [The discharge process]. , 2014, Revista medica de Chile.