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Transitional Care Management from Emergency Services to Communities: An Action Research Study

Author

Listed:
  • José Batista

    (Vila Franca de Xira Hospital, 2600-009 Vila Franca de Xira, Portugal)

  • Carla Munhoz Pinheiro

    (ACES Estuário do Tejo, 2630-242 Arruda dos Vinhos, Portugal)

  • Carla Madeira

    (Vila Franca de Xira Hospital, 2600-009 Vila Franca de Xira, Portugal)

  • Pedro Gomes

    (Portuguese Institute of Oncology, Nursing Research, Innovation and Development Centre of Lisbon, 1900-160 Lisbon, Portugal)

  • Óscar Ramos Ferreira

    (Nursing School of Lisbon, Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, Portugal)

  • Cristina Lavareda Baixinho

    (Nursing School of Lisbon, Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, Portugal
    Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2411-901 Leiria, Portugal)

Abstract

In 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.

Suggested Citation

  • José Batista & Carla Munhoz Pinheiro & Carla Madeira & Pedro Gomes & Óscar Ramos Ferreira & Cristina Lavareda Baixinho, 2021. "Transitional Care Management from Emergency Services to Communities: An Action Research Study," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12052-:d:680921
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    References listed on IDEAS

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    1. Helga Bragadóttir & Beatrice J Kalisch & Gudný Bergthora Tryggvadóttir, 2017. "Correlates and predictors of missed nursing care in hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(11-12), pages 1524-1534, June.
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    Cited by:

    1. Ru-Yu Huang & Ting-Ting Lee & Yi-Hsien Lin & Chieh-Yu Liu & Hsiu-Chun Wu & Shu-He Huang, 2022. "Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients," IJERPH, MDPI, vol. 19(13), pages 1-14, July.

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