Nursing orientations at hospital discharge after ambulatory surgical procedures
DOI:
https://doi.org/10.33448/rsd-v10i9.17834Keywords:
Transition to Adult Care; Patient Discharge; Ambulatory surgical procedures.Abstract
Objective: describe the practice experienced by nurses in an ambulatory surgical center, collaborating with the construction of knowledge and the improvement of transition of care at hospital discharge. Method: experience report, which refers to the performance of the authors, who perform their activities in an ambulatory surgical center of a large public university hospital located in the South of Brazil. Results: for the transition of care to be efficient, besides the patient, the companion also participates in this process, and the nurse provides guidance on specific postoperative care, the use of medications, and the return to the outpatient clinic for reevaluation with the assistant team. The patient receives a folder containing all the information about postoperative care, and the warning signs and symptoms are emphasized both in the folder and in the verbal orientation given by the nurse. Final considerations: the analysis of this study allowed us to identify the main care transition orientations for hospital discharge. By addressing the aspects of the individualized plan, the guidance on the use of medications, and the return alignments for the post-procedure consultation, it is understood that these are essential for the quality of care provided in health services.
References
Camargo, P., André, L & Lamari, N. (2016). Orientações em saúde no processo de alta hospitalar em usuários reinternados do Sistema Único de Saúde. Arquivos De Ciências Da Saúde, 23(3), 38-43. https://doi.org/10.17696/2318-3691.23.3.2016.335.
Carneiro, J. M. de Jesus, L. O. Silva, C. S., Santiago, A. S., Santos, A. A. L., & Marques, P. F. (2021). Nursing discharge plan in hospitals: an experience report / Plano de alta de enfermagem no contexto hospitalar: um relato de experiência. Revista De Pesquisa Cuidado é Fundamental Online, 12, 1045–1049. https://doi.org/10.9789/2175-5361.rpcfo.v12.7495.
Costa, T. M. N. & Sampaio, C. E. P.(2015). As orientações de enfermagem e sua influência nos níveis de ansiedade dos pacientes cirúrgicos hospitalares. Rev Enferm UERJ, Rio de Janeiro; 23(2): 260-265. https://doi.org/10.12957/reuerj.2015.16534.
Figueiredo, T. P., Carmo, Jr. N. M., Groia, R. C. S.,Pereira, R. C. C.,Silveira, R. R., Malta, J. S. & Costa, J. M. (2016).Análise das intervenções realizadas na alta hospitalar de idosos acompanhados em serviço de orientação e referenciamento farmacoterapêutico. Rev APS.19(3):376-83.
Fontana, G., Chesani, F. H.& Nalin, F.(2017). Percepções dos profissionais da saúde sobre o processo de alta hospitalar. Revista da UNIFEBE, 1 (21),137-156.
Garcia, J. B. S., Bonilla P., Kraychetec, D. C., Flores, F. C., Valtolina, E. D. P. & Guerrero, C. (2017). Aprimorar o controle da dor no pós-operatório na América Latina. RevBras Anestesiol. ,67(4):395-403.https://doi.org/10.1016/j.bjane.2016.04.003.
Hirschman, K. B., Shaid, E., McCauley, K., Pauly, M. V. & Naylor, M. D.(2015). Continuity of care: the Transitional Care Model. Online journal of issues in nursing, 20(3), 1.
Hung, D. & Leidig, R. C. (2015). Implementing a Transitional Care Program to Reduce Hospital Readmissions Among Older Adults. J Nurs Care Qual. ,30(2):121-9.
Lima, M. A. D. S., Magalhãe, A. M. M., Oelke, N. D., Marques, G. Q., Lorenzini, E., Weber, L. A. & Fan,I. (2018).Care transition strategies in Latin American countries: an integrative review. Revista Gaúcha de Enfermagem, 39, e20180119. https://doi.org/10.1590/1983-1447.2018.20180119.
Menezes, T. M. O.,Oliveira, A. L. B.,Santos,L. B.,Freitas,R. A.,Pedreira,L. C. & Veras,S. M. C. B. (2019).Hospital transition care for the elderly: an integrative review. Revista Brasileira de Enfermagem ,72(2), 294-301. doi.org/10.1590/0034-7167-2018-0286.
Minayo, M. C. S. (2012). Análise qualitativa: teoria, passos e fidedignidade. Ciência & Saúde Coletiva. 17(3) , 621-626. https://doi.org/10.1590/S1413-81232012000300007.
Modas, D. A. S.,Nunes, E. M. G. T. & Charepe, Z. B. (2019). Causas de atraso na alta hospitalar no cliente adulto: scoping review. Revisão Sistemática. Rev. Gaúcha Enferm. 40. https://doi.org/10.1590/1983-1447.2019.20180130.
Occelli, P., Touzet, S., Rabilloud, M., Ganne, C., Poupon Bourdy, S., Galamand, B., Debray, M., Dartiguepeyrou, A., Chuzeville, M., Comte, B., Turkie, B., Tardy, M., Luiggi, J. S., Jacquet-Francillon, T., Gilbert, T., & Bonnefoy, M. (2016). Impact of a transition nurse program on the prevention of thirty-day hospital readmissions of elderly patients discharged from short-stay units: study protocol of the PROUST stepped-wedge cluster randomised trial. BMC geriatrics, 16, 57. https://doi.org/10.1186/s12877-016-0233-2.
Okafor, N., Mazzillo, J., Miller, S., Chambers, K.A., Yusuf, S., Garza-Miranda, V. & Chathampally, Y. (2017).Improved accuracy and quality of information during emergency department care transitions. West J Emerg Med., 18(3):459-65. https://doi.org/10.5811/westjem.2016.12.30858.
Silva, R., Ribeiro, M. A., & Azevêdo, C. D. (2018). Concepções sobre o Processo de Alta Hospitalar: Uma Revisão Crítica. Tempus Actas de Saúde Coletiva, 12, 135-146.
Silva, F., Junior, N., Oliveira, D., Nicoletti, D., & Comin, E. (2015). Análise de eventos adversos em um Centro Cirúrgico ambulatorial. Revista SOBECC, 20(4), 202-209. https://revista.sobecc.org.br/sobecc/article/view/91
SOBECC(2017). Diretrizes de prática em enfermagem cirúrgica e processamento de produtos para a saúde. Associação Brasileira de Enfermagem de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. (7a ed.), Manole
Suter, E., Oelke, N. D., Lima, M. A. D. S., Stiphout, M., Janke, R., Witt, R. R., Van Vliet-Brown, C., Schill, K., Rostami, M., Hepp, S., Birney, A., Al-Roubaiai, F. & Marques, G. M. (2017). Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis. International Journal of Integrated Care, 17(6), 4. DOI: http://doi.org/10.5334/ijic.3931.
Tannure, M. C.& Pinheiro, A. M.(2010). Sistematização da Assistência de Enfermagem: guia prático. (2a ed.), Guanabara Koogan ed.
Weber, L. A. F., Lima, M. A. D. S. A, Costa, A. M. & Marques, G. Q. (2017). Care transition from hospital to home: integrative review. Cogitare Enferm.,(22)3:47615.http://dx.doi.org/10.5380/ce.v22i3.47615.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Lisiane Paula Sordi Matzenbacher; Débora Machado Nascimento do Espírito Santo; Carina Galvan; Rosaura Soares Paczek; Ana Karina Silva da Rocha Tanaka
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.