Factores que influyen para una transferencia efectiva de atención intrahospitalaria: Revisión integrativa

Autores/as

DOI:

https://doi.org/10.33448/rsd-v10i9.18153

Palabras clave:

Transferencia de pacientes; Pase de Guardia; Enfermería; Atención hospitalaria.

Resumen

Objetivo: identificar en la literatura los factores que influyen en la transferencia de una atención intrahospitalaria efectiva por parte del equipo de enfermería. Metodología: se trata de una revisión integradora de la literatura, realizada en tres bases de datos: Web of Science, Medical Literature Analysis and Retrieval System Online (MEDLINE) y Sci Verse Scopus (SCOPUS). Se incluyeron estudios primarios, en portugués, español o inglés, publicados entre 2015 y 2021. Resultados: el análisis detenido de 39 estudios internacionales permitió identificar que los traslados relacionados con pacientes adultos y pediátricos y realizados a través del desplazamiento o no del paciente en el ámbito intrahospitalario están influenciados por factores como la comunicación, el transporte, el trabajo en equipo y educación en salud, y estos afectan la efectividad de la transferencia de la atención intrahospitalaria. Conclusión: a la vista del análisis de los estudios encontrados, la comunicación se ve como un factor predominante, aunque los factores de transporte, trabajo en equipo y educación para la salud también presentan características significativas que influyen en la realización de una transferencia asistencial intrahospitalaria efectiva.

Citas

Agarwala, A. V., Firth, P.G., Albrecht, M. A., Warren, L. & Musch, G. (2015). An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. Anesth Analg, 120(1),96-104. doi: https://doi.org/10.1213/ANE.0000000000000506

Alsolamy, S., Al-Sabhan, A., Alassin, N., Sadat, M., Qasim, E. A., Tamim, H. & Arabi, Y. M. (2018). Management and outcomes of patients presenting with sepsis and septic shock to the emergency department during nursing handover: a retrospective cohort study. BMC Emerg Med, 18(3). doi: https://doi.org/10.1186/s12873-018-0155-8

Alves, M. & Melo C. L. (2019) A transferência do cuidado na perspectiva de profissionais de enfermagem de um pronto-socorro. Revista Mineira de Enfermagem, 23(e), 1194. doi: http://www.dx.doi.org/10.5935/1415-2762.20190042

Aromataris, E. & Munn, Z (Editores). (2020). JBI Manual for Evidence Synthesis. JBI, 2020. doi: https://doi.org/10.46658/JBIMES-20-01

Bakon, S. & Millichamp, T. (2017). Optimising the emergency to ward handover process: A mixed methods study. Australas Emerg Nurs J, 20(4), 147-152. doi: https://doi.org/10.1016/j.aenj.2017.10.001

Bergman, L. M., Pettersson, M. E., Chaboyer, W. P., Carlström, E. D. & Ringdal, M. L. (2017). Safety Hazards During Intrahospital Transport: A Prospective Observational Study. Crit Care Med, 45(10), e1043-e1049. doi: http://dx.doi.org/10.1097/CCM.0000000000002653

Brasil. Agência Nacional de Vigilância Sanitária. (2017). Assistência Segura: Uma Reflexão Teórica Aplicada à Prática Agência Nacional de Vigilância Sanitária. Brasília: Anvisa, 2ª ed. 2017. http://portal.anvisa.gov.br/documents/33852/3507912/Caderno+1+-+Assistencia+Segura+-+Uma+Reflexao+Teorica+Aplicada+a+Pratica/97881798-cea0-4974-9d9b077528ea1573.

Brasil. Ministério da Saúde. (2014). Documento de referência para o Programa Nacional de Segurança do Paciente / Ministério da Saúde; Fundação Oswaldo Cruz; Agência Nacional de Vigilância Sanitária. – Brasília: Ministério da Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf.

Brasil. Ministério da Saúde. (2018). Secretaria de Gestão do Trabalho e da Educação na Saúde. Planejamento das Ações de Educação Permanente em Saúde no Sistema Único de Saúde: Orientações / Ministério da Saúde, Secretaria de Gestão do Trabalho e da Educação na Saúde, Departamento de Gestão da Educação na Saúde – Brasília: Ministério da Saúde. http://bvsms.saude.gov.br/bvs/publicacoes/orientacoes_planejamento_acoes_educacao_permanente.pdf.

Caruso, T. J., Marquez, J. L., Wu, D. S., Shaffer, J. Á., Balise, R. R., Groom, M., ... Sharek, P. J. (2015). Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. Jt Comm J Qual Patient Saf, 41(1), 35-42. doi: https://doi.org/10.1016/S1553-7250(15)41005-0

Clairol, M. G., Ordozgoiti, A. V., Lugo, D. O., Maspoch, E. C., Font, M. M. & Oliva, M. E. (2017). Evaluación deltraspaso de información (Hand Off) en equipos de enfermería de urgências. Revista Cubana de Enfermería, 33(3), 1-17. http://www.revenfermeria.sld.cu/index.php/enf/article/view/1539/292

Delatorre, P. G., Sá, S. P. C., Valente, G. S. C. & Silvino, Z. R. (2013). Planejamento para alta hospitalar como estratégia de cuidado de enfermagem: revisão integrativa. Revista de Enfermagem UEPE, 7(esp), 7157-9. doi: https://doi.org/10.5205/1981-8963-v7i12a12387p7151-7159-2013

Fabila, T. S., Hee, H. I., Sultana, R., Assam, P. N., Kiew, A. & Chan, Y. H. (2016). Improving postoperative handover from anaesthetists to non-anaesthetists in a children's intensive care unit: the receiver's perception. Singapore Med J, 57(5), 242-53. doi: http://dx.doi.org/10.11622/smedj.2016090

Fanara, B., Manzon, C., Barbot, O., Desmettre, T. & Capellier, G. (2010). Recommendations for the intra-hospital transporto f critically ill patients. Critical Care Medicine, 14(3), R87. doi: https://doi.org/10.1186/cc9018

Fealy, G., Donnelly, S., Doyle, G., Brenner, M., Hughes, M., Mylotte, E., ... Zaki, M. (2019). Clinical handover practices among healthcare practitioners in acute care services: A qualitative study. J Clin Nurs, 28(1-2), 80-88. doi: https://doi.org/10.1111/jocn.14643

Fekieta, R., Rosenberg, A., Hodshon, B., Feder, S., Chaudhry, S. I. & Emerson, B. L. (2020). Organisational factors underpinning intra-hospital transfers: a guide for evaluating contexto in quality improvement. Health Systems. doi: https://doi.org/10.1080/20476965.2020.1768807.

France, D. J., Slagle, J., Schremp, E., Moroz, S., Hatch, L. D., Grubb, P., ... Blakely, M. L. (2019). Impact of patient handover structure on neonatal perioperative safety. J Perinatol, 39(3), 453-467. doi: https://doi.org/10.1038/s41372-018-0305-6

Germack, H. D., Fekieta, R., Britton, M. C., Feder, S. L., Rosenberg, A. & Chaudhry, S. I. (2020). Cooperation and conflict in intra-hospital transfer: A qualitative analysis. Nursing Open, 7, 634-641. doi: https://doi.org/10.1002/nop2.434

Gu, X. & Itoh, K. (2018). How Nurses Perceive Organizational Climate Surrounding Patient Handoffs in Japanese Hospitals? Springer. https://link.springer.com/chapter/10.1007/978-3-319-96089-0_59.

Gu, X., Liu, H. G. & Itoh, K. (2018). Inter-department patient handoff quality and its contributing factors in Chinese hospitals. Cognition, Technology & Work, 21, 133-143. doi: https://doi.org/10.1007/s10111-018-0500-4

Hada, A., Jack, L. & Coyer, F. (2019). Using a knowledge translation framework to identify barriers and supports to effective nursing handover: A focus group study. Heliyon, 5(6). doi: https://doi.org/10.1016/j.heliyon.2019.e01960

Hendrickson, M. A., Schempf, E. M., Furnival, R. A., Marmet, J., Lunos, A. S. & Jacob, A. K. (2019). The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department to Admitting Floor Communication. Jt Comm J Qual Patient Saf, 45(6), 431-439. doi: https://doi.org/10.1016/j.jcjq.2019.02.008

Humphries, C., Jaganathan, S., Panniyammakal, J., Singh, S. K., Goenka, S., Dorairaj, P., ... Manaseku-Holland, S. (2019). Patient and healthcare provider knowledge, attitudes and barriers to handover and healthcare communication during chronic disease inpatient care in India: a qualitative

exploratory study. BMJ Open, 11;9(11), e028199. doi: http://dx.doi.org/10.1136/bmjopen-2018-028199

Jullia, M.; Tronet, A.; Fraumar, F.; Minville, V.; Fourcade, O.; Alacoque, X.; ... Kurrek, M. M. (2017). Training in intraoperative handover and display of a checklist improve communication during transfer of care: An interventional cohort study of anaesthesia residents and nurse

anaesthetists. Eur J Anaesthesiol, 34(7), 471-476. doi:10.1097/EJA.0000000000000636

Lautz, A. J., Martin, K. C., Nishisaki, A., Bonafide, C. P., Hales, R. L., Hunt, E. A., ... Boyer, D. L. (2018). Focused Training for the Handover of Critical Patient Information During Simulated Pediatric Emergencies. Hosp Pediatr, 8(4), 227-231. doi: https://doi.org/10.1542/hpeds.2017-0173

McMullan, A.; Parush, A. & Momtahan, K. (2015). Transferring patient care: patterns of synchronous bidisciplinary communication between physicians and nurses during handoffs in a critical care unit. J Perianesth Nurs, 30(2), 92-104. doi: https://doi.org/10.1016/j.jopan.2014.05.009

Melnyk, BM. & Fineout-overholt E. (2011). Evidence-based practice in nursing & healthcare. A guide to best practice. 2ed. Philadelphia: Wolters Kluwer, Lippincop Williams & Wilkins,2011.

Mendes, K. S., Silveira, R. C. C. P. & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa paraa incorporação de evidências na saúde e na enfermagem. Texto contexto – enferm, 17(4), 758-764. doi: https://doi.org/10.1590/S0104-07072008000400018.

Menser, T., Foster, S., Gisin, S., Jaeckel, D. & Ummenhofer, W. (2010). Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care, 19(6), e44. doi: http://dx.doi.org/10.1136/qshc.2009.038430

Merten, H., Van Galen, L. S. & Wagner, C. (2017). Safe Handover: practical guidance. British medical jornal, 359, j4328. doi: https://doi.org/10.1136/bmj.j4328

Moon, T. S., Gonzales, M. X., Woods, A. P. & Fox, P. E. (2016). Improving the quality of the operating room to intensive care unit handover at an urban teaching hospital through a bundled intervention. J Clin Anesth, 31, 5-12. doi: https://doi.org/10.1016/j.jclinane.2016.01.001

Navarro, A. S. S., Guimarães, R. L. S. & Garanhani, M. L. (2013). Trabalho em equipe: o significado atribuído por profissionais da estratégia de saúde da família. Revista Mineira de Enfermagem, 17(1), 61-68. doi: http://www.dx.doi.org/10.5935/1415-2762.20130006

Nugus, P., McCarthy, S., Holdgate, A., Braithwaite, J., Schoenmakers, A. & Wagner, C. (2017). Packaging Patients and Handing Them Over: Communication Context and Persuasion in the Emergency Department. Ann Emerg Med, 69(2), 210-217.e2. doi: https://doi.org/10.1016/j.annemergmed.2016.08.456

O’Connor, D. T., Rawson, H. & Redley, B. (2020). Nurse-to-nurse communication about multidisciplinary care delivered in the emergency department: An observation study of nurse-to-nurse handover to transfer patient care to general medical wards. Australasian Emergency Care, 23(Issue 1), 37-46. doi: https://doi.org/10.1016/j.auec.2019.12.004.

Padgett, T. M. (2018). Improving Nurses' Communication During Patient Transfer: A Pilot Study. J Contin Educ Nurs, 49(8), 378-384. doi: https://doi.org/10.3928/00220124-20180718-09

Patient Safety Movement. (2019). Instituto Brasileiro para a Segurança do Paciente. Como usar o método SBAR na transição do cuidado. https://www.segurancadopaciente.com.br/qualidade-assist/como-usar-o-metodo-sbarna-transicao-do-cuidado/.

Pinheiro, M. P. & Junior, O. C. S. (2017). Evaluación de la cultura de seguridad del paciente en una organización hospitalaria de un hospital universitario. Enfermería Global, 45, 335-338. doi: https://doi.org/10.6018/eglobal.16.1.238811

Popovici, I., Morita, P. P., Doran, D., Lapinsky, S., Morra, D., Shier, A., ... Cafazzo, J. A. (2015). Technological aspects of hospital communication challenges: an observational study. Int J Qual Health Care, 27(3), 183-8. doi: https://doi.org/10.1093/intqhc/mzv016

Raeisi, A., Rarani, M. A. & Soltani F. (2019). Challenges of patient handover process in healthcare services: A systematic review. J Educ Health Promot, 8(173). doi: 10.4103/jehp.jehp_460_18

Ramsay, N., Maresca, G., Tully, V. & Campbell, K. (2018). Does a multidisciplinary approach have a beneficial effect on the development of a structured patient handover process between acute surgical wards in one of Scotland's largest teaching hospitals? BMJ Open Qual, 7(3), e000154. doi: http://dx.doi.org/10.1136/bmjoq-2017-000154

Randmaa, M., Engström, M., Swenne, C. L. & Mårtensson, G. (2017). The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses. BMJ Open, 7(8), e015038. doi: doi: http://dx.doi.org/10.1136/bmjopen-2016-015038

Rikos, N., Linardakis, M., Economou, C., Rovithis, M. & Philalithis, A. (2019). The nurses' own views about the inter-shift handover process. Contemp Nurse, 55(1), 83-94. doi: https://doi.org/10.1080/10376178.2019.1606723

Rikos, N., Linardakis, M., Rovithis, M. & Philalithis, A. (2018). Features of recording practices and communication during nursing handover: a cluster analysis. Rev. esc. Enferm, 52, e03401. doi: https://doi.org/10.1590/s1980-220x2018006203401

Rosenberg, A., Campbell, B. M., Feder, S., Minges, K., Hodshon, B., Chaudhry, S. I., ... Emerson, B. L. (2018). A taxonomy and cultural analysis of intra-hospital patient transfers. Res Nurs Health. doi: https://doi.org/10.1002/nur.21875

Sanchez, L. D., Chiu, D. T., Nathanson, L., Horng, S., Wolfe, R. E., Zeidel, M. L., ... Yang, J. J. (2017). A Model for Electronic Handoff Between the Emergency Department and Inpatient Units. J Emerg Med, 53(1), 142-150. doi: https://doi.org/10.1016/j.jemermed.2017.03.027

Segall, N., Bonifacio, A. S., Barbeito, A., Schroeder, R. A., Perfect, S. R., Wright, M. C., ... Mark, J. B. (2016). Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf, 42(9), 400-14. doi: https://doi.org/10.1016/S1553-7250(16)42081-7

Stelfox, H. T., Leigh, J. P., Dodek, P. M., Turgeon, A. F., Forster, A. J., Lamontagne, F., ... Bagshaw, S. M. (2017). A multicenter prospective cohort study of patient transfers from the intensive care unit to the hospital ward. Intensive Care Med, 43(10), 1485-1494. doi: https://doi.org/10.1007/s00134-017-4910-1

Tacchini-Jacquier, N., Waele, E., Urben, P., Turini, P. & Verloo, H. (2020). Developing an EvidenceBased Nursing Handover Standard for a Multi-Site Public Hospital in Switzerland: Protocol for a Web-Based, Modified Delphi Study. JMIR Res. Proto, 9(1), e15910. doi: 10.2196 / 15910

Talley, D. A., Dunlap, E., Silverman, D., Katzer, S., Huffines, M., Dove, C., ... Tisherman, S. A. (2019). Improving Postoperative Handoff in a Surgical Intensive Care Unit. Crit Care Nurse, 39(5), e13-e21. doi: https://doi.org/10.4037/ccn2019523

Thomson, H.; Tourangeau, A.; Jeffs, L. & Puts, M. (2018). Factors affecting quality of nurse shift handover in the emergency department. J Adv Nurs, 74(4), 876-886. doi: https://doi.org/10.1111/jan.13499

Tobiano, G., Ting, C., Ryan, C., Jenkinson, K., Scott, L. & Marshall, A. P. (2020). Front-line nurses' perceptions of intra-hospital handover. J Clin Nurs, 29(13-14), 2231-2238. doi: https://doi.org/10.1111/jocn.15214

VanGraafeiland, B., Foronda, C., Vanderwagen, S., Allan, L., Bernier, M., Fishe, J., ... Jeffers J. M. (2018). Improving the handover and transport of critically ill pediatric patients. J Clin Nurs, 28(1-2), 56-65. doi: https://doi.org/10.1111/jocn.14627

Vretare, L. L. & Anderzén-Carlsson, A. (2020). The critical care nurse's perception of handover: A phenomenographic study. Intensive Crit Care Nurs, 58, 102807. doi: https://doi.org/10.1016/j.iccn.2020.102807

World Heatlh Organization & Joint Commission International. (2007). WHO Collaborating Centre for Patient Safety Solutions International: Communication During Patient Hand-Overs. Patient Safety Solution, 1(solution 3). https://www.who.int/patientsafety/solutions/patientsafety/PS-Solution3.pdf?ua=1

Yang, J. G. & Zhang, J. (2016). Improving the postoperative handover process in the intensive care unit of a tertiary teaching hospital. J Clin Nurs, 25(7-8), 1062-72. doi: https://doi.org/10.1111/jocn.13115

Yegane, S. A. F., Shahrami, A., Hatamabadi, H. R. & Hosseini-Zijoud, S. M. (2017). Clinical Information Transfer between EMS Staff and Emergency Medicine Assistants during Handover of Trauma Patients. Prehosp Disaster Med, 32(5), 541-547. doi: https://doi.org/10.1017/S1049023X17006562

Yu, Z., Zhang, Y., Gu, Y., Xu, X. & McArthur, A. (2017). Pediatric clinical handover: a best practice implementation project. JBI Database System Rev Implement Rep, 15(10), 2585-2596. doi: https://doi.org/10.11124/JBISRIR-2016-003296

Zakrison, T. L., Rosenbloom, B., McFarlan, A., Jovicic, A., Soklaridis, S., Allen, C., ... Rizoli, S. (2016). Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf, 25(12), 929-936. doi: http://dx.doi.org/10.1136/bmjqs-2014-003903

Publicado

28/07/2021

Cómo citar

MELLO, T. S. de .; MIORIN, J. D.; CAMPONOGARA, S.; PAULA, C. C. de .; PINNO, C. .; FREITAS, E. de O. Factores que influyen para una transferencia efectiva de atención intrahospitalaria: Revisión integrativa . Research, Society and Development, [S. l.], v. 10, n. 9, p. e38910918153, 2021. DOI: 10.33448/rsd-v10i9.18153. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18153. Acesso em: 4 jul. 2024.

Número

Sección

Revisiones