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Care Transition From the Perspectives of Oncological Patients and the Multiprofessional Care Team: A Mixed Methods Study.
Rodrigues, Caroline Donini; Lorenzini, Elisiane; Onwuegbuzie, Anthony J; Oelke, Nelly D; Garcia, Cledir França; Malkiewiez, Michelle Mariah; Kolankiewicz, Adriane Cristina Bernat.
Afiliación
  • Rodrigues CD; Author Affiliations: Science of Life Department, Northwestern Regional University of the State of Rio Grande do Sul (Ms Rodrigues and Dr Kolankiewicz); and Nursing Department, Federal University of Santa Catarina (Dr Lorenzini and Ms Malkiewiez), Florianópolis, Brazil; Faculty of Education, University of Cambridge (Dr Onwuegbuzie), United Kingdom; School of Nursing, University of British Columbia, Okanagan Campus (Dr Oelke), Kelowna, Canada; and Serviço de Educação Continuada, Associação Hospita
Cancer Nurs ; 47(1): E47-E56, 2024.
Article en En | MEDLINE | ID: mdl-36076317
ABSTRACT

BACKGROUND:

Integration into the health system is essential for safe care and efficient use of resources.

OBJECTIVES:

The aims of this study were to analyze the transition of care from the perspective of adult patients with neoplasia of the digestive tract and the multiprofessional care team, identify factors that influence the transition of care, and, collectively with professionals, create actions to improve the transition of care at the study site.

METHODS:

The Care Transitions Measure-15 was administered in a mixed methods study, with a QUAN→QUAL sequential explanatory approach. The principles of deliberative dialogue were used as a knowledge translation strategy, and data integration was carried out.

RESULTS:

The average score of the Care Transitions Measure-15 considered satisfactory was 74.3. The care plan factor had an unsatisfactory score of 66. Strategies to improve the care transition were listed by the focus group participants, such as supplementary care protocol for patients with neoplasms of the digestive tract, and providing a single discharge plan containing all information relevant to the treatment and continuity of patient care.

CONCLUSION:

The low score for the care plan factor indicates weakness in the care transition. IMPLICATIONS FOR PRACTICE The integrated analysis results indicated that the care transition can be improved by an educational process during discharge planning, implementation of protocols for patients with neoplasia of the digestive tract, and identification of a reference caregiver to help patients navigate the healthcare system.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transferencia de Pacientes / Neoplasias Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Adult / Humans Idioma: En Revista: Cancer Nurs Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transferencia de Pacientes / Neoplasias Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Límite: Adult / Humans Idioma: En Revista: Cancer Nurs Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos