Key result
Early multidisciplinary discharge planning and family involvement emerge as essential for safe care transitions.
Why the study?
Care transition in hospital discharge planning for patients with chronic noncommunicable diseases requires analysis to ensure safe transitions and comprehensive care.
Early discharge planning, multidisciplinary team participation, and family involvement are important elements for ensuring safe care transitions for patients with chronic noncommunicable diseases.
Answers are grounded in this paper and cite their sources.
May risk unsafe transitions from rushed discharge prep; leaves open effective models for multidisciplinary planning in chronic disease.
OBJECTIVE: to analyze care transition in hospital discharge planning for patients with chronic noncommunicable diseases. METHOD: a qualitative study, based on the Care Transitions Intervention theoretical model, with four pillars of intervention, to ensure a safe transition. Twelve professionals participated in a public hospital in the countryside of São Paulo. Data were collected through observation, document analysis and semi-structured interviews. RESULTS: there was a commitment of a multidisciplinary team to comprehensive care and involvement of family members in patient care. The documents facilitated communication between professionals and/or levels of care. However, the lack of time to prepare for discharge can lead to fragmented care, impairing communication and jeopardizing a safe transition. FINAL CONSIDERATIONS: they were shown to be important elements in discharge planning composition, aiming to ensure a safe care transition, team participation with nurses as main actors, early discharge planning and family involvement.
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Barbosa et al. (2023) studied chronic noncommunicable diseases (n=12). Hospital discharge planning was evaluated on Care transition in hospital discharge planning. Qualitative analysis of 12 professionals revealed that early discharge planning, multidisciplinary team participation, and family involvement are essential for safe care transitions.
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