About the postponement of clinical discharges from an Integrated Continuous Care Unit (UCCI) for non-clinical reasons: nurses perception study
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2014
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Edições Universitárias Lusófonas
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O presente estudo tem por objetivo conhecer a percepção dos profissionais de saúde quanto à existência, de factores não-clínicos que se revelem como obstáculos à concretização das altas, nas Unidades de Cuidados Continuados Integrados (UCCI), e que contribuam para o aumento do número de internamentos prorrogados, após alta clínica. Seleccionou-se o grupo dos enfermeiros considerando a sua intervenção contínua e de proximidade para apoio na alta, quando declarada pelo médico. Trata-se de um estudo exploratório, qualitativo, utilizando um questionário auto-preenchido, com perguntas de resposta múltipla, aplicado a uma amostra de conveniência, aleatória, composta por 20 enfermeiros. Nos resultados predominam factores de ordem familiar: 60 % refere o insuficiente ou mesmo a total ausência de qualquer suporte familiar (45 %). Seguem-se motivos económicos (29 %), nomeadamente a insuficiência de rendimentos (85 %), motivos institucionais (29 %) por inexistência/ ausência de respostas sociais (50 %) e, muito próxima, a limitada capacidade das instituições para receberem utentes da REDE (45 %). Os motivos estruturais são para a maioria a ausência de condições habitacionais (65 %) e as barreiras físicas à mobilidade (55 %). Visando contribuir para soluções adequadas ao cenário emergente, aconselha-se o aprofundamento deste estudo, aplicando-o a todas as UCCI do país, de modo a reflectir e antecipar as estratégias de intervenção em cuidados continuados.
This study investigates the perception of health professionals in Continuous Care Units (UCCI) regarding the occurrence (or none) of extension of clients’ hospitalization for non-clinical reasons. The group was selected considering their proximity and continuous intervention in supporting the clinical discharges when declared by the physician. This is an exploratory study with a quantitative approach. In methodological terms, a self-completed questionnaire constructed with multiple-choice questions was used. This randomized, convenience sample population included 20 responding nurses. Results show the perceived predominance of family-order factors: 60 % of the nurses referred to poor or totally absent family support of users or its total absence (45 %). Following, perceived factors are economic reasons (29 %), including insufficient income (85 %), institutional reasons (29 %) for lack/absence of social responses (50 %), and very close figures for the limited ability of institutions to receive users coming from the UCCI network (45 %). Major structural reasons (65 %) are poor housing conditions and physical barriers to mobility (55 %). To contribute with appropriate solutions to the emerging scenario, this study should be further developed and applied to all nationwide UCCI to reflect and anticipate intervention strategies in continuous care.
This study investigates the perception of health professionals in Continuous Care Units (UCCI) regarding the occurrence (or none) of extension of clients’ hospitalization for non-clinical reasons. The group was selected considering their proximity and continuous intervention in supporting the clinical discharges when declared by the physician. This is an exploratory study with a quantitative approach. In methodological terms, a self-completed questionnaire constructed with multiple-choice questions was used. This randomized, convenience sample population included 20 responding nurses. Results show the perceived predominance of family-order factors: 60 % of the nurses referred to poor or totally absent family support of users or its total absence (45 %). Following, perceived factors are economic reasons (29 %), including insufficient income (85 %), institutional reasons (29 %) for lack/absence of social responses (50 %), and very close figures for the limited ability of institutions to receive users coming from the UCCI network (45 %). Major structural reasons (65 %) are poor housing conditions and physical barriers to mobility (55 %). To contribute with appropriate solutions to the emerging scenario, this study should be further developed and applied to all nationwide UCCI to reflect and anticipate intervention strategies in continuous care.
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MEDICINA, CUIDADOS CONTINUADOS, INTERNAMENTOS HOSPITALARES, ENFERMEIROS, ESTUDOS DE CASO, QUESTIONÁRIOS, MEDICINE, CONTINUING CARE, HOSPITALIZATION, NURSES, CASE STUDIES, QUESTIONNAIRES
Citação
Monteiro , M C J , Santos , O & Costa , M D C 2014 , ' About the postponement of clinical discharges from an Integrated Continuous Care Unit (UCCI) for non-clinical reasons: nurses perception study ' , Default journal .