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护士联络:一种反向转诊策略。

Nurse liaison: a strategy for counter-referral.

作者信息

Ribas Ester do Nascimento, Bernardino Elizabeth, Larocca Liliana Muller, Poli Neto Paulo, Aued Gisele Knop, Silva Camilla Pinheiro Cristaldi da

机构信息

Universidade Federal do Paraná, Postgraduate Program in Nursing. Curitiba, Paraná, Brazil.

Universidade Federal do Paraná, Department of Community Health. Curitiba, Paraná, Brazil.

出版信息

Rev Bras Enferm. 2018;71(suppl 1):546-553. doi: 10.1590/0034-7167-2017-0490.

Abstract

OBJECTIVE

to identify the profile of the counter-referred patients by the "nurse liaison" and to describe the experience of the professionals who participated in the project.

METHOD

intervention research, with twelve nursing nurses from a hospital and an Emergency Care Unit, and 26 nurses from Primary Health Care. Data were obtained through questionnaires and counter-referral forms.

RESULTS

Out of 43 counter-referred individuals, 62.8% are over sixty years, 53.5% are men with multi-pathologies. Among the positive aspects, the nurses highlighted the dialogue between health care services, agility in the acquisition of inputs for the continuity of care in primary care, benefiting patients after hospital discharge. The greatest challenge was the lack of time and the deficit of nurses to perform the function.

FINAL CONSIDERATIONS

the presence of the "nurse liaison" has proved to be an important strategy to improve integration between services and to promote continuity of care.

摘要

目的

确定由“护士联络人”反向转诊的患者概况,并描述参与该项目的专业人员的经历。

方法

干预性研究,涉及一家医院和一个急救护理单元的12名护理护士,以及基层医疗保健机构的26名护士。通过问卷和反向转诊表获取数据。

结果

在43名反向转诊的个体中,62.8%年龄超过60岁,53.5%为患有多种疾病的男性。在积极方面,护士们强调了医疗服务之间的对话、在获取用于基层医疗保健连续性护理的资源方面的敏捷性,使出院后的患者受益。最大的挑战是缺乏时间以及执行该职能的护士不足。

最终结论

“护士联络人”的存在已被证明是改善服务之间整合以及促进护理连续性的一项重要策略。

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