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转诊至全国综合护理网络:护士的看法。

Referral to the national network of integrated care: the nurses' perception.

作者信息

Fonseca-Teixeira Susana Alexandra, Parreira Pedro, Mónico Lisete, Salgueiro-Oliveira Anabela, Amado João Costa

机构信息

Universidade Católica Portuguesa, Instituto de Ciências da Saúde, Porto, Portugal.

Escola Superior de Enfermagem de Coimbra, Unidade de Pesquisa em Ciências da Saúde: Enfermagem, Coimbra, Portugal.

出版信息

Rev Lat Am Enfermagem. 2020 Oct 19;28:e3372. doi: 10.1590/1518-8345.3800.3372. eCollection 2020.

Abstract

OBJECTIVE

to understand the referral to the National Network of Integrated Continuous Care, from the perspective of nurses who work in this care context.

METHOD

an exploratory and descriptive study with a qualitative approach, with data collection between July and September 2019 through interviews with 12 nurses who work in Integrated Continuous Care Teams, in Northern Portugal. The content analysis technique was used to analyze the statements.

RESULTS

the professionals revealed that there are difficulties and constraints in the process of referring users to the National Network of Integrated Continuous Care. The process is bureaucratic, complex, and time-consuming, conditioning user accessibility to timely care.

CONCLUSION

the referral process is a very bureaucratic and time-consuming procedure, which not only conditions and delays users' access to the National Network of Integrated Continuous Care network, contributing to the worsening of the clinical status of some patients. The number of professionals is insufficient, inducing the demand for services through urgency. The focus on primary care should seek to improve inequalities in access, compete for more equitable and accessible care, generating more quality in health care.

摘要

目的

从在这种护理环境中工作的护士的角度,了解向全国综合持续护理网络的转诊情况。

方法

采用定性研究方法进行探索性和描述性研究,于2019年7月至9月期间,通过对葡萄牙北部综合持续护理团队中工作的12名护士进行访谈来收集数据。采用内容分析技术对陈述进行分析。

结果

专业人员透露,在将用户转诊至全国综合持续护理网络的过程中存在困难和限制。该过程官僚化、复杂且耗时,限制了用户获得及时护理的机会。

结论

转诊过程是一个非常官僚化且耗时的程序,这不仅限制并延迟了用户接入全国综合持续护理网络,还导致一些患者的临床状况恶化。专业人员数量不足,导致通过紧急情况来满足服务需求。对初级护理的关注应致力于改善获得护理的不平等状况,争取实现更公平、更易获得的护理,提高医疗保健质量。

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