Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Rev Esc Enferm USP. 2023 Jan 16;56:e20220232. doi: 10.1590/1980-220X-REEUSP-2022-0232en. eCollection 2023.
To analyze the continuity of care for children with chronic conditions from the transition from hospital to home.
Parallel-convergent mixed-methods research, with a cross-sectional study and Grounded Theory. A characterization instrument and the Care Transitons Measure were applied to 201 legal guardians of children with chronic conditions, and semi-structured interviews were conducted with 35 participants (among professionals and guardians). Data were combined by integration.
The efforts of the hospital team to promote continuity of care after discharge from the transition from hospital to home impact on the quality-of-care transition perceived by caregivers, with a mean of 89.5 (standard deviation = 12.5) points. However, the absence of formal mechanisms to guide the transition of care makes it difficult to achieve continuity of care in the health network.
Continuity of care for children is hindered by barriers, against which hospital care professionals seek individual strategies to overcome them. It is essential to establish institutional actions and public policies aiming at the transition of care to promote continuity of care.
分析从医院到家庭过渡阶段慢性病患儿的连续性护理。
平行汇聚混合方法研究，包括横断面研究和扎根理论。对 201 名慢性病患儿的法定监护人使用了特征描述工具和过渡期护理测量工具，并对 35 名参与者（包括专业人员和监护人）进行了半结构化访谈。通过整合对数据进行了组合。
医院团队为促进出院后从医院到家庭的过渡期间的连续性护理所做的努力，影响了照顾者对护理过渡质量的感知，平均得分为 89.5（标准差=12.5）分。然而，缺乏正式的机制来指导护理的过渡，使得在卫生网络中难以实现连续性护理。
儿童连续性护理受到障碍的阻碍，医院护理专业人员针对这些障碍寻求个人策略加以克服。建立旨在促进连续性护理的过渡的机构行动和公共政策至关重要。
