Universidade Estadual de Londrina. Londrina, Paraná, Brazil.
Universidade Estadual do Oeste do Paraná. Cascavel, Paraná, Brazil.
Rev Bras Enferm. 2023 Nov 10;76(5):e20220420. doi: 10.1590/0034-7167-2022-0420. eCollection 2023.
to assess high-risk prenatal care and identify strategies for improving care.
a mixed study of a prospective cohort, with 319 mothers in a public maternity hospital, from October 2016 to August 2017, using a semi-structured instrument and interview. Analysis was performed using the chi-square test (p≤0.05). The qualitative approach was carried out through interviews with guiding questions to 13 managers, at their workplace, between January and March 2020, analyzed under social phenomenology.
higher rates of inadequacy were identified for all criteria. However, when care was shared, there was a higher rate for performing tests (p=0.023), consultations (p=0.002), risk stratification (p=0.013) and emergency information (≤0.000). Weaknesses in the record evidenced impairment in communication and continuity of care.
shared care is a strategy for improving care, however there is a need to strengthen effective referral and counter-referral to care continuity.
评估高危产前护理并确定改善护理的策略。
对 2016 年 10 月至 2017 年 8 月期间在一家公立医院的 319 名产妇进行前瞻性队列混合研究，使用半结构化工具和访谈。采用卡方检验（p≤0.05）进行分析。定性方法通过在 2020 年 1 月至 3 月期间在工作场所对 13 名管理人员进行指导问题访谈进行，根据社会现象学进行分析。
所有标准的不充分率都较高。然而，当护理共享时，进行检查（p=0.023）、咨询（p=0.002）、风险分层（p=0.013）和紧急信息（≤0.000）的比率更高。记录中的弱点表明沟通和护理连续性受损。
共享护理是改善护理的一种策略，但需要加强有效的转诊和转介以确保护理的连续性。
