The nurse’s role in coordinating care

Multidisciplinary team work1160 Admission1162 Discharge planning1164 The nurse plays a key role in coordinating care and ensuring continuity for the patient while in hospital, on admission, and after discharge into the community. Team members comprise all public and private health care and social care professionals who come into contact with the patient....

Author(s):  
Adriéli Donati Mauro ◽  
Danielle Fabiana Cucolo ◽  
Marcia Galan Perroca

ABSTRACT Objective: To analyze how the articulation between hospital and primary health care related to patient discharge and continuity of care after hospitalization takes place. Method: Qualitative study, using the focus group technique to explore the experience of 21 nurses in hospitals (n = 10) and at primary care (n = 11) in a municipality in the northwest area of the State of São Paulo. Data collection took place between December 2019 and April 2020. Four focus groups were carried out (two in the hospital and two in the health units) and the findings underwent thematic analysis. Results: The categories identified were: Patient inclusion flow in the responsible discharge planning, Patient/family member/caregiver participation, Care planning, Communication between services, and Challenges in the discharge process. According to reports, the discharge process is centered on bureaucratic aspects with gaps in communication and coordination of care. Conclusion: This research allowed understanding how nurses from different points of health care experience the discharge and (dis)articulation of the team work. The findings can equip managers in the (re)agreement of practices and integration of services to promote continuity of care.


2012 ◽  
Vol 84 (3) ◽  
pp. 713-729 ◽  
Author(s):  
Neil J. Buckley ◽  
Katherine Cuff ◽  
Jeremiah Hurley ◽  
Logan McLeod ◽  
Stuart Mestelman ◽  
...  

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Bruno Alonso Miotto ◽  
Aline Gil Alves Guilloux ◽  
Alex Jones Flores Cassenote ◽  
Giulia Marcelino Mainardi ◽  
Giuliano Russo ◽  
...  

1999 ◽  
Vol 15 (4) ◽  
pp. 619-628
Author(s):  
Yvonne G. Doyle ◽  
R. H. M. McNeilly

Eleven percent of the U.K. population holds private health care insurance, and £2.2 billion are spent annually in the acute sector of private health care. Although isolated from policy discussions about new medical technology in the National Health Service, the private sector encounters these interventions regularly. During 18 months in one company, a new medical technology was encountered on average every week; 59 leading edge technologies were submitted for authorization (18 on multiple occasions). There are certain constraints on purchasers of health care in the private sector in dealing with new technology; these include fragmentation of the sector, differing rationalities within companies about limitations on eligibility of new procedures while competing for business, the role and expertise of the medical adviser, and demands of articulate customers. A proactive approach by the private sector to these challenges is hampered by its independence. Poor communication between the public and private sectors, and the lack of a more inclusive approach to policy centrally, undermine the rational diffusion and use of new medical technology in the U.K. health care system.


2014 ◽  
Vol 8 (9) ◽  
pp. e3104 ◽  
Author(s):  
Alessandra A. Vieira Machado ◽  
Anderson Oliveira Estevan ◽  
Antonio Sales ◽  
Kelly Cristina da Silva Brabes ◽  
Júlio Croda ◽  
...  

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