Continuity of care for patients recovering from Covid-19 under the angle of clinical management principles

Vanessa Alves Mendes,Maria Fernanda Baeta Neves Alonso da Costa, Anna Flavia da Silva Almeida Martins, Karina Nonato Mocheuti,Gimerson Erick Ferreira,Mara Regina Rosa Ribeiro

REVISTA DA ESCOLA DE ENFERMAGEM DA USP(2023)

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Abstract
Objective: To analyze the strategies used by nurses at a university hospital to ensure continuity of care at hospital discharge for patients recovered from Covid-19, under the angle of the principles of clinical management. Method: A descriptive study with a qualitative approach, carried out with seven nurses on duty in the medical and gynecology/obstetrics clinics of a university hospital in the Midwest region of the country. The data was processed using IRaMuTeQ software and analyzed using Content Analysis. Results: The data resulted in five classes by the Descending Hierarchical Classification (DHC), which made up two categories: "Practices developed by nurses for continuity of care in the hospital environment" and "Continuity of care during discharge to the home". The strategies used by the nurses were: daily care systematized in the nursing process and guidance both for preparation and for the day of discharge. Conclusion: The absence of an institutional protocol for safe discharge, as well as the position of nurse coordinator to manage the discharge of patients with Covid-19, can compromise the continuity of care for these patients.
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Key words
Continuity of Patient Care,Patient Discharge,Covid-19,Nursing Care,Patient-Centered Care
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