Acquisition of mastery by the caregiver for the continuity of care after hospital discharge

Ivana Santos Pinto,Larissa Chaves Pedreira, Mariana Souza Belmonte, Maria Ribeiro Lacerda,Juliana Bezerra do Amaral,Tânia Maria de Oliva Menezes, Jeferson Moreira dos Santos, Joann Seunarine,Johis Ortega,Hudson Santos

Applied Nursing Research(2024)

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Abstract
Caregivers who provide transitional care to people with functional dependence require the mastery of skills that ensure successful continuity of care. This domain of care requires nursing interventions to support the caregiver. This study aims to understand aspects of the development of caregiver mastery for continuity of care after hospital discharge. Method: Exploratory, qualitative research carried out in a university hospital in Salvador, Bahia, Brazil, from July to December 2022, with fourteen qualified caregivers participating. Data was organized using the software Web Qualitative Data Analysis, analyzed by thematic content analysis, and discussed in light of the Theory of Transitions proposed by Dr. Afaf Meleis. Results: The caregivers were women who cared for functionally dependent individuals and received training for care during hospitalization and telephone follow-up after discharge. Twelve achieved mastery; those with less experience needed more calls to acquire mastery. Conclusions: Discharge planning and caregiver education are essential to support them in safe and effective hospital-home transitions.
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Key words
Caregivers,Transitional care,Continuity of patient care,Hospital to home transition,Nursing
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