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Project K: Training for hospital-community safe transition
David Valsera Paniagua1, Maria Paula Homem Ribeiro1, Ana Marta Correia2
1Hospital de Vila Franca de Xira. Vila Franca de Xira, Portugal.
Revista Brasileira De Enfermagem
|October 27, 2018
Summary
Ensuring safe hospital-to-community transitions for chronic mental disorder patients requires involving families and improving care communication. This study defined criteria and an algorithm for better patient and caregiver support.
Area of Science:
- Nursing Research
- Mental Health Services
- Healthcare Transition
Background:
- Continuity of care is crucial for patients with chronic mental disorders.
- Fragmented care during hospital-to-community transitions poses risks.
- Family involvement is essential for successful patient reintegration.
Purpose of the Study:
- To define a safe transition process for patients with chronic mental disorders.
- To identify key factors for successful hospital-to-community transitions.
- To support patients and their families during care transitions.
Main Methods:
- Action research within a constructivist paradigm.
- Involved nurses from psychiatry and primary healthcare services.
- Qualitative data analysis of participant interviews.
Main Results:
- Identified two main criteria categories for safe transitions: patient health status/dependence and caregiver knowledge/competence.
- Developed an algorithm to aid clinical decision-making in transitions.
- Highlighted fragmentation causes in care continuity.
Conclusions:
- Treatment plans must actively include patients and families.
- Enhanced communication networks between care levels are vital.
- Improved support systems are necessary for therapeutic adherence during transitions.
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