Cuidado transicional da enfermagem na alta de pessoas idosas da Unidade de Terapia Intensiva para unidades de internação

Abstract

The objective of this research was to explain how transitional nursing care occurs with elderly people discharged from the Intensive Care Unit to Inpatient Units. Specifically, we sought to understand how ICU nurses work in the context of the transition of care for elderly people discharged from critical care to Inpatient Units. Research was carried out with a qualitative, explanatory approach using Robert Yin's Single Case Study method and the theoretical contribution of Afaf Ibrahim Meleis' Theory of Transitions. The case studied had as its unit of analysis transitional nursing care in the context of discharge of elderly people from the Intensive Care Unit to Inpatient Units. 14 nurses who work in preparing the discharge of elderly patients in a general intensive care unit of a public teaching hospital were adopted as data collection units. Non-participant observations and in-depth interviews were carried out, which were transcribed and processed using the Openlogos 2.0 software. For data analysis, a combination of techniques involving data coding was carried out using an analytical logical model elaborated from the scoping review and theoretical framework of transition theory, resulting in three categories: Nursing Perspectives on nursing transition care elderly people in the intensive care unit in the Intra-hospital organizational context; Properties of transitional nursing care when elderly people are discharged from the intensive care unit and response patterns perceived by nurses regarding the transitional care offered to elderly people when discharged to postintensive care. The activities considered as transitional care mentioned stand out: the organization of information communicated, and medications sent to nurses in hospitalization units, and the request for the presence and involvement of the family/companion during the transition. The findings of this dissertation research contribute to advancing knowledge about the transitional care of elderly people through nursing in the in-hospital setting, taking as a starting point the discharges of patients who were in critical care; provides subsidies to improve practice and the transition process for patient recovery, with a view to reducing harm and adverse events. Defining protocols and implementing the nursing process in the transition of care may reduce readmissions in critical sectors and the mortality of elderly people, providing greater quality of care.