Quality of care transitions from hospital to home for COVID-19 patients discharged from Brazilian university hospitals
ISSN: 1476-9018
Article publication date: 17 September 2024
Issue publication date: 12 November 2024
Abstract
Purpose
To analyze the quality of transitional care for patients with COVID-19 at discharge from Brazilian university hospitals.
Design/methodology/approach
A cross-sectional descriptive study was carried out in five Brazilian university hospitals between April and December 2021. The sample consisted of 527 participants. Data collection consisted of a sociodemographic questionnaire and the Care Transitions Measure (CTM-15), a care transition assessment instrument, which was translated and validated in Portuguese.
Findings
Most participants were patients (n = 369; 70.0%), with primary school completion (n = 218; 43.4%), multiracial (n = 218; 43.5%) and with an income of up to two minimum wages (n = 182; 42.8%). Dimension 1 – management preparation – obtained the highest score (71.2 points, SD = 16.5), while Dimension 4 – care plan – obtained the lowest score (62.2 points, SD = 23.4). Among the participating hospitals, there was a difference in the overall mean with results ranging from 67.0 to 72.9 points.
Originality/value
A satisfactory quality of care transition was found, considering the context of a pandemic. The main weaknesses in the care transitions were related to the care planning after hospital discharge.
Keywords
Acknowledgements
Research funding: The article is part of the research project titled “Evaluation of nursing care for patients with COVID-19 in Brazilian university hospitals,” funded by “Conselho Nacional de Desenvolvimento Científico e Tecnológico” (CNPq) through the MCTIC/CNPq/FNDCT/MS/SCTIE/Decit Call No. 07/2020 – Research for dealing with COVID-19, its consequences, and other severe acute respiratory syndromes (Process No: 402392/2020-5), and in the public call notice No. 005/2020 – “Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina” (FAPESC) adherence to the MCTIC/CNPq/FNDCT/MS/SCTIE/Decit Call No. 07/2020.
Citation
Wachholz, L.F., Cechinel-Peiter, C., Costa, M.F.B.N.A.d., Acosta, A.M., Erdmann, A.L., Santos, J.L.G.d., Backman, C. and Lanzoni, G.M.d.M. (2024), "Quality of care transitions from hospital to home for COVID-19 patients discharged from Brazilian university hospitals", Journal of Integrated Care, Vol. 32 No. 4, pp. 394-407. https://doi.org/10.1108/JICA-08-2023-0066
Publisher
:Emerald Publishing Limited
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