OBJECTIVE To identify and analyze available literature on care transition strategies in Latin American countries. METHODS Integrative literature review that included studies indexed in PubMed, LILACS, Web of Science Core Collection, CINAHL, SCOPUS databases, and the Scientific Electronic Library Online (SciELO), published in Portuguese, Spanish or English, between 2010 and 2017. RESULTS Eleven articles were selected and the strategies were grouped into components of care transition: discharge planning, advanced care planning, patient education and promotion of self-management, medication safety, complete communication of information, and outpatient follow-up. These strategies were carried out by multidisciplinary team members, in which nurses play a leading role in promoting safe care transitions. CONCLUSIONS Care transition activities are generally initiated very close to patient discharge, this differs from recommendations of care transition programs and models, which suggest implementing care transition strategies from the time of admission until discharge.
The abrupt interruption of previously planned activities in face-to-face classes, which combine theoretical and practical activities, generates impacts in the short, medium, and long terms for all school levels. Especially, the socioeconomically vulnerable populations will be more affected and among the possible repercussions will be the accentuation of social inequalities for access to essential goods and services like education, among others. School dropout indicators may significantly increase what retro-feeds the aforementioned repercussions.2
15 October 2015 in Investigación y Educación en Enfermería
Nurse navigators play a major role in the care provided to patients with cancer within the healthcare system. This study aims describe the outcomes of a pioneering nurse navigation program established in a breast cancer center in a private, nonprofit hospital in Porto Alegre, Brazil. This is a cross-sectional, retrospective, descriptive study based on electronic health records. Descriptive statistics were used for data analysis. Data from 263 patients participating in the navigation program and hospital quality indicators showed a reduction in the time elapsed from diagnosis to the start of treatment from 24 days in 2014 to 18 days in 2017. Of 153 patients who responded to a patient satisfaction survey, 97% were satisfied or very satisfied with the care provided by the nurse navigator.
Knowledge translation (KT) is increasingly recognized as a practical and effective way to improve the use of evidence in healthcare practice and policy.2 The Canadian Institutes of Health Research defines KT as “a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to improve health, provide more effective health services and products, and strengthen the health care system”.3 Since 2013, in Brazil, the Rede para Políticas Informadas por Evidências (Evidence-Informed Policy Network - EVIPNet Brasil), a global WHO initiative, has supported evidence-informed decision making in healthcare policy.4 They have produced 14 evidence syntheses and eight deliberative dialogues for knowledge synthesis. With its emphasis on building mutual understanding and leveraging relationships to strengthen the use of evidence in practice and policy, this is an example of an integrated KT (IKT) strategy.