Transição do cuidado na transferência intra-hospitalar como estratégia de comunicação efetiva entre enfermeiros

Abstract

To identify adherence to the in-hospital care transition instrument and investigate nurses’ understanding of its use as an effective communication strategy among the nursing team. Materials and Methods: Cross-sectional research, quantitative approach, descriptive design, with correlation between variables; carried out in a special school hospital in the Northeastern region of São Paulo, with 120 nurses, 58 of whom worked in intensive care units, and 62 in inpatient units of adult clinical-surgical specialties of the Unified Health System and Supplementary Health. In the first stage, adherence to the fulfillment of the instrument by intensive care nurses was identified, after medical discharge of patients and preparation for their transfer to other in-hospital units, in the period from June to December 2019, being verified if the document was in the electronic medical record, and if they were filled out up to six hours before transport, through the report issued by the integrated technology core, totaling a sample of 2588 transfers. In the second stage, a questionnaire was applied to the nurses of the inpatient units, who had admitted the patients and had received the care transition instrument filled. Descriptive and inferential statistics were used. Regarding the inferential part, hypothesis tests were performed, using Spearman's Correlation and Mann-Whitney's U method, in which the behavior of the correlations between variables was analyzed, as well as the degree of explanation of the dependent variables in relation to the independent variables. Results: Out of the 2588 patients transferred, it was identified 82.65% of care transition instruments correctly filled in the electronic medical record by nurses of intensive care units. Regarding the perception about the instrument; 90.32% stated that they have the habit of reading the document upon admission; 85.48% were able to identify the care needs of the patient being admitted; 95.16% considered the information important for continuing care; 80.65% considered that the instrument was effective to perform the transition of shift; 87.10% reported that the information can provide more safety to the patient; 77.42% preferred to receive the printed instrument in hand at the time of patient´s admission; 79.03% were satisfied with the use of the instrument, and newly admitted nurses (less than a year working in the institution) would like to receive more information about the use of the care transition . Conclusion: Adherence to the care transition instrument was below that was expected by the Nursing service, however, they had been filled out correctly. According to the nurses ´ understanding, the instrument was considered a strategy that favors effective communication during intra-hospital transfer, providing the transmission of information and important aspects about the care as well as essential for the nurse's planning, continuity of care, and the patient´s safety.