Abstract
to understand how the transitional care of nurses to olde adults with artificial pacemaker occurs. a qualitative research, carried out in a philanthropic hospital in the city of Salvador, Bahia, Brazil. Fourteen nurses working in surgical and cardiac inpatient units participated. Data were collected between August and November 2020, through semi-structured interviews, and analyzed using the methodological framework Discourse of the Collective Subject and discussed in the light of Afaf Meleis' theory of transitions. nurses' incipient knowledge about transitional care was identified. It was observed that the nursing discharge report is a facilitating instrument for transitional care. the study pointed out that the transitional care of nurses to older adults with artificial pacemakers does not have a theoretical foundation, reporting as a priority the care with the pacemaker identification card and with the surgical wound.
Highlights
A study by the Ministry of Health indicates that approximately 33% of deaths are caused by cardiovascular disease (CVD)
The study guaranteed participants’anonymity, using Greek goddesses codenames as a way to honor nurses for their feminine strength, as they are considered powerful, courageous women, with multiple motivations and abilities, linked to love, wisdom and divinity. This is a qualitative research, which emphasizes the understanding of processes, focusing on results, including the uniqueness in a broader historical and social context(13), based on Afaf Meleis’a Transition Theory(10),which denotes the transition as changes in individuals’health status, role relationships, expectations or abilities. It understands the transition as a passage from one state, condition or from one place to another, involving a psychological process of adaptation to a change that requires interior reorganization to adapt to new circumstances
Intervening factors that influence the dynamics of transitional care are highlighted, enhanced by the incipient knowledge of participants about the approach
Summary
A study by the Ministry of Health indicates that approximately 33% of deaths are caused by cardiovascular disease (CVD). PM implantation inserts individuals in the context of hospital care In these circumstances, the elderly person with limitations inherent to senility starts to need support from the health team, contemplating transitional care to meet the new reality. Among the steps of SNC, planning stands out as a subsidy for practice of care In this context, the discharge plan is highlighted as an essential device for the continuity of care at home to promote QoL and prevent readmissions(9). The discharge plan is highlighted as an essential device for the continuity of care at home to promote QoL and prevent readmissions(9) In this context, Afaf Meleis’theory of transitions reiterates the importance of comprehensive care, given the changes suffered by individuals in life, health, relationships and environment in the transition process(10). This approach is still little discussed, especially with regard to hospital-home discharge planning, causing fragmentation in care(12)
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