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Transferring palliative-care patients from hospital to community care: A qualitative study [Transferencia de pacientes de cuidados paliativos desde el hospital hasta atención primaria: un estudio cualitativo]

dc.contributor.authorCorrea-Casado M.
dc.contributor.authorGranero-Molina J.
dc.contributor.authorHernández-Padilla J.M.
dc.contributor.authorFernández-Sola C.
dc.date.accessioned2020-09-02T22:15:31Z
dc.date.available2020-09-02T22:15:31Z
dc.date.issued2017
dc.identifier10.1016/j.aprim.2016.09.003
dc.identifier.citation49, 6, 326-334
dc.identifier.issn02126567
dc.identifier.urihttps://hdl.handle.net/20.500.12728/4085
dc.descriptionAim To know the experience of case-manager nurses with regard to transferring palliative-care patients from the hospital to their homes. Design Qualitative phenomenological study carried out in 2014-2015. Setting Poniente and Almería health districts, which referral hospitals are Poniente Hospital and Torrecárdenas Hospital, respectively. Participants A purposive sample comprised of 12 case-manager nurses was recruited from the aforementioned setting. Method Theoretical data saturation was achieved after performing 7 in-depth individual interviews and 1 focus group. Data analysis was performed following Colaizzi's method. Results Three themes emerged: (1) ‘Case-management nursing as a quality, patient-centred service’ (2) ‘Failures of the information systems’, with the subthemes “patients” insufficient and inadequate previous information” and “ineffective between-levels communication channels for advanced nursing” (3) ‘Deficiencies in discharge planning’, with the subthemes “deficient management of resources on admission”, “uncertainty about discharge” and “insufficient human resources to coordinate the transfer”. Conclusions Case-manager nurses consider themselves a good-quality service. However, they think there are issues with coordination, information and discharge planning of palliative patients from hospital. It would be useful to review the communication pathways of both care and discharge reports, so that resources needed by palliative patients are effectively managed at the point of being transferred home. © 2016 Elsevier España, S.L.U.
dc.language.isoen
dc.language.isoes
dc.publisherElsevier Doyma
dc.subjectContinuum of care
dc.subjectPalliative care
dc.subjectPatient transfer
dc.subjectQualitative research
dc.subjectcase management
dc.subjectcase manager
dc.subjectclinical study
dc.subjectcoordination
dc.subjectdata analysis
dc.subjectdoctor patient relation
dc.subjecthospital discharge
dc.subjecthuman
dc.subjecthuman tissue
dc.subjectinformation system
dc.subjectinterview
dc.subjectnurse
dc.subjectpalliative therapy
dc.subjectpatient referral
dc.subjectpatient transport
dc.subjectphenomenology
dc.subjectpurposive sample
dc.subjectqualitative research
dc.subjecttheoretical model
dc.subjecttreatment failure
dc.subjectuncertainty
dc.subjectadult
dc.subjectfemale
dc.subjecthome care
dc.subjecthospital
dc.subjectmale
dc.subjectmiddle aged
dc.subjectprimary health care
dc.subjectqualitative research
dc.subjectAdult
dc.subjectFemale
dc.subjectHome Care Services
dc.subjectHospitals
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPalliative Care
dc.subjectPatient Transfer
dc.subjectPrimary Health Care
dc.subjectQualitative Research
dc.titleTransferring palliative-care patients from hospital to community care: A qualitative study [Transferencia de pacientes de cuidados paliativos desde el hospital hasta atención primaria: un estudio cualitativo]
dc.typeArticle


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