Transferencia de atención prehospitalaria entre equipos de salud: revisión integradora

J Dalco-Miorin; S Camponogara; T. Silva-de Mello; K.E Petry; A Bonfada-Torquetti; G Loise-Dias

J Dalco-Miorin Universidade Federal de Santa Maria, Departamento de enfermagem (Santa Maria, Rio Grande do Sul, Brasil)
S Camponogara Universidade Federal de Santa Maria, Departamento de enfermagem (Santa Maria, Rio Grande do Sul, Brasil)
T. Silva-de Mello Universidade Federal de Santa Maria, Departamento de enfermagem (Santa Maria, Rio Grande do Sul, Brasil)
K.E Petry Universidade Federal de Santa Maria, Departamento de enfermagem (Santa Maria, Rio Grande do Sul, Brasil)
A Bonfada-Torquetti Universidade Federal de Santa Maria, Departamento de enfermagem (Santa Maria, Rio Grande do Sul, Brasil)
G Loise-Dias Universidade Federal de Santa Maria, Departamento de enfermagem (Santa Maria, Rio Grande do Sul, Brasil)

Palabras clave: Transferencia de pacientes, continuidad de la atención al paciente, servicios médicos de emergencia, grupo de atención al paciente, Brasil

Key-words: Patient transfer, continuity of patient care, emergency medical services, patient care team, Brasil

Palavras chave: Transferência de pacientes, continuidade da assistência ao paciente, serviços médicos de emergência, equipe de assistência ao paciente, Brasil

Resumen

Introducción: Las transferencias de atención efectivas permiten satisfacer las necesidades de continuidad de la atención; sin embargo, pocos estudios se centran en comunicar información al respecto. Objetivo: Analizar la evidencia disponible en la literatura sobre la transferencia de atención prehospitalaria entre los equipos de salud. Metodología: Revisión integradora. La búsqueda de estudios primarios se realizó en cuatro bases de datos (PubMed, CINAHL, LILACS, Scopus). La muestra consistió en 20 investigaciones, que se agruparon en dos categorías. Resultados: La síntesis de la evidencia indicó las estrategias empleadas por los equipos de salud para estandarizar la comunicación de información durante la transferencia de la atención prehospitalaria y las circunstancias que intervienen en este momento. Entre las estrategias destacamos el uso de un formulario de ambulancia para utilizar en los servicios que continuarán la atención. Las circunstancias intermedias incluyen demoras en la transferencia y fallas en la información/comunicación. Discusión: El uso de mnemónicos y protocolos para una mejor transferencia no es generalizado, pero existe consenso que la falta de procesos de comunicación integrados contribuyen a las fallas en la atención. Conclusión: Las transferencias efectivas de atención son complejas ya que hay varios factores que intervienen en su proceso, los cuales dependen de negociaciones y acuerdos entre los equipos de salud y los gerentes

Abstract

Introduction: An effective attention transference allows the continuity of healthcare; however, not many studies in the literature are focused on this important process. Objective: To analyze the available evidence regarding the transference of healthcare attention among healthcare teams at the prehospital stage. Methodology: This is an integrative review. The primary search was conducted on the PubMed, CINAHL, LILACS, and Scopus databases. The sample was constituted by 20 research studies which were further grouped into two categories. Results: The synthesis showed some of the strategies which are used by health teams to standardize the information transmission during the transference of healthcare attention at the prehospital stage. One of these strategies is, while still in the ambulance, the use of checklists to be further be used by the health teams continuing the attention at the hospital. Some related issues included delays in the transference and errors in the communications. Discussion: The use of mnemonics and protocols to improve the transference process is not generalized, and there is consensus that the lack of integration in the communications is a major cause of errors during the attention transference. Conclusion: Achieving an effective healthcare attention transference can be complex due to the several factors. One of these key factors was found to be related to the agreements among healthcare teams and managers

Resumo

Introdução: As transferências de atenção efetivas permitem satisfazer as necessidades de continuidade do atendimento; porém, poucos estudos se centram em comunicar informação a esse respeito. Objetivo: Analisar a evidência disponível na literatura sobre a transferência do atendimento pré-hospitalar entre equipes de saúde. Metodologia: Revisão integrativa. A busca de estudos primários realizou-se em quatro bases de dados (PubMed, CINAHL, LILACS, Scopus). A amostra consistiu em 20 pesquisas, que se agruparam em duas categorias. Resultados: A síntese da evidência apontou as estratégias empregadas pelas equipes de saúde para estandardizar a comunicação de informação durante a transferência da atenção pré-hospitalar e as circunstâncias que intervém neste momento. Dentre as estratégias salientamos o uso de um formulário de ambulância para utilizar nos serviços que continuarão o atendimento. Circunstâncias intermediárias incluem demoras na transferência e falhas na informação/comunicação. Discussão: O uso de mnemônicos e protocolos para uma melhor transferência não é generalizado, mas existe consenso que a falta de processos de comunicação integrados contribui às falhas no atendimento. Conclusão: As transferências efetivas de atendimento são complexas já que há vários fatores que interferem em seu processo, os quais dependem de negociações e acordos entre as equipes de saúde e os gestores

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Transferencia de atención prehospitalaria entre equipos de salud: revisión integradora

Pre-hospital healthcare attention transference among health teams: an integrative review

Transferência de atenção pré-hospitalar entre equipes de saúde: revisão integrativa

Resumen

Abstract

Resumo

Bibliografía