Nursing guidelines for hospital highs in trauma ready service

Authors

DOI:

https://doi.org/10.33448/rsd-v11i5.27714

Keywords:

Patient discharge; Health Education; Health Planning; Emergency medical services; Traumatology centers.

Abstract

The objective of the study was to identify the main guidelines for discharge by nursing in urgency and emergency trauma services. This is an integrative review carried out in the following databases: Virtual Health Library (VHL), American Medicine Library (PubMed), Scientific Electronic Library Online (SciELO), Scopus and Google Scholar, published from 2015 to 2020 From the results found, six categories of guidelines emerged: skin care; use of non-pharmacological measures for pain relief; guidelines focusing on comprehensiveness and multidisciplinarity of care; family and patient participation in the discharge process; post-discharge follow-up. Patients who attend urgent and emergency services, especially trauma, need a wide range of care and professionals to ensure their best recovery after discharge. The nurse, as part of the multidisciplinary team, is a protagonist in the planning and execution of discharge guidelines.

Author Biographies

Vanessa Bertoglio Comassetto Antunes de Oliveira, Universidade Federal do Paraná

Doctor of the Graduate Program in Nursing at the University of São Paulo. Master in Nursing at the School of Nursing of São Paulo. She has a degree in Nursing and Midwifery from the Federal University of Paraná (2005). She is currently an Adjunct Professor at the Department of Nursing at the Federal University of Paraná-UFPR in the discipline of Nursing in Adult Health. Member of the GEMSA research group (Multiprofessional Study Group on Adult Health).

Sabrina Sara Aparecida dos Santos, Universidade Federal do Paraná

Academic in the course of Nursing in the modality of baccalaureate and licentiate by the Federal University of Paraná; scientific initiation student Self-inflicted injuries due to suicidal behavior, extension student in the Socorrer project; rescuer & rescuer by the Pickler team rescue school, member of the academic league of urgency and emergency of Hospital do Trabalhador and member of the scientific commission of the same academic league.

Amanda Khetleen Gusso, Universidade Federal do Paraná

Postgraduate student in Pediatrics and Neonatology at Universidade Positivo. She is currently a Nurse at the Adult Emergency Room at Hospital Santa Cruz and a member of the Center for Studies in Collective Health (NESC) at UFPR. Nurse graduated from the Federal University of Paraná (UFPR) - Bachelor and Licensed.

Juliana Machado Franco, Universidade Federal do Paraná

Nurse graduated from the Federal University of Paraná (UFPR). Resident in the Multiprofessional Urgency and Emergency Nursing Program at the Hospital de Clínicas Complex of the Federal University of Paraná (CHC-UFPR).

Tassiana Meireles, Universidade Federal do Paraná

Academic in the course of Nursing in the modality of baccalaureate and licentiate by the Federal University of Paraná; scientific initiation student who studies the tools used during transfers between intrahospital units aiming at the continuity of care - centralized at Hospital de Clínicas de Curitiba, extension student in the Socorrer project; rescuer & rescuer by the Pickler team rescue school, member of the academic league of urgency and emergency of Hospital do Trabalhador and member of the scientific commission of the same academic league.

Felipe Mendes Barbosa , Universidade Positivo

Nurse at Universidade Positivo, Curitiba, Paraná, Brazil.

References

Andrade, A. M., et al. (2020). Evolução do programa nacional de segurança do paciente. Vigil. sanit. Debate. 8(4):37-46. DOI: 10.22239/2317-269x.01505.

Assunção, W. C. (2018). Rev. Saúde em Foco, Teresina. 5(2). http://www4.unifsa.com.br/revista/index.php/saudeemfoco/article/view/1730.

Baron, J. S., Sullivan, K. J., Swaine, J. M., Aspinall, A., Jaglal, S., Presseau, J., White, B., Wolfe, D. & Grimshaw. J. M. (2018). Self-management interventions for skin care in people with a spinal cord injury: part 1-a systematic review of intervention content and effectiveness. Spinal Cord. 56(9): 823-36. Doi: 10.1038/s41393-018-0138-3.

Brasil. (2017). Principais causas de morte. Departamento de Análise de Saúde e Vigilância de Doenças Não Transmissíveis. Secretaria de Vigilância em Saúde. http://svs.aids.gov.br/dantps/centrais-de-conteudos/paineis-de-monitoramento/mortalidade/gbd-brasil/principais-causas.

Brasil. Ministério da Saúde. (2015). Secretaria de Atenção à Saúde. Diretrizes de atenção à reabilitação da pessoa com traumatismo cranioencefálico / Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. – Brasília : Ministério da Saúde. http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_atencao_reabilitacao_pessoa_traumatisco_cranioencefalico.pdf.

Cadel, L., DeLuca, C., Hitzig, S. L., et al. (2020). Self-management of pain and depression in adults with spinal cord injury: A scoping review. J Spinal Cord Med. Doi: 10.1080/10790268.2018.1523776.

Chang, M. Y., Chen, H. Y., Cheng, M. L., et al. (2017). Rebuilding Life: Investigating the Long-Term Homecare Needs of Clients With Spinal Cord Injuries. J Nurs Res. DOI: 10, 2021. Doi:10.1097/JNR.0000000000000171.

Conselho Regional de Enfermagem de Alagoas (COREN - AL). (2018). Parecer técnico nº 012/2018 COREN-AL interessado: presidente do COREN-AL. Solicitação de que o COREN-AL emita parecer técnico quanto a competência do enfermeiro em dar alta ao paciente sem a reavaliação médica. http://al.corens.portalcofen.gov.br/wp-content/uploads/2018/08/PARECER-T%C3%89CNICO-N%C2%BA-012.2018-Coren-AL.pdf.

Fontana, G., Chesani, F. H. & Nalin, F. (2017). Percepções dos profissionais da saúde sobre o processo de alta hospitalar. Revista da UNIFEBE. 1(21), 137-56. https://periodicos.unifebe.edu.br/index.php/revistaeletronicadaunifebe/article/view/491.

Gabbe, B. J., Simpson, P. M., Cameron, P. A., et al. (2017). Long-term health status and trajectories of seriously injured patients: A population-based longitudinal study. PLoS Med. 5;14(7). Doi: 10.1371/journal.pmed.1002322.

Lopes, V. J., Souza, M. A. R., et al. (2019). Participação do enfermeiro no planejamento de alta hospitalar. Rev enferm UFPE on line., Recife, 13(4):1142-50. https://doi.org/10.5205/1981-8963-v13i04a236850p1142-1150-2019.

Lumba-Brown, A., Yeates, K. O., Sarmiento, K. et al. (2018). Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children. JAMA Pediatr. Doi:10.1001/jamapediatrics.2018.2853.

Machado, W. C., Silva, V. M., Silva, R. A., et al. (2016). Hospital discharge of patients with disabling neurological injury: necessary referrals to rehabilitation. Cien Saude Colet. Doi: 10.1590/1413-812320152110.17232016.

Madeira, M. Z. A., Silva, A. M. P., et al. (2017). Neurological trauma profile of traffic accident victims patients in a rehabilitation center. Rev Enferm UFPI. https://doi.org/10.26694/2238-7234.6422-27.

Medical Subject Headings. (2021). U.S. National Library of Medicine; National Institutes of Health. https://www.nlm.nih.gov/ mesh/meshhome.html.

Mendes, E. V. (2012). O cuidado das condições crônicas na atenção primária à saúde: o imperativo da consolidação da estratégia da saúde da família. Brasília: Organização Pan-Americana de Saúde. https://apsredes.org/o-cuidado-das-condicoes-cronicas-na-atencao-primaria-a-saude-o-imperativo-da-consolidacao-da-estrategia-da-saude-da-familia/.

Moher, D., Liberati, A., Tetzlaff, J., et. al. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA*.[Tradução]. Epidemiol. Serv. Saúde, 335 Brasília, 24(2). Doi: 10.5123/S1679-49742015000200017.

Resnick, B., Wells, C., Galik, E., et al. (2016). Feasibility and Efficacy of Function-Focused Care for Orthopedic Trauma Patients. J Trauma Nurs. Doi: 10.1097/JTN.0000000000000203.

Santos, C. C., Pimenta, C. A. M. & Nobre, M. R. C. (2007). A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-Am Enfermagem. DOI: 10.1590/S0104-11692007000300023.

Secretaria de Estado da Saúde - Governo do Estado do Espírito Santo. (2018). Atendimento de Urgência ao Paciente Vítima de Trauma - Diretrizes Clínicas. https://saude.es.gov.br/Media/sesa/Protocolo/Atendimento%20de%20Urg%C3%AAncia%20ao%20Paciente%20V%C3%ADtima%20de%20Trauma.pdf.

Silva, A. V., Amorim, R. F. & Sousa, A. R. (2020). Cenário sócio histórico do código de ética, direitos e deveres do profissional de enfermagem no Brasil. REVISA. 9(3): 369-74. Doi: https://doi.org/10.36239/revisa.v9.n3.p369a374.

Silva, R. L., Ribeiro, M. A. T. & Azevedo, C. C. (2018). Concepções sobre o Processo de Alta Hospitalar: Uma Revisão Crítica. Tempus, actas de saúde colet. https://tempus.unb.br/index.php/tempus/article/view/1975/1912.

Souza, M. T., Silva, M. D. & Carvalho R. Revisão integrativa: o que é e como fazer. Einstein. 2010; 8(1 Pt 1):102-6. https://www.scielo.br/j/eins/a/ZQTBkVJZqcWrTT34cXLjtBx/?format=pdf&lang=pt

Strudwick, K., McPhee, M., Bell, A., et al. (2018). Review article: Best practice management of neck pain in the emergency department (part 6 of the musculoskeletal injuries rapid review series). Emerg Med Australas. Doi: 10.1111/1742-6723.13131.

Tverdal, C. B., Howe, E. I., Røe, C., Helseth, E., Lu, J., Tenovuo, O. & Andelic, N. (2018). Traumatic brain injury: Patient experience and satisfaction with discharge from trauma hospital. Journal of rehabilitation medicine. 50(6), 505–513. DOI: https://doi.org/10.2340/16501977-2332

Wiart, L., Luauté, J., et al. (2015). Non pharmacological treatments for psychological and behavioural disorders following traumatic brain injury (TBI). A systematic literature review and expert opinion leading to recommendations. Ann Phys Rehabil Med. Doi: 10.1016/j.rehab.2015.12.001.)

Published

28/03/2022

How to Cite

OLIVEIRA, V. B. C. A. de .; SANTOS, S. S. A. dos .; GUSSO, A. K. .; FRANCO, J. M.; MEIRELES, T.; BARBOSA , F. M. . Nursing guidelines for hospital highs in trauma ready service. Research, Society and Development, [S. l.], v. 11, n. 5, p. e0911527714, 2022. DOI: 10.33448/rsd-v11i5.27714. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/27714. Acesso em: 23 apr. 2024.

Issue

Section

Health Sciences