Browsing by Author "Fonseca-Teixeira, Susana Alexandra"
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- Health gains for users of long-term home care services in PortugalPublication . Fonseca-Teixeira, Susana Alexandra; Parreira, Pedro Miguel dos Santos Dinis; Mónico, Lisete Dos Santos Mendes; Amado, João Manuel da CostaOBJECTIVES: to evaluate health gains sensitive to nursing care in the context of long-term home care. METHODS: this was a quantitative, retrospective study carried out in the north of Portugal. The sample consisted of 151 users aged 18 or over. Descriptive and correlational analysis, non-parametric tests and exploratory factor analysis were carried out. RESULTS: the results revealed that the patients admitted were an ageing, dependent population with multimorbidities and low potential for rebuilding autonomy. The care provided by the home care team had a positive impact on improving functionality, controlling symptoms, reducing pressure ulcers and the risk of falls. CONCLUSIONS: there is an urgent need for effective investment in promoting home care, guaranteeing timely and equitable access to health care. It is necessary to invest in effective, efficient public policies, driven by social and economic sustainability, in order to guarantee better health outcomes for the population.
- Referenciação para a rede nacional de cuidados integrados: a percepção dos enfermeirosPublication . Fonseca-Teixeira, Susana Alexandra; Parreira, Pedro; Mónico, Lisete; Salgueiro-Oliveira, Anabela; Amado, João CostaObjective: to understand the referral to the National Network of Integrated Continuous Care, from the perspective of nurses who work in this care context. Method: an exploratory and descriptive study with a qualitative approach, with data collection between July and September 2019 through interviews with 12 nurses who work in Integrated Continuous Care Teams, in Northern Portugal. The content analysis technique was used to analyze the statements. Results: the professionals revealed that there are difficulties and constraints in the process of referring users to the National Network of Integrated Continuous Care. The process is bureaucratic, complex, and time-consuming, conditioning user accessibility to timely care. Conclusion: the referral process is a very bureaucratic and time-consuming procedure, which not only conditions and delays users’ access to the National Network of Integrated Continuous Care network, contributing to the worsening of the clinical status of some patients. The number of professionals is insufficient, inducing the demand for services through urgency. The focus on primary care should seek to improve inequalities in access, compete for more equitable and accessible care, generating more quality in health care.
- Referral to the national network of integrated care: the nurses' perceptionPublication . Fonseca-Teixeira, Susana Alexandra; Parreira, Pedro; Mónico, Lisete; Salgueiro-Oliveira, Anabela; Amado, João CostaOBJECTIVE: to understand the referral to the National Network of Integrated Continuous Care, from the perspective of nurses who work in this care context. METHOD: an exploratory and descriptive study with a qualitative approach, with data collection between July and September 2019 through interviews with 12 nurses who work in Integrated Continuous Care Teams, in Northern Portugal. The content analysis technique was used to analyze the statements. RESULTS: the professionals revealed that there are difficulties and constraints in the process of referring users to the National Network of Integrated Continuous Care. The process is bureaucratic, complex, and time-consuming, conditioning user accessibility to timely care. CONCLUSION: the referral process is a very bureaucratic and time-consuming procedure, which not only conditions and delays users' access to the National Network of Integrated Continuous Care network, contributing to the worsening of the clinical status of some patients. The number of professionals is insufficient, inducing the demand for services through urgency. The focus on primary care should seek to improve inequalities in access, compete for more equitable and accessible care, generating more quality in health care.