Implementation of a line of care for older adults in a teaching hospital.

Q3 Nursing

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-06-27 eCollection Date: 2025-01-01 DOI:10.1590/1983-1447.2025.20240181.en

Lisiane Manganelli Girardi Paskulin, Roberta Rigo Dalla Corte, Helena Barreto Dos Santos, Bruno Simas da Rocha, Francine Melo da Costa, Simone Augusta Finard, Tiago Oliveira Teixeira, Renato Gorga Bandeira de Mello

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引用次数: 0

Abstract

Objective: To outline the design and implementation processes of a Line of Care for older adults at a teaching hospital in Southern Brazil.

Methods: This cross-sectional study was conducted at the Hospital de Clínicas de Porto Alegre using the improvement model based on Plan-Do-Study-Act (PDSA) cycles. The results analyzed were collected from the institution's databases for the period between 2019 and 2024. A descriptive statistical analysis was performed on the data.

Results: The Care Line was implemented for hospitalized patients in wards and emergency departments, as well as for outpatients, considering the prevalent conditions in older adults. The actions were related to mental health, mobility, and drugs used, from the perspective of the older patients and their caregivers, developed according to the improvement model. Stand out the formation of a team of champions, situational diagnoses, the construction of multiprofessional protocols for the care of the older adult, and the prevention and treatment of delirium, as well as the monitoring of processes to guide new actions based on the results obtained.

Conclusion: The Care Line is being implemented through a program grounded in the science of improvement and practices for older adults' care, enhancing clinical practice, education, and care management.

查看原文本刊更多论文

在教学医院实施老年人护理线。

目的：概述巴西南部一家教学医院老年人护理线的设计和实施过程。方法：本横断面研究在Clínicas阿雷格里港医院进行，采用基于计划-做-研究-行动（PDSA）周期的改进模型。分析的结果是从该机构2019年至2024年期间的数据库中收集的。对数据进行描述性统计分析。结果：考虑到老年人的普遍情况，对病房和急诊科的住院患者以及门诊患者实施了护理线。从老年患者及其护理人员的角度出发，根据改进模型制定的行动与心理健康、行动能力和药物使用有关。突出冠军团队的组建、情境诊断、老年人护理的多专业协议的构建、谵妄的预防和治疗，以及基于所获得的结果对过程的监测来指导新的行动。结论：护理线正在通过一个基于改善老年人护理的科学和实践的项目来实施，加强临床实践，教育和护理管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista gaucha de enfermagem / EENFUFRGS Medicine-Medicine (all)

CiteScore

1.70

自引率

0.00%

发文量

118

审稿时长

16 weeks

期刊介绍： A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.