Continuity of care for children with chronic conditions after discharge: a constructivist grounded theory

Abstract

Objectives: to understand the meaning of continuity of care for children with chronic conditions through transitional care from hospital to home. Methods: this is a qualitative study, conducted from a Constructivist Grounded Theory perspective. Purposive and theoretical sampling were used to recruit 35 participants, including nurses, professionals from the interprofessional hospital team, and actors responsible for healthcare in the home context. The research was conducted at two large hospitals, between March and September 2019. Semi-structured interviews were conducted. Data analysis was carried out using initial and focused coding, according to constructivist grounded theory. Results: the substantive theory that emerged from this study was named “Postponing the next hospitalization”. Eight categories-concepts and 18 elements were derived from the data to support the substantive theory. Final Considerations: transitional care from hospital to home acts as a reminder for the resumption of continuity of care after discharge.

Quality of Care Transition for COVID-19 Patients in a University Hospital in Southern Brazil

“…It’s important to note that these symptoms have been consistently associated with COVID-19 complications since the onset of the disease. Therefore, these findings may indicate that these symptoms served as warning signs of worsening clinical conditions, requiring increased attention from healthcare professionals during the care transition ( 21 ) .…”

“…Cabe destacar que estes sintomas estavam entre o rol dos principais sintomas associados aos agravos da covid-19 desde o surgimento da doença. Assim, estes achados podem estar relacionados ao fato de que estes sintomas representavam condições de alerta ao agravamento do quadro clínico, e assim, estes pacientes exigiam uma maior atenção do profissional no momento da transição do cuidado ( 21 ) .…”