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ORIGINAL ARTICLE12-15-2025
Outpatient discharge management model: a strategy to promote continuity of care
- Daniele Cristina dos Reis Bobrowec
, - Elizabeth Bernardino ,
- Gisele Knop Aued ,
- Jaqueline Dias do Nascimento Selleti ,
- Maria Manuela Ferreira Pereira da Silva Martins , [ ... ],
- Lívia Cozer Montenegro
Abstract
ORIGINAL ARTICLEOutpatient discharge management model: a strategy to promote continuity of care
Revista Brasileira de Enfermagem. 2026;79:e20250221
DOI 10.1590/0034-7167-2025-0221
- Daniele Cristina dos Reis Bobrowec ,
- Elizabeth Bernardino ,
- Gisele Knop Aued ,
- Jaqueline Dias do Nascimento Selleti ,
- Maria Manuela Ferreira Pereira da Silva Martins ,
- Camila Rorato ,
- Keyla Cristina da Rocha Fracarolli ,
- Lívia Cozer Montenegro
Views21See moreABSTRACT
Objectives:
to propose an outpatient discharge management model from specialized care to primary care to promote continuity of care for chronic conditions.
Methods:
action research with a qualitative approach. Twenty-eight professionals, including physicians, nurses, and public administrators, participated. Data collection was carried out through participant observation, documentary research, semi-structured interviews, and workshops. The data were subjected to Creswell’s content analysis.
Results:
eight categories and 22 subcategories supported the creation of the outpatient discharge management model, emphasizing communication among levels of the healthcare network, designating the nurse as the process coordinator, and encouraging collaborative practices.
Final Considerations:
the study proposed an outpatient discharge management model focused on continuity of care, in addition to reinforcing the role of nurses, highlighting attention to communication, technological support and collaborative practices, reaffirming the importance of Primary Health Care as a care organizer.
Views21
Abstract
ORIGINAL ARTICLEOutpatient discharge management model: a strategy to promote continuity of care
Revista Brasileira de Enfermagem. 2026;79:e20250221
DOI 10.1590/0034-7167-2025-0221
- Daniele Cristina dos Reis Bobrowec ,
- Elizabeth Bernardino ,
- Gisele Knop Aued ,
- Jaqueline Dias do Nascimento Selleti ,
- Maria Manuela Ferreira Pereira da Silva Martins ,
- Camila Rorato ,
- Keyla Cristina da Rocha Fracarolli ,
- Lívia Cozer Montenegro
Views21See moreABSTRACT
Objectives:
to propose an outpatient discharge management model from specialized care to primary care to promote continuity of care for chronic conditions.
Methods:
action research with a qualitative approach. Twenty-eight professionals, including physicians, nurses, and public administrators, participated. Data collection was carried out through participant observation, documentary research, semi-structured interviews, and workshops. The data were subjected to Creswell’s content analysis.
Results:
eight categories and 22 subcategories supported the creation of the outpatient discharge management model, emphasizing communication among levels of the healthcare network, designating the nurse as the process coordinator, and encouraging collaborative practices.
Final Considerations:
the study proposed an outpatient discharge management model focused on continuity of care, in addition to reinforcing the role of nurses, highlighting attention to communication, technological support and collaborative practices, reaffirming the importance of Primary Health Care as a care organizer.
- Daniele Cristina dos Reis Bobrowec
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REVIEW12-08-2025
Nursing practices and complications associated with peripheral catheterization for outpatient antineoplastic therapy: scoping review
- Vanessa Albuquerque Alvim de Paula ,
- Vilanice Alves de Araújo Püschel ,
- Kelli Borges dos Santos ,
- Fábio da Costa Carbogim ,
- André Luiz Silva Alvim
Abstract
REVIEWNursing practices and complications associated with peripheral catheterization for outpatient antineoplastic therapy: scoping review
Revista Brasileira de Enfermagem. 2025;78:e20240528
DOI 10.1590/0034-7167-2024-0528
- Vanessa Albuquerque Alvim de Paula ,
- Vilanice Alves de Araújo Püschel ,
- Kelli Borges dos Santos ,
- Fábio da Costa Carbogim ,
- André Luiz Silva Alvim
Views7See moreABSTRACT
Objectives:
to map the evidence on nursing practices related to outpatient antineoplastic therapy using peripheral intravenous catheters and to identify the complications associated with the use of this device.
Methods:
this is a scoping review conducted according to the JBI methodology. The selection process was carried out independently and blindly by two reviewers.
Results:
a total of 1,287 publications were retrieved, and 16 studies were ultimately included. The identified practices were related to responsibility for the procedure; infection prevention and biosafety; selection of the puncture site; choice of the puncture device; skin preparation; venous puncture; access maintenance; catheter dressing and stabilization; and device removal and disposal. The most frequently reported complications were phlebitis, edema, pain, burning sensation, extravasation, and bloodstream infection.
Conclusions:
this study mapped peripheral intravenous catheterization practices for outpatient antineoplastic therapy into nine categories. The most common complications included phlebitis, edema, pain, burning sensation, extravasation, and bloodstream infection.
Views7Abstract
REVIEWNursing practices and complications associated with peripheral catheterization for outpatient antineoplastic therapy: scoping review
Revista Brasileira de Enfermagem. 2025;78:e20240528
DOI 10.1590/0034-7167-2024-0528
- Vanessa Albuquerque Alvim de Paula ,
- Vilanice Alves de Araújo Püschel ,
- Kelli Borges dos Santos ,
- Fábio da Costa Carbogim ,
- André Luiz Silva Alvim
Views7See moreABSTRACT
Objectives:
to map the evidence on nursing practices related to outpatient antineoplastic therapy using peripheral intravenous catheters and to identify the complications associated with the use of this device.
Methods:
this is a scoping review conducted according to the JBI methodology. The selection process was carried out independently and blindly by two reviewers.
Results:
a total of 1,287 publications were retrieved, and 16 studies were ultimately included. The identified practices were related to responsibility for the procedure; infection prevention and biosafety; selection of the puncture site; choice of the puncture device; skin preparation; venous puncture; access maintenance; catheter dressing and stabilization; and device removal and disposal. The most frequently reported complications were phlebitis, edema, pain, burning sensation, extravasation, and bloodstream infection.
Conclusions:
this study mapped peripheral intravenous catheterization practices for outpatient antineoplastic therapy into nine categories. The most common complications included phlebitis, edema, pain, burning sensation, extravasation, and bloodstream infection.
- Vanessa Albuquerque Alvim de Paula
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Pesquisa06-30-2011
Educational perspective on nursing care about the maintenance of elimination ostomy
Revista Brasileira de Enfermagem. 2011;64(2):322-327
Abstract
PesquisaEducational perspective on nursing care about the maintenance of elimination ostomy
Revista Brasileira de Enfermagem. 2011;64(2):322-327
DOI 10.1590/S0034-71672011000200016
Views9See moreThis research aimed to describe ostomized users' knowledge and practices with regard to the maintenance of an intestinal and urinary elimination ostomy; and to analyze the pertinence of sharing this knowledge and practice with fundamental nursing care in an outpatient context. The Care-Converging Research method was employed. A form was used to identify to ostomized patient and a semistructured interview to produce the data. All ethical aspects were complied with. The research revealed the need for further dissemination about these users' concrete reality, so that they can feel more welcomed, strengthened to cope with difficulties that may arise in their daily reality of living with the surgical derivation.
Views9Abstract
PesquisaEducational perspective on nursing care about the maintenance of elimination ostomy
Revista Brasileira de Enfermagem. 2011;64(2):322-327
DOI 10.1590/S0034-71672011000200016
Views9See moreThis research aimed to describe ostomized users' knowledge and practices with regard to the maintenance of an intestinal and urinary elimination ostomy; and to analyze the pertinence of sharing this knowledge and practice with fundamental nursing care in an outpatient context. The Care-Converging Research method was employed. A form was used to identify to ostomized patient and a semistructured interview to produce the data. All ethical aspects were complied with. The research revealed the need for further dissemination about these users' concrete reality, so that they can feel more welcomed, strengthened to cope with difficulties that may arise in their daily reality of living with the surgical derivation.
Ambulatory Care Archives - Revista Brasileira de Enfermagem
