Planned discharge and the inter-professional relationship from the perspective of the nursing actions during the COVID-19 pandemic

Rosemarie Andreazza,Arthur Chioro,Larissa Maria Bragagnolo, Franciele Finfa da Silva, Ana Lucia Pereira, Leonardo Mauri, Elen Paula Rodrigues, Lumena Almeida de Castro,Graca Carapinheiro

Ciencia & saude coletiva(2023)

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摘要
A qualitative-case study was carried out aimed at analyzing the interprofessional relationships generated by the planned discharge from the nursing actions' perspective during the COVID-19 pandemic. The study method was the participating observation by one nurse who words in a large SUS hospital in the city of Sao Paulo. The production of narratives and the micropolitics analysis resulted in two diverse visibility plans: beyond the planned discharge the anthropophagy of the technological arrangements for care and the ambivalence of the nursing staff in the production of interprofessional relationships; and the medical discharge and negotiated discharge: the intersecting with other professionals, with the families and with "real" life. The pandemic interrupted the multiprofessional visits and it was an analyzer of the interprofessional relationships. Wittingly, the nursing staff negotiates the discharges with physicians, who retain this power, and sets the team in motion using an elastic autonomy. The planned discharge alone was not able to guarantee a com-mon interprofessional action plan, was not able to modify the constituted roles in the hospital, a situation that increased during the pandemic, but allowed the right setting aimed to increase the te-am's professionalism.
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关键词
Interprofessional relationships,Patient discharge,Nursing,COVID-19
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