Comissão de gestão da alta em hospital público universitário: co-produção através de pesquisa-ação

Abstract

Objective: To set up, implement and immediately evaluate a hospital discharge management committee in a university hospital. Method: A qualitative study, developed through action research and based on Afaf Meleis' theory of transitions. The research took place in a university hospital in north-eastern Brazil over 12 months, following four phases: situational diagnosis, planning, implementation of activities and evaluation. The phases were carried out through workshops with the group. The participating group was selected. Results: The group included 11 professionals: 07 nurses, 03 physiotherapists and 01 social worker. A discharge management committee was set up at the hospital, with instruments and a work process built collectively. Eligibility, admission and patient intake criteria, a discharge readiness scale and discharge follow-up and post-discharge monitoring flows were drawn up to guide the identification of intervention needs and health guidance for eligible patients and caregivers. The committee made it possible to involve students from different categories in management activities, technical visits and case discussions with the care team. In the immediate evaluation, the group pointed out the importance of the assertive methodological choice for the construction and implementation of the committee, the broadening of the professionals' view of accompanying patients and caregivers to discharge, and the expectation of improving the quality of the service provided by the institution. Conclusion: The study set up, implemented and immediately evaluated the discharge management committee at the university hospital. The conceptual basis of the transitions theory underpinned the construction of the instruments and flows, allowing for scientific validation of the processes. The participation of students favored the integration of teaching and service.