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Artigo Original • Acta Paul Enferm 36 • 2023 • https://doi.org/10.37689/acta-ape/2023AO032411 copy

Child care transition and satisfaction with nursing care

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To analyze the correlation between quality of care transition at hospital discharge of children and satisfaction with nursing care.

Methods

This is quantitative, cross-sectional research carried out in 2019 in southern Brazil. Parents of 305 children who were discharged from hospital to home were included. In addition to participant characterization, the Care Transitions Measure (CTM-15 Brazil) and Patient Satisfaction Instrument were used to collect data. Spearman’s correlation test was applied. A significance level of 5% was considered (p<0.05).

Results

The final mean of the Care Transitions Measure was 87.9 (0-100 points), characterizing quality of care transition as satisfactory. All Patient Satisfaction Instrument items had a mean greater than 3.0 points, indicating a high degree of satisfaction. The correlation between quality of care transition and patient satisfaction was of low magnitude.

Conclusion

Quality of care transition and patient satisfaction with nursing care showed significant values. A weak correlation was found between them, which suggests that quality of care transition assessment is influenced by several factors.

Transitional care; Patient satisfaction; Patient discharge; Child; Nursing care

Factor*		Mean (SD)	CI
9	Understand things I was responsible for	94.2(13.0)	92.6-95.8
14	Understand how to take medications	94.2(15.5)	92.2-96.1
8	Understand what makes me better or worse	91.8(16.7)	89.7-93.9
5	Understand how to manage health	91.5(18.9)	89.1-93.9
6	Understand warning signs and symptoms	90.8(20.1)	88.3-93.3
13	Understand purpose of medications	90.6(20.2)	88.0-93.1
11	Confident I knew what to do	90.1(18.2)	87.7-92.4
10	Feel confident that you know what to do	89.9(19.3)	87.5-92.3
4	Had information needed for self-care	89.3(21.0)	86.7-92.0
1	Agreed health goals and means	86.5(19.6)	84.0-89.0
2	Preferences for deciding health needs	85.8(24.8)	82.7-88.9
3	Preferences for deciding where needs are	84.5(24.9)	81.4-87.6
7	Had written care plan	83.1(27.9)	79.6-86.6
12	Had written list of appointments and tests	82. (28.6)	78.7-85.9
15	Understand side effects of medications	67.6(37.9)	62.9-72.4
	Total	87.9(13.4)	85.7-89.2

Factor		Items	Mean (SD)	CI
1.	Health management preparation	4,5,6,8,9,10,11	91.4(13.7)	89.3-92.8
2.	Medication understanding	13,14,15	84.8(18.5)	81.8-86.5
3.	Important preferences	1,2,3	86.0(18.2)	83.2-88.0
4.	Care plan	7,12	82.6(23.4)	79.9-85.5
	Total		87.9(13.4)	85.7-89.2

Items*		Mean (SD)	95% CI
22	I’m tired of the nurse talking down to me**	4.4(1.0)	4.3-4.5
3	The nurse is pleasant to be around	4.3(0.8)	4.2-4.4
4	A person feels free to ask the nurse questions	4.3(1.0)	4.2-4.4
13	The nurse is often too disorganized to appear calm**	4.3(1.0)	4.1-4.4
20	The nurse is not precise in doing his/her work**	4.3(1.0)	4.1-4.4
25	The nurse is skillful in assisting the doctor with procedures	4.3(0.9)	4.2-4.4
7	The nurse explains things in simple language	4.2(1.0)	4.0-4.3
12	The nurse makes it a point to show me how to carry out the doctor’s orders	4.2(0.9)	4.1-4.4
18	The nurse is too slow to do things for me**	4.2(1.0)	4.1-4.4
8	The nurse asks a lot of questions, but one he/she finds the answers, he/she doesn’t seem to do anything**	4.1(1.1)	3.9-4.2
14	The nurse is understanding in listening to a patient’s problems	4.1(1.1)	3.9-4.2
16	The nurse really knows what he/she is talking about	4.1(0.9)	4.0-4.3
17	It is always easy to understand what the nurse is talking about	4.1(1.0)	3.9-4.2
21	The nurse gives directions at just the right speed	4.1(1.1)	3.9-4.2
23	Just talking to the nurse makes me feel better	4.1(1.0)	3.9-4.2
1	The nurse should be more attentive than he/she is**	4.0(1.2)	3.8-4.1
2	Too often the nurse thinks you can’t understand the medical explanation of your illness, so he/she just doesn’t bother to explain**	4.0(1.2)	3.8-4.1
10	The nurse is too busy at the desk to spend time talking to me**	4.0(1.1)	3.8-4.1
19	The nurse is just not patient enough**	4.0(1.1)	3.9-4.1
6	The nurse is a person who can understand how I feel	3.9(1.1)	3.8-4.1
5	The nurse should be more friendly than he/she is**	3.8(1.3)	3.6-3.9
9	When I need to talk to someone, I can go to the nurse with my problems	3.6(1.2)	3.4-3.7
24	The nurse always gives complete enough explanations of why tests are ordered	3.6(1.2)	3.5-3.8
11	I wish the nurse would tell me about the results of my test more than he/she does**	3.3(1.4)	3.2-3.5
Total		4.1(0.7)	4.0-4.1

Domains		Items	Mean (SD)	95% CI
1.	Professional	12,13,15,16,18,20,25	4.2(0.7)	4.1-4.3
2.	Educational	2,7,8,11,17,21,24	3.9(0.8)	3.8-4.0
3.	Trust	1,3,4,5,6,9,10,14,19,22,23	4.0(0.8)	3.9-4.1
	Total		4.1(0.7)	4.0-4.1

	CTM total	Factor 1	Factor 2	Factor 3	Factor 4
PSI total	0.165 (p=0.004)	0.240 (p<0.001)	0.078 (p=0.194)	0.133 (p=0.021)	0.161 (p=0.005)
Professional domain	0.111 (p=0.053)	0.211 (p<0.001)	0.046 (p=0.439)	0.078 (p=0.178)	0.121 (p=0.036)
Educational domain	0.167 (p=0.003)	0.218 (p<0.001)	0.109 (p=0.069)	0.095 (p=0.100)	0.174 (p=0.002)
Trust domain	0.163 (p=0.004)	0.223 (p<0.001)	0.058 (p=0.330)	0.157 (p=0.006)	0.153 (p=0.008)

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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