Projects - Brazil

Project Name:  Hospital-home transitional care for adults and the elderly
Institution: Universidade Federal da Bahia
Mentor: Larissa Chaves Pedreira

Hospital-home transitional care is an important support for caregivers, preparing them for the continuity of care. Faced with population aging, increased demand for continued care, and the general profile of home caregivers as middle-aged people, overworked and without adequate preparation for care actions, offering support to these people is essential to reduce their physical and psychological dificults, contributing to the success of home care. Objectives: 1. Explore the existing literature on hospital-home transitional care as a support for home caregivers of elderly people with functional dependence; 2. Implement transitional hospital-home care in a university hospital (HU). Objective 1 will be a scoping review to answer the central question: How does hospital-home transitional care support home caregivers of elderly people with functional dependence? A protocol will be developed “a priori”. For the search, databases with indexed descriptors will be used, in additi on to gray literature. Studies that meet the inclusion criteria will be imported into Covidence software. The review will be performed blindly by two reviewers and the results will be analyzed based on the Transitional Care Theory. Objective 2 will be an action research to be carried out at the University Hospital (HU). For this, the result of the scope review and a university extension that takes place at the HU, accompanying patients and family caregivers for the transition of care and monitoring their adaptation at home after discharge, will be presented and discussed with the team of interest. The action research will be developed in four phases, through workshops with the participants. Data will be analyzed using the WebQDA software. Ethical aspects will be respected.


Project Name:  Creation of an Environment and Work Process Monitoring Index in Hospitals of the Unified Health System in Bahia
Institution: Universidade Federal da Bahia
Mentor: Handerson Silva Santos

During the pandemic of the new coronavirus, the precariousness of work environments and processes is evidenced, increasing the risk for workers and service users. In this scenario, the production of information for monitoring the environment and the work process is a challenge given the lack of reliable indicators for this purpose. The research objective is to create an Environment and Work Process Monitoring Index (EWPMI) for hospitals in the Unified Health System. Methodology: Methodological research developed in 8 stages: 1. Development of the logic model; 2. Creation of indicators, data sources and information resources in health services; 3. Testing of indicators in a pilot study; 4. Combinatorial Factor Analysis for indicators; 5. Transformation of variables into standardized scores; 6. Pilot collection to test the measurement scales of each indicator; 7. Application of the EWPMI, assigning a weighted average to each of the indicators and calculating the weighted arithmetic average of each indicator; 8. New application of the equation to obtain a final index that varies from 0 to 1. The closer to the unit (1.0), the worse the estimated value. The creation of the EWPMI aims to improve the safety and health of the worker, provided for in the State Health Plan, and will contribute to operationalizing the safety and health situation room of the worker. The visiting student will integrate the research in the phase/stage that is currently under development; will visit health services and learn about the structure of the Unified Health System and the Worker's Health service.