O enfermeiro e o processo de contrarreferência no nível terciário de atenção à saúde.

Abstract

Objectives: To investigate the experiences of nurses of the tertiary level of health care in the process of counter-reference with patients who underwent cardiac surgery; And the perception and constraints of these professionals with regard to discharge from these patients. Method: This is a qualitative, descriptive and exploratory study carried out in a hospital in the State of Rio Grande do Sul. In March 2017, four nurses working at the tertiary level of health care were interviewed and who met the inclusion criteria as : To be a nurse; Have performed care for patients undergoing cardiac surgery; Have been active for at least six months. Thematic data analysis was performed. Results: It was identified that the nurses interviewed do not routinely apply the counter-referral tool and, therefore, did not report experience in this process. They expressed that they are not present at the time of hospital discharge to reinforce the guidelines for a prompt recovery and to stimulate self-care. They stated that they guide the patient throughout the hospitalization and are aware that at the time of discharge from the hospital, the doctors give the patient advice and schedule the next visit. They point as clashes in the discharge process, work overload and high patient turnover. Considerations: It is believed that this study may, in addition to instilling reflections among nurses about the nursing process, the counter-reference tool and the importance of continuity of care, may also provoke movements that seek integral patient care, promoting a full recovery.