Professional health care team perception as to ostomized children discharge in a pediatric hospital unit.

Abstract

This article discusses the perception of a multidisciplinary team caring of ostomized children as to the discharge process. An institutional case study was carried out using a qualitative and strategic approach. Data were collected through 10 semistructured interviews with the pediatric ward professionals at Fernandes Figueira Institute (Fiocruz), and were analyzed using thematic content analysis procedures. The results indicate that, in the professionals’ perception, the discharge process is considered as fragmentary; there is a lack of communication among team members; continuing education of the family is an essential aspect; which main hindrance is economic aspect, with the mother as the facilitating element. It was concluded that the technology incorporated to the family routine causes significant changes in the family; there is a gap between discharge planning and execution; teamwork would be best, but it is prevented by the lack of communication. Care must be centered in the family, and therefore continuing education is essential.