Document Detail


Psychiatric readmission: an integrative review of the literature.
MedLine Citation:
PMID:  23134127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In the global context of contemporary psychiatric deinstitutionalization, the phenomenon of psychiatric readmission imposes important challenges, as it exposes the fragility of the network of mental health services.
AIMS: To gather, synthesize and analyse the national and international scientific literature regarding the phenomenon of psychiatric readmission in the context of deinstitutionalization.
METHODS: Through the combination of descriptors, an integrative review was performed of publications from the period 1997 to 2010 included in the MedLine, PubMed, LILACS, SciELO and PsycINFO databases. Selection of the articles was based on pre-established inclusion and exclusion criteria. Three authors independently evaluated the eligibility of the articles. The level of inter-judge concordance was calculated, using the formula: agreement = Σ possible concordance subtracted from real discordance divided by the number of articles. Information about the selected studies was systematized and analysed.
FINDINGS: Sixteen articles met the inclusion criteria. Studies conducted and published in international journals, mainly in the USA, with a quantitative approach predominated. In general, the studies addressed the phenomenon of psychiatric readmission after the restructuring of mental health care. The variables investigated were clinical and sociodemographic factors and the characteristics of the mental health service associated with readmission, as well as the programs developed specifically for patients vulnerable to hospital readmissions.
CONCLUSIONS: It was noted that the perspective of the patient regarding their readmissions, as well as the interface with the social and familial context in which they maintain their social relationships and care for their health, was largely unexplored by the literature.
Authors:
V Machado; C Leonidas; M A Santos; M A Santos; J Souza
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  International nursing review     Volume:  59     ISSN:  1466-7657     ISO Abbreviation:  Int Nurs Rev     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-08     Completed Date:  2013-05-06     Revised Date:  2014-01-29    
Medline Journal Info:
Nlm Unique ID:  7808754     Medline TA:  Int Nurs Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  447-57     Citation Subset:  IM; N    
Copyright Information:
© 2012 The Authors. International Nursing Review © 2012 International Council of Nurses.
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MeSH Terms
Descriptor/Qualifier:
Deinstitutionalization / trends
Hospitals, Psychiatric*
Humans
Patient Readmission*
Comments/Corrections
Erratum In:
Int Nurs Rev. 2013 Jun;60(2):274
Note: Souza, J [corrected to Santos, M A]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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