Revista latino-americana de enfermagem · 2026
Potential strengths and limitations of the Better at Home Program identified by professionals and managers: a scoping review of the literature.
СтатьяScoping ReviewНазвание и аннотация: Перевод в очереди
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Viana Cristina Nunes, Silva Leticia Alves da Silva E, Weston Fernanda Cirne Lima, Paz Adriana Aparecida
Аннотация
OBJECTIVE: to map the strengths and limitations of the Better at Home Program identified by health professionals and managers in the scientific literature.
METHOD: this is a scoping review based on the JBI manual and the PRISMA-ScR guidelines. The search was conducted in the MEDLINE/PubMed, LILACS, Scopus, Embase, Web of Science, CINAHL databases, and CAPES theses and dissertations, covering publications between 2011 and 2024.
RESULTS: 552 studies were identified, eight met the inclusion criteria and were analyzed. The program's potential lies in promoting dehospitalization, strengthening networking, developing educational health initiatives with families, and providing flexibility in care management. On the other hand, limitations were evident in relation to insufficient continuing education for professionals, emotional exhaustion among teams, technological limitations, and difficulties in communicating with the Health Care Network.
CONCLUSION: the Better at Home Program is a relevant strategy in the dehospitalization process; however, it faces structural and operational challenges that compromise its sustainability. Investments in technological support and team strengthening are necessary to improve the continuity and quality of home care. Study registry: Open Science Framework: DOI 10.17605/OSF.IO/6UCDB.
METHOD: this is a scoping review based on the JBI manual and the PRISMA-ScR guidelines. The search was conducted in the MEDLINE/PubMed, LILACS, Scopus, Embase, Web of Science, CINAHL databases, and CAPES theses and dissertations, covering publications between 2011 and 2024.
RESULTS: 552 studies were identified, eight met the inclusion criteria and were analyzed. The program's potential lies in promoting dehospitalization, strengthening networking, developing educational health initiatives with families, and providing flexibility in care management. On the other hand, limitations were evident in relation to insufficient continuing education for professionals, emotional exhaustion among teams, technological limitations, and difficulties in communicating with the Health Care Network.
CONCLUSION: the Better at Home Program is a relevant strategy in the dehospitalization process; however, it faces structural and operational challenges that compromise its sustainability. Investments in technological support and team strengthening are necessary to improve the continuity and quality of home care. Study registry: Open Science Framework: DOI 10.17605/OSF.IO/6UCDB.