Alta hospitalar e continuidade do cuidado domiciliar: revisão integrativa sobre estratégias de segurança e redução de readmissões evitáveis

Abstract

RIBEIRO, Douglas Tavares. Hospital discharge and continuity of home care: an integrative review on safety strategies and reduction of avoidable readmissions. 2026. 63 p. Undergraduate Thesis (Nursing) – Nursing Course, School of Social Sciences and Health, Pontifical Catholic University of Goiás, Goiânia, GO, 2026. INTRODUCTION: Care transition after hospital discharge is a fundamental stage for ensuring continuity of healthcare, representing a significant challenge for health services due to risks associated with discontinuity of care, communication failures, and preventable hospital readmissions. In this context, nursing plays a strategic role in discharge planning, health education, and coordination within the Health Care Network. OBJECTIVE: To analyze the role of nursing in hospital discharge planning and care transition, highlighting strategies aimed at ensuring continuity of care and reducing hospital readmissions. METHOD: This study consists of a literature review based on national and international studies addressing hospital discharge planning, care transition, patient safety, and the role of nursing in this process. RESULTS: The findings showed that nurses play a fundamental role in coordinating hospital discharge through individualized guidance, health education, post-discharge care planning, and multiprofessional collaboration. Weaknesses were also identified, including the absence of standardized protocols, insufficient integration between hospitals and primary healthcare services, and communication failures among healthcare professionals involved in patient care. CONCLUSION: It is concluded that nursing practice is essential to strengthen care transition and promote safe, comprehensive, and humanized care, contributing to continuity of care, patient safety, and the reduction of hospital readmissions. Keywords: Hospital Discharge; Care Transition; Nursing; Patient Safety; Continuity of Care.