Transitional care from the hospital to the home in heart failure: implementation of best practices

Assess the compliance of the implementation of better evidence in the transitional care of the person with heart failure from the hospital to the home.

Evidence implementation project according to the JBI methodology in a cardiology hospital in São Paulo. Six criteria were audited before and after implementing strategies to increase compliance with best practices. 14 nurses and 22 patients participated in the audits.

In the baseline audit, compliance was null with five of the six criteria. Strategies: training of nurses; reformulation of the hospital discharge form and guidance on self-care in care contexts; and making telephone contact on the 7th, 14th and 21st days after discharge. In the follow-up audit, there was 100% compliance with five of the six criteria.

The project made it possible to increase the compliance of transitional care practices in people with heart failure with the recommendations based on the best evidence.