Transitional care from hospital to home for older people: implementation of best practices

• Published in: Revista Brasileira de Enfermagem Vol. 73Suppl 3; no. Suppl 3; p. e20200187
• Main Authors: Costa, Maria Fernanda Baeta Neves Alonso da, Sichieri, Karina, Poveda, Vanessa de Brito, Baptista, Cleide Maria Caetano, Aguado, Priscila Cantoni
• Format: Journal Article
• Language: English
• Published: Brazil Associação Brasileira de Enfermagem 01-01-2020
• Subjects: Aged; Aged, 80 and over; Caregivers; Continuity of Patient Care; Guideline Adherence; Hospitals, University; Humans; Nursing; Patient Discharge; Practice Guidelines as Topic; Primary Health Care; Primary Health Care - methods; Transitional Care; Transitional Care - standards
• ISSN: 0034-7167; 1984-0446
• DOI: 10.1590/0034-7167-2020-0187

to assess the conformity of nursing care concerning best evidence in transitional care from hospital to home for older people.
a project to implement best evidence based on the model proposed by the Joanna Briggs Institute in surgical clinic of a university hospital with older people, caregivers or family members, and nurses, between July and August 2019. Eight evidence-based criteria have been audited through interviews, medical records and computerized system, presented in percentages.
the highest non-compliance rate found in a baseline audit was absence of continued training on transitional care and hospital discharge plan. Identifying barriers to best practices included educational programs; afterwards, there was an improvement in compliance rates in all the criteria assessed.
the criteria based on audited evidence showed an increase in compliance rates with the strategies implemented, contributing to improving transitional care for older people.