Transition of care for stroke patients: an integrative review

Objective: to analyze, based on scientific evidence, how the transition of care for people with stroke occurs after hospital discharge. Methods: integrative literature review, conducted in the databases Scopus, Web of Science, Pubmed/MEDLINE, Latin American and Caribbean Literature on Health Sciences, Nursing Database and The Cumulative Index to Nursing and Allied Health Literature. A total of 21 articles were included in the final sample, which were then descriptively analyzed. Results: factors related to the adequate transition of care included: organizational barriers of the health services involved in the transition of care, the importance of health information, and the adequate coordination of care. Conclusion: the studies express limits experienced by individuals, family members and health professionals in systems that are fragmented and rule out the possibility of integral care in times of transition. Contributions to practice: the study reveals the necessary articulation of those who provide health care to people with this grievance and their families, to recognize points to be improved in their health practices and minimize complications arising from failures in care transitions.