Role of Nursing Interventions in Reducing Rehospitalizations in Patients

Background Heart failure is a leading cause of hospital readmissions worldwide, with significant clinical and economic burden. Rehospitalizations are often related to inadequate self–care, poor adherence to therapy, and insufficient patient education at discharge. Nursing interventions play a key role in addressing these factors through structured education, follow–up, and transitional care programs. Objective To analyze the role of nursing interventions in reducing hospital readmissions among patients with heart failure through a narrative review of the current literature. Methods A narrative review was conducted by searching major biomedical databases for studies published in the last two decades focusing on nurse–led interventions in heart failure care. The analysis included randomized controlled trials, systematic reviews, and integrative reviews evaluating educational programs, discharge planning, self–care support, and post–discharge follow–up led by nurses. Results The literature consistently shows that nurse–led interventions are associated with a reduction in hospital readmissions and improved clinical outcomes. Structured educational programs enhance patients’ knowledge, self–care behaviors, and adherence to pharmacological and non–pharmacological treatment. Transitional care models, including discharge education, telephone follow–up, and home visits, demonstrate a significant impact on continuity of care and early identification of clinical deterioration. Multidisciplinary approaches coordinated by nursing professionals further contribute to improved quality of life and reduced healthcare utilization. Conclusions Nursing interventions represent an essential component in the management of patients with heart failure and are effective in reducing rehospitalizations. Integrating structured nurse–led education and follow–up programs into routine clinical practice may improve patient outcomes and optimize healthcare resources. Further research is warranted to standardize interventions and evaluate their long–term effectiveness