https://doi.org/10.4081/hls.2024.13192

Analysis of structured discharge planning implementation for discharged inpatients: a multicenter study

Early Access
Submitted: 2 October 2024
Accepted: 4 October 2024
Published: 30 October 2024
Discharge planning, inpatients, nursing care quality
Abstract Views: 23
PDF: 2
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Candra Dewi Rahayu
candrarahayu@unsiq.ac.id
Faculty of Health Science, Universitas Sains Al-Qur'an, Wonosobo, Indonesia.
Ika Purnamasari
Faculty of Health Science, Universitas Sains Al-Qur'an, Wonosobo, Indonesia.
Fifi Alviana
Faculty of Health Science, Universitas Sains Al-Qur'an, Wonosobo, Indonesia.
Dwi Ari Wibowo
RSUD KRT Setjonegoro Wonosobo, Indonesia.
Haeril Amir
Nursing Depertment, Faculty of Public Health, Universitas Muslim Indonesia, Indonesia.

Discharge planning is an approach taken by the nurse, patient, and family that includes a needs assessment that will address a detailed care plan after the patient is discharged from the hospital. Discharge planning is essential for patients to prevent re-visiting patients with the same complaints or symptoms that require new treatment and to reduce length of stay for patients. In addition, a structured discharge planning can improve the quality of nursing care. This study aimed to analyze the implementation of structured discharge planning in inpatients. The method employed is a descriptive quantitative carried out in 9 hospitals. The results show that 78.03% of discharge planning has been carried out on inpatients. 54.3% of discharge planning was carried out since the patient's admission, and 45.7% was carried out when the patient was about to be discharged. Discharge planning is carried out ranging from assessment, diagnosis, intervention, implementation and evaluation. Discussion and conclusion state that the discharge planning has been carried out in a structured manner but the implementation has not been optimal and has not been fully performed when the patient is admitted to undergo treatment at the hospital.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Provencher V, Clemson L, Wales K, et al. Supporting at-risk older adults transitioning from hospital to home: who benefits from an evidence-based patient-centered discharge planning intervention? Post-hoc analysis from a randomized trial. BMC Geriatr 2020;20:84. DOI: https://doi.org/10.1186/s12877-020-1494-3
Chan C-H, Ju S. The influence of the head of the room management function on the completeness of nurse documentation. An Idea Health Journal 2024;5:1-4.
Gonçalves-Bradley DC, Lannin NA, Clemson L, et al. Discharge planning from hospital. Cochrane Database Syst Rev 2022;2:Cd000313. DOI: https://doi.org/10.1002/14651858.CD000313.pub6
Kutz A, Koch D, Haubitz S, et al. Association of interprofessional discharge planning using an electronic health record tool with hospital length of stay among patients with multimorbidity: a nonrandomized controlled trial. JAMA Netw Open 2022;5:e2233667. DOI: https://doi.org/10.1001/jamanetworkopen.2022.33667
Elda M, Sapeni MA-AR, Lastriyanti L. The relationship between nurse motivation and the quality of nursing documentation in the medical surgical nursing service unit of Private Hospital X Bekasi City. An Idea Health Journal 2023;3:80-5.
Fønss Rasmussen L, Grode LB, Lange J, et al. Impact of transitional care interventions on hospital readmissions in older medical patients: a systematic review. BMJ Open 2021;11:e040057. DOI: https://doi.org/10.1136/bmjopen-2020-040057
Linertová R, García-Pérez L, Vázquez-Díaz JR, et al. Interventions to reduce hospital readmissions in the elderly: in-hospital or home care. A systematic review. J Eval Clin Pract 2011;17:1167-75. DOI: https://doi.org/10.1111/j.1365-2753.2010.01493.x
Teytelman Y. Effective nursing documentation and communication. Semin Oncol Nurs 2002;18:121-7. DOI: https://doi.org/10.1053/sonu.2002.32509
Dos Santos KB, Campos CS, de São José Perrone ACA, et al. Nursing documentation for chemotherapy in a university hospital's bone marrow transplant unit: a best practice implementation project. Int J Evid Based Healthc 2020;18:75-85. DOI: https://doi.org/10.1097/XEB.0000000000000216
Smith VC. Discharge planning considerations for the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed 2021;106:442-5. DOI: https://doi.org/10.1136/archdischild-2019-318021
Xiao S, Tourangeau A, Widger K, Berta W. Discharge planning in mental healthcare settings: A review and concept analysis. Int J Ment Health Nurs 2019;28:816-32. DOI: https://doi.org/10.1111/inm.12599
Rameli PM, Rajendran N. Outcomes of complex discharge planning in older adults with complex needs: a scoping review. J Int Med Res 2022;50:3000605221110511. DOI: https://doi.org/10.1177/03000605221110511
Potter PA, Perry AG, Stockert PA, Hall A. Fundamentals of nursing-e-book: Elsevier health sciences; 2021.
Pendo E. Ethical Challenges in Discharge Planning: Stories from Patients. Narrat Inq Bioeth 2020;10:183-6. DOI: https://doi.org/10.1353/nib.2020.0070
Bert F, Cugudda E, Lo Moro G, et al. Facilitating discharge planning: the Risk Assessment of Complex Discharge Index. J Public Health (Oxf) 2023;45:e567-73. DOI: https://doi.org/10.1093/pubmed/fdac162
Patel H, Yirdaw E, Yu A, et al. Improving early discharge using a team-based structure for discharge multidisciplinary rounds. Prof Case Manag 2019;24:83-9. DOI: https://doi.org/10.1097/NCM.0000000000000318
Hayajneh AA, Hweidi IM, Abu Dieh MW. Nurses' knowledge, perception and practice toward discharge planning in acute care settings: A systematic review. Nurs Open 2020;7:1313-20. DOI: https://doi.org/10.1002/nop2.547
Hetriato ND, Putri DUP, Arisandi W. Effectiveness of Using E- Puskesmas Application in Public Health Centre in the Work Area at Public Health Office. An Idea Nursing J 2024;3:27-32.
Amir H. Strategies in preventing the transmission of Covid-19 a quarantine, isolation, lockdown, tracing, testing and treatment (3T): literature review. Asia Pacific J Health Manag 2022;17(2). DOI: https://doi.org/10.24083/apjhm.v17i2.1465
Archie RR, Boren SA. Opportunities for informatics to improve discharge planning: a systematic review of the literature. AMIA Annu Symp Proc 2009;2009:16-20.
Blaylock A, Cason CL. Discharge planning predicting patients' needs. J Gerontol Nurs 1992;18:5-10. DOI: https://doi.org/10.3928/0098-9134-19920701-05

How to Cite

Rahayu, C. D., Purnamasari, I., Alviana, F., Wibowo, D. A., & Amir, H. (2024). Analysis of structured discharge planning implementation for discharged inpatients: a multicenter study. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13192
Copyright (c) 2024 the Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.