Implementation Of Discharge Planning Research Articles

Evaluate the Differential Effectiveness of the Case Management and Primary Nursing Models in the Implementation of Discharge Planning.

This study aims to compare the effectiveness of the case management model and the primary nursing care model by focusing on hospital stay length, readmission, follow-up resource utilisation and survival. To improve patient continuity of care, a discharge planning team has been established at the hospital to implement the service concept of long-term medical care. The team works with a multidisciplinary medical team to provide case management, which ensures high-quality patient care. Retrospective case-control study. This study collected data from the medical record information system database and the Ministry of Health and Welfare's care service management information system to explore medical and follow-up care utilisation of patients discharged between 2017 and 2018. This study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines, with the checklist used to ensure transparent and complete reporting of the methodology and results. To ensure comparability between the case management model group and the primary nursing model group, propensity score matching was used. After matching, 660 individuals from the case management model group and 2876 individuals from the primary nursing model group were selected for further analysis. In this study, patients were primarily involved in the research as participants, providing data through their medical records for analysis. However, no direct involvement from the public or patients was used in the planning or design stages of the research. The study found that factors such as activities of daily living (ADL) score ≤ 60 points, catheterisation, poor chronic disease control and inadequate primary caregiver capacity can lead to longer hospitalisations. Males and patients with catheters have a higher risk of readmission within 30 days, and men, those aged ≥ 75 years, those with ADL score ≤ 60, catheterisation, pressure sores or unclean wounds, financial problems, insufficient primary caregiver capacity and those readmitted within 14 days after discharge had significantly increased mortality after discharge. Although the case management model group had higher hospitalisation days, they had lower readmission rates and higher survival rates than the primary nursing model group. Early consultation with the case manager for discharge planning can help patients to continue to receive care and utilise relevant resources after returning home. Identifying and addressing patient-specific factors can significantly improve patient outcomes by reducing hospitalizations and readmissions, and lowering mortality rates. The case management model is more effective than the primary nursing care model in reducing readmission rates and increasing survival rates. Early consultation with case managers for discharge planning is crucial to ensuring patient care continuity and resource utilization.

The Effectiveness of Discharge Planning Implementation in Diabetes Mellitus Patient to Improve Patient’s Discharge Readiness

Diabetes mellitus sufferers experience disturbances in the system of regulating blood sugar levels, insulin is not sufficient to cope so that blood sugar levels increase. This causes patients to require long-term care, so they must be given discharge planning. This research aims to analyze the effectiveness of implementing discharge planning in diabetes mellitus patients to increase patient readiness to go home in the Cempaka Room at Bali Mandara Hospital. The research method used univariate descriptive analysis, and the sample used was in accordance with predetermined inclusion and exclusion criteria and then one respondent was selected. The research results showed that a 61-year-old patient with a diagnosis of diabetes mellitus who met the criteria was given discharge planning and measured using the adult Indonesian version of the patient discharge readiness scale instrument. The pre-test results showed that the patient's readiness level for discharge was 49.52% with a total score of 104 (level II). After implementing discharge planning, the level of patient readiness for discharge increased to 64.28% with a total score of 135 (level III). The implementation of patient discharge planning has proven to be effective in increasing patient discharge readiness, as evidenced by an increase in patient discharge readiness from level II to level III. Therefore, in providing nursing care, it is necessary to pay attention to the patient's detailed needs and fulfill them by implementing discharge planning so that patients have a good level of readiness to go home to reduce recurrence, complications, and patient readmissions.

Needs for discharge planning and facilitators-barriers to implementing discharge plans for patients with SLE: A qualitative study

Objective To investigate the needs of patients with SLE in terms of discharge planning, to outline the practical perspectives of clinical healthcare professionals regarding the enablers and impediments to SLE patients’ discharge planning, and to establish a basis for the creation of SLE discharge plans for subsequently diagnosed patients. Methods Descriptive qualitative research methodology was used in this study, with the researcher herself as the research instrument. Healthcare professionals formally employed in the rheumatology and immunology department, as well as SLE patients admitted to a tertiary-level hospital in Anhui Province between August and December 2023, were chosen for the study using a purposeful sample technique. In-person, semi-structured in-depth interviews were carried out, and used thematic analysis to analyze the interview data and distil themes. Result A total of 17 patients and 13 healthcare professionals were interviewed. Five themes and sixteen sub-themes in all were extracted: ①the needs of SLE patients for discharge planning; ②the present state of discharge planning implementation; ③factors conducive to the implementation of discharge planning; ④factors hindering the implementation of discharge planning; ⑤recommendations for implementing of discharge planning. Conclusion Planning for the discharge of SLE patients is essential, and in order to support patients’ successful discharge, management should strengthen training, thoroughly evaluate the needs of SLE patients, and create customized discharge plans.

The Relationship of the Implementation of Discharge Planning with the Level of Patient Satisfaction in the Inpatient Health Center

Discharge planning that is not yet optimal has an impact on patients. This impact is an increase in the number of re-admissions and ultimately patients will bear the costs of inpatient care at the health center. The aim of this research is to find out the relationship between the implementation of discharge planning and the level of patient satisfaction at the Banjar Agung Inpatient Health Center, South Lampung Regency in 2024. This type of research is quantitative using a crosssectional approach. The population and sample in this study were all inpatients from January-April 2024, totaling 47 respondents. The sampling technique used is quota sampling, The sample was determined from a population with certain characteristics to the desired number (quota) of 47 patients. Based on the results of statistical tests, the P-value < 0.05 was obtained, namely the satisfaction variable 0.014, the tangible variable 0.007, the reliability variable 0.041, the responsiveness variable 0.000, the assurance variable 0.034 and the empathy variable 0.017, which means that there is a relationship between the implementation of discharge planning and the level of patient satisfaction based on dimensions. Tangible at the Banjar Agung Inpatient Health Center, South Lampung Regency in 2024.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN PERILAKU PERAWAT DALAM PENYUSUNAN DISCHARGE PLANNING DI RUANG RAWAT INAP RUMAH SAKIT SWASTA YOGYAKARTA

Discharge planning is a continuous process to prepare post-hospitalization patients so they can carry out independent care. Nurse knowledge is one of the factors that influences the implementation of discharge planning. The research aims to analyze the relationship between the level of knowledge and the behavior of nurses in preparing discharge planning in inpatient rooms at private hospitals in Yogyakarta. This research uses descriptive analytical correlation with a cross sectional approach. Samples were taken using purposive sampling as many as 33 respondents with data analysis using the Spearman Rank test. The research instrument used questionnaires and observations of patient medical records. The research results showed that the level of nurses' knowledge regarding discharge planning was in the good category (76%). The behavior of nurses in preparing discharge planning was good (73%). Analysis between the level of knowledge and behavior of nurses in preparing discharge planning with a p value of 0.007 and strength of correlation (r) 0.460. There is a relationship between the level of knowledge and the behavior of nurses in preparing discharge planning. It is recommended that nurses increase their knowledge, especially in preparing patient discharge planning, by increasing their knowledge independently via the internet, attending training or seminars related to discharge planning.

Application of Discharge Planning on the Patient with Postoperative Cystectomy e.c. Urether Carcinoma: Case Study

Urethral carcinoma or urethral cancer is that is located in the urethra is one of the rarest types of urological cancer (American Association, 2023). Cystectomy is a surgical procedure to remove the bladder. The condition of post operative patients is of particular concern to health workers. The majority of patients and families do not know about post-operative patients care while at home. Therefore, the knowledge and attitudes of patiens and families regarding post-operative care are important things that need to be educated by health workers. Providing education to patients and families before returning home is called discharge planning (Pitaloka et al., 2022). Based on data from October 9 to October 31, there were patients diagnosed with urethral carcinoma who were treated in the Parangtritis romm at Dr. Hospital Saiful Anwar Malang. This research method uses descriptive research with a case study design. Implementation of discharge planning starts from the time the patients frist comes to the room until the day the patients returns home. The implementation of discharge planning for patients went well. Nurses can carry out their duties as health workers in carrying out discharge planning procedures. Keywords: Urether carcinoma; Discharge Planning; Cystectomy.

Nurses’ perceptions of discharge planning implementation: A descriptive qualitative study

Background: Discharge planning is crucial in hospitals to ensure continuous patient care, thereby preventing re-admissions or complications. However, its implementation still requires improvement due to various obstacles and variances in nurses’ perceptions. Objective: This research aims to explore nurses’ perceptions regarding the implementation of discharge planning. Methods: This study is a descriptive qualitative research involving 14 participants selected through purposive random sampling. Data was collected from April to June 2023 through in-depth interviews, with notes taken and recordings made for transcription. Data analysis was conducted using the Colaizzi method. Results: Participants exhibited a good understanding of discharge planning, yet disparities emerged in their perceptions regarding ten key themes: knowledge, goals, and benefits; organizational aspects in implementation management; activity mechanisms; methods and media employed; implementation steps/flow; implementation content; particularly notable was the theme of implementation timing; evaluation processes in implementation; availability of specialized formats and documentation procedures/format completion; and encountered implementation categories and room-related obstacles. These themes emerged as significant areas needing attention based on the research findings. Conclusion: Nurses’ perceptions regarding the implementation of discharge planning have not been optimized due to constraints imposed by hospital management policies and room management, differences in nurses’ perceptions and attitudes towards implementation, and factors related to patients and their families.

Instrumen Discharge Planning Berbasis Patient Family Centered Care

This study aims to develop a discharge planning instrument through an inpatient family centered care approach, to improve service quality. The method used was systematic review, a systematic search through the Scopus, Science Direct, and Pub Med databases published between 2018-2023. The results showed that discharge planning based on patient family centered care helps prepare patients and families for home care, increase knowledge and skills, and collaborate with other health workers. The conclusion of this study is that discharge planning has an influence on the success of patient care after being at home. The implementation of discharge planning is important in preparing patients and families with education by nurses related to the disease and patient care so as to increase knowledge and skills for home care. Improved quality of service at home and patient and family satisfaction. Keywords: Discharge Planning, Instrument Development, PFCC, Hospitalization, Hospital.

The Effectiveness of Discharge Planning Implementation on the Quality of Life of Post Opname Patients with Heart Failure at Hospital

Background: Heart failure is a disease with a high rehospitalization rate due to patients not fulfilling recommended therapy, for example, breaking a diet, doing excessive physical activity and lack of understanding during discharge planning. This causes a decrease in the quality of life after patient is discharged. Purpose: This research aims to determine the effectiveness of discharge planning implemention on the quality of life of post-opname patients with heart failure at Bhayangkara Hospital, Kediri City. Method: The type of research used is quantitative research with a descriptive cross-sectional study design. The number of samples in this study were 31 respondents with accidental sampling technique. Results: The results of the non-parametric Spearman rank correlation test analysis obtained a value of p = 0.022 (p <0.05) and a correlation coefficient of 0.411 which is moderate and has a positive direction. This shows that there is a positive relationship between the effectiveness of implementing Discharge Planning on the quality of life of post-hospitalized patients with heart failure at Bhayangkara Hospital, Kediri City. Conclusion: Discharge Planning given to patients with heart failure at Bhayangkara Hospital, Kediri City is not yet effective and needs to be improved. However, the majority of respondents have a good quality of life where respondents experience an increase in socialization, psychology, but still experience physical discomfort.

Implementation and Evaluation of Discharge Planning for Patients Undergoing Umbilical Cord Blood Transplantation.

BACKGROUND Umbilical cord blood transplantation (UCBT) patients have high rates of unplanned readmissions and poor quality of life (QoL). The aim of this study was to evaluate the effects of discharge planning on unplanned readmissions, self-efficacy, QoL, and clinical outcomes. MATERIAL AND METHODS Patients who received their first UCBT from April 2022 to March 2023 were included. Participants (n=72) were assigned to a control group (CG: received usual care) or an intervention group (IG: received discharge planning from admission to 100 days after UCBT). The cumulative readmission rates 30 days after discharge and 100 days after UCBT were analyzed using the log-rank test. Self-efficacy and QoL were assessed at admission and 100 days after UCBT using the General Self-Efficacy Scale and FACT-BMT version 4, clinical outcomes derived from medical records. RESULTS Sixty-six patients completed the study. Discharge planning did not reduce readmission rates 30 days after discharge (20.59% vs 31.25%, P=0.376) or 100 days after UCBT (29.41% vs 34.38%, P=0.629). However, the IG showed significantly better self-efficacy (P<0.001), and except for social and emotional well-being, all the other dimensions and 3 total scores of FACT-BMT in the IG were higher than for the controls at 100 days after UCBT (P<0.05). CONCLUSIONS The discharge planning program can improve self-efficacy and QoL of UCBT recipients. The implementation of discharge planning for patients undergoing UCBT was necessary for successful hospital-to-home transitions.

NURSE PERFORMANCE INFLUENCES DOCUMENTATION SUCCESS IN IMPLEMENTING DISCHARGE PLANNING IN INPATIENT CARE AT THE HOSPITAL IN BANJARMASIN

Nurse performance is an activity in implementing authority, duties and responsibilities in order to achieve the main tasks of the profession and organization. Discharge planning is a stage that has the goal of preparing the patient during the post-treatment transition period so that he can return home. Purpose of this study in general was to determine the corre. lation between nurse performance and successful documentation in the implementation of discharge planning at inpatient care at Hospital, Banjarmasin. Method this research is quantitative by using infants and post-partum care, totaling 6,5 executive nurse. in taking the simple Random Sampling Technique. Result. Thus it can be concluded that there is a correlation between the performance variables of nurses and the implementation of discharge planning in the inpatient care of Hospital, Banjarmasin. Health services are expected to always improve the performance of good nurses for health services, especially nurses in implementing discharge planning for patients, nurse performance is very important in completing nursing tasks such as implementing discharge planning in hospitalization. In order to create good quality for the quality of health services in hospitals.

Management of Heart Failure in Hospitalized Patients.

Heart failure affects more than 6 million people in the United States, and hospitalizations for decompensated heart failure confer a heavy toll in morbidity, mortality, and health care costs. Clinical trials have demonstrated effective interventions; however, hospitalization and mortality rates remain high. Key components of effective hospital care include appropriate diagnostic evaluation, triage and risk stratification, early implementation of guideline-directed medical therapy, adequate diuresis, and appropriate discharge planning.

Pelaksanaan Discharge Planning dengan Tingkat Kepuasan Pasien Hipertensi di Rumah Sakit Pinggiran Sungai Barito

Patient satisfaction is influenced by how patients perceive the services they receive during the treatment period. Discharge planning is carried out during the patient's treatment period. Failure to provide discharge planning will put the patient at risk of serious illness, life threatening and physical dysfunction.The purpose of the study was to determine the relationship between the implementation of discharge planning and the satisfaction of hypertensive patients at a hospital on the outskirts of the Barito River. This quantitative study used a correlational design with a cross sectional approach with purposive sampling, involving 71 respondents in RSUDUlin Banjarmasin, RSUD dr. Moch Ansari Saleh Banjarmasin, and RSUD Sultan Suriansyah Banjarmasin from July to November 2020. The results showed that patients who were hospitalized in hospitals who received good discharge planning were mostly in the satisfied category, 28 respondents (39.44%), Getting good discharge planning is mostly in the dissatisfied category, 18 respondents (25.35%), less getting good discharge planning is in the dissatisfied category, 17 respondents (23.94%), and less getting discharge planning which were both included in the satisfied category, a number of 8 respondents (11.27%). There is a significant relationship between the implementation of discarge planning and patient satisfaction (p = 0.020).

Implementation and Evaluation of Discharge Planning for Patients Undergoing Umbilical Cord Blood Transplantation

Purpose The purpose of this study was to implement discharge planning for patients undergoing umbilical cord blood transplantation (UCBT) and evaluate the effects on length of stay (LOS), hospital readmission, discharge readiness, self-efficacy, and quality of life (QoL). Methods Participants (n =72) were assigned to a control group (CG: received usual care) or an intervention group (IG: received discharge planning from admission to 100 days after UCBT). LOS and the rate of hospital readmission within 30 days after discharge were collected. Discharge readiness was measured by the Readiness for Hospital Discharge Scale, self-efficacy and QoL were assessed at 100 days after UCBT using General Self-Efficacy Scale and FACT-BMT version 4. Results Sixty-six patients completed the study, the IG group showed significantly better discharge readiness (p&amp;lt;0.05), improvement in self-efficacy (p&amp;lt;0.001). Except for social and emotional well-being, all the other dimensions and three total scores of FACT-BMT in the IG were higher than the controls (p&amp;lt;0.05). The LOS was less in the IG (50.12±8.80 vs. 53.28±11.28, p=0.207), the rate of hospital readmission within 30 days after discharge was lower (20.59% vs. 31.25%, p=0.376), however, the differences were not significant. Conclusion This study provided the evidences on the implementation of discharge planning for patients undergoing UCBT, and suggested that nurse-led discharge planning should be incorporated into usual care for successful hospital-to-home transitions.

The Effect of Application of Discharge Planning Seci Model on The Completeness of Discharge Planning Documentation for Tuberculosis

Background: The implementation of discharge planning must be documented completely. Preliminary study found that 90% of discharge planning implementation is not documented. The weakness of the intervention that has been done by previous researchers is that it does not focus on increasing the completeness of documentation, especially on the documentation of discharge planning, the application of discharge planning based on knowledge management SECI model as an intervention applied to improve the completeness of documentation on discharge planning. Objectives: The purpose of this study was to determine the effect of discharge planning based on knowledge management SECI model on the completeness of documentation of discharge planning for tuberculosis. Methods: This research is quantitative research with quasi-experimental approach with post-test only design with nonequivalent control group. The number of samples was 34 medical records with a diagnosis of pulmonary TB, each of which consisted of 17 samples in the control group and 17 samples in the intervention group. The intervention in this research is the implementation of discharge planning based on knowledge management SECI model. The data were taken using the discharge planning SECI model observation sheet and the documentation completeness observation sheet which had been tested by expert and analyzed using the Mann-Whitney test. Results: The results showed p value is 0.000 &lt; 0.05. Conclusion: Application of discharge planning based on knowledge management SECI model has a significant effect on the completeness of documentation of discharge planning for tuberculosis (TB). Nurses must become to manage knowledge, good time management, and be a role model in providing nursing care.

Evaluasi Pelaksanaan Discharge Planning pada Pasien Diabetes Melitus

The aim of this review is to map the discharge planning implementation model and its effects. The research method uses a literature review by searching for appropriate articles in scientific databases, namely PubMed, EBSCO, ScienceDirect and Garuda using keywords based on the Population method: Diabetes mellitus; Concept: Discharge Planning and Context: Hospital. As a result of the research, after searching for articles, 44 articles were found that matched the research questions and resulted in 20 articles to be included in this review. Evaluation of the discharge planning implementation model used a research design of 7 RCT studies, 5 quasi-experimental studies, 3 cross-sectional studies, 2 retrospective studies, 1 qualitative study, 1 cohort study, and 1 comparative descriptive study. We identified several models for evaluating the implementation of discharge planning in DM patients. In conclusion, the evaluation model for implementing discharge planning in the form of training and education can increase knowledge and compliance with treatment as well as glycemic control.&#x0D; &#x0D; Keywords: Discharge Planning, DM Patients, Hospital

Risk Factors of Stroke in Indonesian Population: Literature Review

Background: Stroke is a major cause of death and disability in Indonesia. Stroke requires high-quality, fast, and precise management to prevent and avoid disability and death. Stroke can be prevented by adequately controlling the risk factors and encouraging healthy lifestyles. Efforts are needed to organize health promotion programs at the community level. More and a better distribution of neurologists and neuro interventionalists is needed. Purpose: The purpose of this research is to review risk factors of stroke patient. Methods: We included English materials published between Science Direct, PubMed, Research Gate, and Google Scholar that were used to find studies related to stroke dan risk- factor between 2016- 2022. Results: In general, risk factor of stroke are sosiodemographic factor, biological factor, lifestyle factor, other condition and other factor can cause stroke. Stroke divide into stroke infark and stroke hemoragic. Risk factor of stroke infark are non- modifiable factor (age, sex, ethnicity, genetic) and modifiable risk factors (hypertension, current smoking, waist to hip ratio, diet, alcohol consumption). Risk factor of stroke hemoragic are non- modifiable factor (age, sex, ethnicity, genetic) and modifiable risk factors (hypertension, current smoking, waist to hip ratio, diet, alcohol consumption, physical inactivity, hyperlipidemia, diabetes, cardiac causes, apolipoprotein B to A1). Conclusion: Review of discharge planning can be influenced by several factors: individual characteristics (clients' potential with special needs early, motivation), family factors (social resources, home environment), health care system (teaching home care skills with community/ hospital professionals. These factors will affect the implementation of discharge planning in health services which is hospital accreditation.

Measurement Properties of the Stroke-Predischarge Occupational Therapy Assessment.

There is no comprehensive predischarge occupational therapy assessment tool in South Korea. The objective of this study was to determine Stroke-Predischarge Occupational Therapy Assessment (S-POTA) validity and reliability. Twenty-seven occupational therapists (OTs) assessed 97 patients with stroke. Concurrent validity was evaluated by comparing S-POTA scores with stroke-specific quality of life (SS-QOL). Discriminant validity was evaluated by comparing S-POTA scores between outpatient and readmitted groups, and a receiver operating characteristic analysis was conducted. The test-retest was conducted twice in 20 patients, and the inter-rater test was conducted with two OTs per patient. S-POTA positively correlated with SS-QOL. S-POTA rating differs significantly across outpatients and readmitted groups. All S-POTA areas under curve values ranged from .70 to .85, and cut-off points were derived. Cronbach's α for internal consistency was .953, the intraclass correlation coefficient for test-retest was .990, and .987 for inter-rater reliability. The results suggest S-POTA is a reliable tool for efficient implementation of discharge planning.

Hubungan motivasi perawat terhadap pelaksanaan discharge Planning di ruang rawat inap RSI Siti Rahmah Padang

Discharge planning is part of the nurse's job, if given incorrectly it can cause harm to the patient. Data from the Family Care Giver Alliance showed that the result of incorrect discharge planning was (40%), patients experienced more than 65 medication errors after leaving the hospital, and (18%) patients were discharged from the hospital. The results of observations at RSI Siti Rahmah on 6 (six) out of 10 (ten) patients discharge planning formats after discharge were not filled in completely and there was no signature of the nurse and patient or family. The incomplete discharge planning format is when the patient first enters the inpatient room, the nurse fills in and completes the discharge planning when the patient is leaving. The research objective was to determine the relationship between motivation with the implementation of discharge planning. The research design was a cross sectional study. This research was conducted in the inpatient room of RSI Siti Rahmah Padang. The population in the study were all nurses in the inpatient room as many as 40 people. Data processing through the editing, coding, entry, and cleaning stages. Univariate analysis and bivariate analysis used the chi square test with a confidence degree of 95% α = 0.05. The results showed that the completeness of discharge planning by nurses was not complete as much as 35.0%, poor motivation was 40.0%. There is a significant relationship between motivation (p = 0.000) with the implementation of discharge planning.

Optimalisasi Fungsi Manajemen Keperawatan dalam Discharge Planning pada Pasien Gagal Jantung

This study aims to analyze the implementation of the head of the room management function in discharge planning in heart failure patients. The research method uses a case study approach with interviews, document review, observation, and analysis using Fishbone. The results showed that the hospital did not have a standard form for implementing heart failure discharge planning. The modified document is expected to help the head of the room as a guide in carrying out discharge planning. Socialization is carried out through audiovisual media nurses. The results of the evaluation show that the audiovisual media assists nurses in increasing knowledge about the implementation of discharge planning and the updated heart failure discharge planning form. In conclusion, form modification and socialization using audiovisual media can assist the head of the room in performing management functions and increasing nurses' knowledge.&#x0D; &#x0D; Keywords: Management Function, Discharge Planning, Head of Room