Optimizing The Implementation of Discharge Planning in X General Hospital Jakarta

  • Dyah Fitri Wulandari Universitas Indonesia
  • Rr. Tutik Sri Hariyati Department of Basic Science & Fundamental Nursing, Universitas Indonesia
Keywords: discharge planning, guidance, SOP

Abstract

Discharge planning is a complex process aiming to prepare patients during a transition period in a hospital until they are home. One of general hospitals (X) in Jakarta has implemented discharge planning, but it is not optimally conducted. This research aims to analyze the implementation of optimizing discharge planning in X General Hospital in Jakarta. This research employed pilot study initiated by conducting assessment through questionnaire, observation, and interview. The next stages were root cause analysis by employing fishbone analysis, Plan of Action (POA) arrangement, Plan Do Check Action (PDCA) implementation, and evaluation by employing questionnaire. One of the problems of implementing discharge planning is was implementation method in which the guidance of discharge planning was not available. Therefore, standard operating procedures (SOP) and format of discharge planning were necessarily revised. After arranging the guidance draft, SOP, and format of discharge planning, the researcher socialized and tested the SOP and format of discharge planning in two inpatient rooms. The results reveal that 80% of respondents state that the arranged format of discharge planning is easily understandable, easily applicable, less complicated, not rambling, and practical. Therefore, the management of X hospital Jakarta necessarily conducts the follow-up to develop and legalize the guidance draft, SOP, and format of discharge planning. Furthermore, the management necessarily socializes them to duty nurses before the hospital applies them.

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References

1. Nordmark S, Zingmark K, Lindberg I. Process evaluation of discharge planning implementation in healthcare using normalization process theory. BMC Med Inform Decis Mak. 2016;16(1):1–10.
2. Lin CJ, Cheng SJ, Shih SC, Chu CH, Tjung JJ. Discharge planning. Int J Gerontol. 2012;6(4):237–40.
3. Molin AD, Gatta C, Derossi V, Guazzini A, Cocchieri A, Vellone E, et al. Hospital Discharge : Results From an Italian Multicenter Prospective Study Using Blaylock Risk Assessment Screening Score Search terms : Author contact : 2014;25(1).
4. Álvarez CC, Toro MVR, Gil IM. Effectiveness of the brass index in discharge Planning by case management nurses Efectividad del índice de Brass en la planificación del alta por enfermeras gestoras de The Blaylock Risk Assessment Screening Score ( BRASS ) is a tool validated in differen. 2017;500–11.


5. Almborg AH, Ulander K, Thulin A, Berg S. Discharged after stroke - important factors for health-related quality of life. J Clin Nurs. 2010;19(15–16):2196–206.
6. Gholizadeh M, Janati A, Delgoshaei B, Gorji HA, Tourani S. Implementation requirements for patient discharge planning in health system: a qualitative study in Iran. Ethiop J Health Sci [Internet]. 2018;28(2):157. Available from: https://www.ajol.info/index.php/ejhs/article/view/168648
7. Cajanding RJ. Effects of a Structured Discharge Planning Program on Perceived Functional Status, Cardiac Self-efficacy, Patient Satisfaction, and Unexpected Hospital Revisits among Filipino Cardiac Patients: A Randomized Controlled Study. J Cardiovasc Nurs. 2017;32(1):67–77.
8. King TL. The impact of a nurse-driven evidence-based discharge planning protocol on organizational efficiency and patient satisfaction in patients with cardiac implants. ProQuest Diss Theses [Internet]. 2008;135. Available from: https://search.proquest.com/docview/304353187?accountid=17242
9. Rofii, M., Haryati R. & PS. Perjanjian dan konsensus dalam pelaksanaan perencanaan pulang pada perawat rummah sakit. J Keperawatan Indones. 2012;15.
10. Nosbusch JM, Weiss ME, Bobay KL. An integrated review of the literature on challenges confronting the acute care staff nurse in discharge planning. J Clin Nurs. 2011;20(5–6):754–74.
11. Fox M. Nurse-led early discharge planning for chronic disease reduces hospital readmission rates and all-cause mortality. Evid Based Nurs [Internet]. 2016;19(2):62–62. Available from: http://ebn.bmj.com/lookup/doi/10.1136/eb-2015-102197
12. Fox, M. T., Persaud, M., Maimet, I., Brooks, D., O’Brien, K. & TD. Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults. a Syst Rev meta-analysis BMC Geriatr. 2013;13:70.
13. Lowthian JA, McGinnes RA, Brand CA, Barker AL, Cameron PA. Discharging older patients from the emergency department effectively: A systematic review and meta-analysis. Age Ageing. 2015;44(5):761–70.
14. KARS. Standar akreditasi rumah sakit edisi 1. Standar Akreditasi Rumah Sakit. 2017;1–421.
15. Agustin R. Optimalisasi Pelaksanaan Discharge Planning Melalui Pengembangan Model Discharge Planning Terintegrasi Pelayanan Keperawatan. J Keperawatan Muhammadiyah. 2017;2(1).
16. Yam CHK, Wong ELY, Cheung AWL, Chan FWK, Wong FYY, Yeoh EK. Framework and components for effective discharge planning system: A delphi methodology. BMC Health Serv Res. 2012;12(1):1.
17. Perry, Anne Griffin, RN, MSN, EdD, FAAN; Potter, Patricia A, RN, MSN, PhD, FAAN; Ostendorf, Wendy R, RN, MS, EdD C. Clinical Nursing Skills and Techniques [Internet]. 8 th. St. Louis, Missouri: Elsevier Mosby; 2014. 1219 p. Available from: http://evolve.elsevier.com/Perry/skills


18. Kemp KA. Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year Lack of patient involvement in care decisions and not receiving written discharge instructions are ass. 2017;4(July).
19. Hariyati TS, Afifah E, Handayani H. Evaluasi Model Perencanaan Pulang Yang Berbasis Teknologi Informasi. Makara Kesehat. 2008;12(2):53–8.
20. Judge, Timothy A_Robbins SP. Organizational Behavior. Pearson Education Limited; 2017.
21. Miyata C, Arai H, Suga S. Characteristics of the nurse manager’s recognition behavior and its relation to sense of coherence of staff nurses in Japan. Collegian [Internet]. 2015;22(1):9–17. Available from: http://dx.doi.org/10.1016/j.colegn.2013.10.004
22. Suzuki S, Nagata S, Zerwekh J, Yamaguchi T, Tomura H, Takemura Y, et al. Effects of a multi-method discharge planning educational program for medical staff nurses. Japan J Nurs Sci. 2012;9(2):201–15.
Published
2019-04-02