Factors Associated With Implementing Discharge Planning in One Private Hospital in Purwakarta

Main Article Content

Yani Maryani
Fery Firmansyah
Martina Pakpahan
Dora Irene Purimahua

Abstract

Introduction: Discharge planning is an important part of the nursing process because it can assist patients and families in preparing for future care at home. Discharge planning that begins from the outset can shorten the length of stay of patients in the hospital, reduce readmission following hospitalization, and arrange for patient discharge on time. Several factors influence the implementation of discharge planning. It is intended that by understanding all the factors that influence discharge planning, the implementation of discharge planning may be optimized. The study aims to determine the factors associated with the implementation of discharge planning in one of the private hospitals in Purwakarta. Materials and methods: The study employed a cross-sectional design with total population sampling. Nurses' knowledge, motivation, education level, and work length were all studied. The study involved 162 inpatient room nurses and critical care rooms. The instrument was an online questionnaire that had been validated and reliable. This study has been ethically approved. Results: Most respondents have a bachelor’s degree (74%), work experience ≤5 years (61%), good motivation (86.4%), sufficient knowledge (64.8%), and good discharge planning implementation (91.4%). The findings revealed a relationship between nurse motivation and discharge planning implementation; however, knowledge, education level, and nurses' work length were unrelated to the implementation. Conclusion: Nurse motivation is critical for successful hospital discharge planning implementation. Hospitals can boost nurse motivation in discharge planning implementation by mentoring, monitoring, and rewarding nurses who perform well.

Downloads

Download data is not yet available.

Article Details

How to Cite
Yani Maryani, Fery Firmansyah, Martina Pakpahan, & Dora Irene Purimahua. (2025). Factors Associated With Implementing Discharge Planning in One Private Hospital in Purwakarta. Malaysian Journal of Medicine and Health Sciences, 21(1), 151–157. https://doi.org/10.47836/mjmhs.21.1.19
Section
Original Articles

References

Boozary AS, Manchin J, Wicker RF. The Medicare Hospital Readmissions Reduction Program: Time for Reform. JAMA. 2015 Jul 28;314(4):347–8. https://doi.org/10.1001/JAMA.2015.6507

Snyderman D, Salzman B, Mills G, Hersh L, Parks S. Strategies to help reduce hospital readmissions. J Fam Pract. 2014 Aug 1;63(8). https://www.mdedge.com/familymedicine/article/84500/practice-management/strategies-help-reduce-hospital-readmissions

Rahayu, C. D., Hartiti, T., & Rofi’i M (2016). A Review of the Quality Improvement in Discharge Planning through Coaching in Nursing. Nurse Media Journal of Nursing. 2016;6(1):19–29. https://doi.org/10.14710/jil.%25v.%25i.10-18

Rodakowski J, Rocco PB, Ortiz M, Folb B, Schulz R, Morton SC, et al. Caregiver Integration During Discharge Planning for Older Adults to Reduce Resource Use: A Metaanalysis. J Am Geriatr Soc. 2017 Aug 1;65(8):1748–55. https://doi.org/10.1111/JGS.14873

Hayajneh AA, Hweidi IM, Abu Dieh MW. Nurses’ Knowledge, Perception, and Practice of Discharge Planning in Acute Care Settings. J Nurs Care Qual. 2021 Apr 1;36(2):E30–5. https://doi.org/10.1097/NCQ.0000000000000493

Gholizadeh M, Delgoshaei B, Gorji HA bulghasem, Torani S, Janati A. Challenges in Patient Discharge Planning in the Health System of Iran: A Qualitative Study. Glob J Health Sci. 2016 Jun 1;8(6):168. https://doi.org/10.5539/GJHS.V8N6P168

Graham J, Gallagher R, Bothe J. Nurses’ discharge planning and risk assessment: behaviours, understanding and barriers. J Clin Nurs. 2013 Aug 1;22(15–16):2338–46. https://doi.org/10.1111/JOCN.12179

Bekker M, Coetzee SK, Klopper HC, Ellis SM. Non-nursing tasks, nursing tasks left undone, and job satisfaction among professional nurses in South African hospitals. J Nurs Manag. 2015 Nov 1;23(8):1115–25. https://doi.org/10.1111/JONM.12261

Jannah, N., Sukartini, T., & Hidayat AAA. Discharge planning model with approach of method in improving patients’ readiness for discharge in hospitals. Indian J Public Health Res Dev. 2019;10(1):288–92. https://repository.um-surabaya.ac.id/3041/

Rezkiki F, Nelatul Fardilah V. Deskripsi Pelaksanaan Discharge Planning Di Ruang Rawat Inap. REAL in Nursing Journal. 2019 Dec 20;2(3):126–36. https://doi.org/10.32883/RNJ.V2I3.566

Lestari DS, Silvana R. The Effects Of Summarizing Using Infographics On Efl Learners’ Reading Comprehension. Globish (An English-Indonesian journal for English, Education and Culture). 2020;9(2):129–44. http://dx.doi.org/10.31000/globish.v9i2.2707

Daman MMG, Tallo ChindyCC. Gambaran Pelaksanaan Discharge Planning Pada Pasien Stroke Di Ruang Rawat Inap Rumah Sakit Swasta Di Indonesia Tengah. Repository Universitas Pelita Harapan. 2018. http://repository.uph.edu/3075/

Gonçalves-Bradley DC, Lannin NA, Clemson L, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database of Systematic Reviews. 2022 Feb 24;2022(2). https://doi.org/10.5539/GJHS.V8N6P168

Coffey A, Leahy-Warren P, Savage E, Hegarty J, Cornally N, Day MR, et al. Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review. International Journal of Environmental Research and Public Health 2019, Vol 16, Page 2457. 2019 Jul 10;16(14):2457. https://doi.org/10.3390/IJERPH16142457

Baraki Z, Girmay F, Kidanu K, Gerensea H, Gezehgne D, Teklay H. A cross-sectional study on nursing process implementation and associated factors among nurses working in selected hospitals of Central and Northwest zones, Tigray Region, Ethiopia. BMC Nurs. 2017 Sep 15;16(1):1–9. https://doi.org/10.1186/S12912-017-0248-9/TABLES/4

Moreno-Monsiváis MG, Moreno-Rodríguez C, Interial-Guzmán MG. Missed Nursing Care in Hospitalized Patients. Aquichan. 2015 Sep 1;15(3):318–28. https://doi.org/10.5294/AQUI.2015.15.3.2

Soebagiyo H, Beni KN, Fibriola TN. The Analysis of the Influencing Factors Related to the Effectiveness of Discharge Planning Implementation in Hospitals: A Systematic Review. Jurnal Ners. 2019 Jan 4;14(3):217–20. https://doi.org/10.20473/JN.V15I1SP.18905

Jehosua WA, Kakerissa N, Pangaribuan RN, Eka NGA. Effect of an educational intervention program on discharge planning for nurses and midwives. Enferm Clin. 2023 Mar 1;33:S33–7. https://doi.org/10.1016/J.ENFCLI.2023.01.005

Natasia, N., Andarini, S., & Koeswo M (2015). Hubungan antara Faktor Motivasi dan Supervisi dengan Kinerja Perawat dalam Pendokumentasian Discharge Planning di RSUD Gambiran Kota Kediri. Jurnal Aplikasi Manajemen. 2015;12(4):723. https://jurnaljam.ub.ac.id/index.php/jam/article/view/722

Agus ES, Nurhidayah, Kadir A. Faktor yang Berhubungan dengan Pelaksanaan Discharge Planning pada Perawat. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan. 2021;1(2):222–8. https://doi.org/10.35892/jimpk.v1i2.570

Pakpahan M, Rangga FD, Vasquien S, Octaria M. Persepsi Perawat sebagai Edukator Berhubungan dengan Implementasi Discharge Planning. Jurnal Kesehatan Holistic. 2020 Jul 25;4(2):30–43. https://doi.org/10.33377/JKH.V4I2.81

Riyanti RD, Kurniawati T. Hubungan antara Motivasi Kerja Perawat dengan Pelaksanaan Discharge Planning di Ruang Rawat Inap RSU PKU Muhammadiyah Bantul. 2015 Oct 22; http://digilib.unisayogya.ac.id/147/

Africia F, Wahyuningsih SW. Hubungan Motivasi Perawat Dengan Pelaksanaan Discharge Planning Di Ruang Rawat Inap Rsm Siti Khodijah Gurah Kabupaten Kediri. JURNAL SABHANGA [Internet]. 2020 Jan 17 [cited 2023 Nov 17];2(1):7–17. https://doi.org/10.53835/VOL-2.NO-1.THN-2020.HAL-7-17

Wulandari DF, Sri Hariyati RT, Kuntarti K. Henderson’s approach in nursing discharge planning to improve patient satisfaction. Enferm Clin. 2021 Apr 1;31:S170–4. https://doi.org/10.1016/J.ENFCLI.2020.12.016

Andrew NE, Busingye D, Lannin NA, Kilkenny MF, Cadilhac DA. The Quality of Discharge Care Planning in Acute Stroke Care: Influencing Factors and Association with Postdischarge Outcomes. Journal of Stroke and Cerebrovascular Diseases. 2018 Mar 1;27(3):583–90. https://doi.org/10.1016/J.JSTROKECEREBROVASDIS.2017.09.043

Mabire C, Büla C, Morin D, Goulet C. Nursing discharge planning for older medical inpatients in Switzerland: A cross-sectional study. Geriatr Nurs (Minneap). 2015 Nov 1;36(6):451–7. https://doi.org/10.1016/J.GERINURSE.2015.07.002

Soebagiyo H, Nursalam N, Ahsan A. The Influence of Impedance and Enhancement Factors of Discharge Planning Implementation at Hospital: A Systematic Review. Jurnal Ners. 2020 Jul 7;15(1Sp):25–33. https://doi.org/10.20473/JN.V15I1SP.18905

Zakiyah A, Basuki D, Santoso W. Relationship Between Nurse Characteristics With Discharge Planning Implementation. International Journal Of Nursing And Midwifery Science (IJNMS). 2017 Dec 16;1(2):193–7. https://doi.org/10.1080/17437199.2022.2058581

Karami A, Farokhzadian J, Foroughameri G. Nurses’ professional competency and organizational commitment: Is it important for human resource management?. PloS one. 2017 Nov 8;12(11):e0187863. https://doi.org/10.1371/journal.pone.0187863

Anthonie, W., Nelwan, O. S, &Tarore NR. Urgensi Peran Perawat di Era New Normal. 2022.

Zarzycki M, Seddon D, Bei E, Morrison V. Why do they care? A qualitative systematic review and meta-synthesis of personal and relational motivations for providing informal care. https://doi.org/101080/1743719920222058581. 2022;17(2):344–76.

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 Journal of Nursing Science. 2012 Dec 1;9(2):201–15. https://doi.org/10.1111/J.1742-7924.2011.00203.X

Negussie BB, Oliksa GB. Factors influence nurses’ job motivation at governmental health institutions of Jimma Town, South-west Ethiopia. Int J Afr Nurs Sci. 2020 Jan 1;13:100253. https://doi.org/10.1016/J.IJANS.2020.100253