Persepsi, Dukungan Dan Hambatan Perawat Dalam Pelaksanaan Perencanaan Pemulangan Pasien di Instalasi Rawat Inap RS Militer Jakarta
DOI:
https://doi.org/10.30651/jkm.v7i4.15176Kata Kunci:
Perencanaan Pemulangan Pasien, Manajemen Asuhan keperawatan, RS Militer, KualitatifAbstrak
Background: The non-optimal implementation of patient discharge planning is still an important problem in reforming the care system. This non-optimality will have an impact on increasing the length of stay, high patient recurrence rates, and decreasing levels of patient satisfaction and loyalty.
Purpose: to explore in-depth experiences of nurses related to nurses' perceptions, support and obstacles in carrying out patient discharge planning.
Methods: This research is a qualitative research with a phenomenological approach. Participants in this study were the implementing nurses and team leaders who worked in inpatient rooms. Recruitment of participants is carried out by providing electronic recruitment leaflets to the head of the room. Data analysis used the thematic analysis of the Collaizi method which consisted of six stages, namely preparation of transcripts, coding, categories, themes, interpretation and validation.
Results: The results of this study contained 6 (six) themes, namely: 1) The purpose of the patient discharge action plan; 2) The process of carrying out discharge planning at the hospital; 3) SOP for implementation of discharge planning is carried out from the beginning of the patient's treatment; 4) Factors influencing discharge planning; 5) Nurse's motivation in carrying out discharge planning; 6) Obstacles for nurses related to planning to go home which is often overlooked due to the high mobility of nurses and not having time to write.
Conclusion: The most important continuity of nursing care activities, one of which is the implementation of discharge planning in accordance with the SOP by involving all health workers and documented from the time the patient enters the treatment room until the patient is planned to go home.
Keywords: Patient Discharge Planning, Nursing Care Management, Military Hospital, Qualitative
Referensi
Abdulrdha, M. F., & Mansour, K. A. (2019).
Effectiveness of an Instructional Program on
Nurse’s Knowledge and practice concerning
Patients Discharge Planning post Cardiac
Surgery at Cardiac Centers and hospitals in
Baghdad city. Asian Journal of Nursing
Education and Research, 9(1), 35.
2019.00007.7
Bankston-White, C., Birmingham, J. (2015). Case
management directors: How to manage in a
transition-focused world. Professional Case
Management, 20(2), 63–78.
https://doi.org/https://doi.org/10.1097/nc
m. 0000000000000078
Chang, W., Goopy, S., Hons, B. A., Lin, C., Barnard, A.,
& Liu, H. (2016). Registered Nurses and
Discharge Planning in a Taiwanese ED : A
Neglected Issue ? SAGE : Clinical Nursing
Research, 25 (5), 512–531.
https://doi.org/10.1177/10547738155841
Friska., Hariyati, R. T. S., & Muhaeriwati, T. (2020).
Optimalisasi Pelaksanaan Discharge Planning
Secara Terintegrasi di Ruang Rawat Inap
Melati RS Militer Jakarta. Journal of Hospital
Accreditation, 02(1), 21–25.
https://doi.org/10.35727/jha.v2i1.56
Graham, J., Gallagher, R., & Bothe, J. (2013). Nurses
’ discharge planning and risk assessment :
behaviours , understanding and barriers.
–2346.
https://doi.org/10.1111/jocn.12179
Hayajneh, A. A., Hweidi, I. M., & Abu, M. W. (2020).
Nurses’ knowledge, perception and practice
toward discharge planning in acute care
settings : A systematic review. Nursing Open,
June, 1–8.
https://doi.org/10.1002/nop2.547
Jackson, C., Shahsahebi, M., Wedlake, T., dan
DuBard, C. A. (2015). Timeliness of
Outpatient Follow-up: An Evidence-Based
Approach for Planning After Hospital
Discharge. The Annals of Family Medicine, 13
(2), 115–123.
https://doi.org/10.1370/afm.1753.INTROD
UCTION
Janati, A., Hasanpoor, E., Hajebrahimi, S., & SadeghiBazargani, H. (2017). Health Care Managers’
Perspectives on the Sources of Evidence in
Evidence-Based Hospital Management: A
Qualitative Study in Iran. Ethiopian Journal of
Health Sciences, 27(6), 659–668.
https://doi.org/10.4314/ejhs.v27i6.11
Kaya, S., Sain Guven, G., Aydan, S., Kar, A., TeleÅŸ, M.,
Yıldız, A., Koca, G., Kartal, N., Korku, C., Ürek,
D., Demir, İ. B., & Toka, O. (2018). Patients’
readiness for discharge: Predictors and
effects on unplanned readmissions,
emergency department visits and death.
Journal of Nursing Management, 26(6), 707–
https://doi.org/10.1111/jonm.12605
KOMISI AKREDITASI RUMAH SAKIT. (2018).
Standar Nasional Akreditasi Rumah Sakit edisi
(1st ed.).
Leary, K. J. O., Wayne, D. B., Haviley, C., Slade, M. E.,
Lee, J., & Williams, M. V. (2010). Improving
Teamwork : Impact of Structured
Interdisciplinary Rounds on a Improving
Teamwork : Impact of Structured
Interdisciplinary Rounds on a Medical
Teaching Unit. April.
https://doi.org/10.1007/s11606-010-1345-
Lilleheie, I., Debesay, J., Bye, A., & Bergland, A.
(2020). A qualitative study of old patients
experiences of the quality of the health
services in hospital and 30 days after
hospitalization. BMC Health Services
Research, 5, 1–14.
https://doi.org/10.1186/s12913-020-
-5
Lindo, J., Stennett, R., Stephenson-wilson, K.,
Barrett, K. A., Bunnaman, D., Andersonjohnson, P., Waugh-brown, V., & Wint, Y.
(2016). An Audit of Nursing Documentation
at Three Public Hospitals in Jamaica. Journal
of Nursing Scholarship, 48 (5), 508–516.
https://doi.org/10.1111/jnu.12234
Mabire, C., Dwyer, A., Garnier, A., & Pellet, J. (2016).
Effectiveness of nursing discharge planning
interventions on health-related outcomes in
discharged elderly inpatients : a systematic
review. https://doi.org/10.11124/JBISRIR2016-003085
Masumeh, G., Gholizadeh, M., Janati, A., Delgoshaei,
B., Abulghasem, H., & Tourani, S. (2018).
Implementation Requirements for Patient
Discharge Planning in Health System : A
qualitative study in Iran. Ethiop J Health Sci,
(2). https://doi.org/10.4314/ejhs.v28i2.7
Morris, Jenny., Winfield, Louise., Young, K. (2012).
Registered nurses ’ perceptions of the
discharge planning process for adult patients
in an acute hospital. Journal of Nursing
Education and Practice, 2(1), 28–38.
https://doi.org/10.5430/jnep.v2n1p28
Nordmark, S., Zingmark, K., & Lindberg, I. (2015).
Experiences and Views of the Discharge
Planning Process Among Swedish District
Nurses and Home Care Organizers : A
Qualitative Study. Home Health Care
Management & Practice, 27(3).
https://doi.org/10.1177/10848223155692
Nugraha, A. T. H. (2011). Hubungan Persepsi
Perawat Tentang Manfaat Dokumentasi
Asuhan Keperawatan Dengan Kelengkapan
Dokumentasi Asuhan Keperawatan Di Ruang
Rawat Inap RS PKU Muhammadiyah
Yogyakarta. Sekolah Tinggi Ilmu Kesehatan
‘Aisyiyah Yogyakarta.
Nurhidayati. (2017). DISCHARGE PLANNING DI
RUANG RAWAT INAP. Universitas
Diponegoro.
Okoniewska, B., Santana, M. J., Groshaus, H., Cowles,
J., Chakrovorty, D., & Ghali, W. A. (2015).
Barriers to discharge in an acute care medical
teaching unit : a qualitative analysis of health
providers ’ perceptions. Journal of
Multidisciplinary Healthcare, 83–89.
https://doi.org/10.2147/JMDH.S72633
Robinson, J. C., & Brown, T. T. (2015). Quantifying
Opportunities for Hospital Cost Patient
Discharge Planning. The American Journal of
Managed Care, July, e418–e424.
Shofiana, A. M., & Kurniawati, T. (2017). Hubungan
Persepsi Perawat tentang Manfaat Discharge
Planning Dengan Pelaksanaan Discharge
Planning Di Ruang Rawat Inap Rumah Sakit
PKU Muhammadiyah Yogyakarta. STIKES
AISYIYAH YOGYAKARTA.
Soebagiyo, H., Beni, K. N., & Fibriola, T. N. (2020).
The Analysis of the Influencing Factors
related to the Effectiveness of Discharge
Planning Implementation in Hospitals: A
Systematic Review. Jurnal Ners, 14(3), 217.
https://doi.org/10.20473/jn.v14i3.17103
The Queen’s Nursing Institute. (2016). Discharge
planning.
Thoma, J. E., & Waite, M. A. (2018). Experiences of
nurse case managers within a central
discharge planning role of collaboration
between physicians, patients and other
healthcare professionals : A sociocultural
qualitative study. Journal of Clinical Nursing,
November 2017, 1198–1208.
https://doi.org/10.1111/jocn.14166
Wong, E. L., Yam, C. H., Cheung, A. W., Leung, M. C.,
Chan, F. W., Wong, F. Y., & Yeoh, E. K. (2011).
Barriers to effective discharge planning: A
qualitative study investigating the
perspectives of frontline healthcare
professionals. BMC Health Services Research,
(1), 242. https://doi.org/10.1186/1472-
-11-242
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
- Penulis tetap memegang hak atas karyanya dan memberikan hak publikasi pertama kepada jurnal ini yang secara simultan karya tersebut dilisensikan di bawah:Â Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
