Experiences of discharge planning practices among Indonesian nurses: A qualitative study
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Keywords

COVID-19
pandemic
discharge planning
Indonesia
nurses
patient readmission
self-care

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Kurniawan, T., Nilmanat, K., Boonyasopun, U., & Ganefianty, A. (2023). Experiences of discharge planning practices among Indonesian nurses: A qualitative study. Belitung Nursing Journal, 9(6), 520–529. https://doi.org/10.33546/bnj.2980
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Accepted for publication: 2023-11-22
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Abstract

Background: Discharge planning is vital to preventing hospital readmission, and nurses play a key role. The COVID-19 pandemic has posed challenges to hospital services that may persist or recur. Therefore, exploring nurses’ experiences with discharge planning practices before and during this pandemic is crucial.

Objective: This study aimed to describe the experiences of discharge planning practices among nurses at an Indonesian tertiary hospital before and during the COVID-19 pandemic.

Methods: A qualitative descriptive study design was used. Telephone interviews were conducted to collect data among ten nurses from March 2019 and continued between December 2020 and August 2021. Content analysis was done for data analysis.

Results: Two main themes emerged: 1) Challenges in discharge planning practices and 2) Perceived discharge planning as a professional responsibility. Implementing the inpatient ward fusion policy as part of the hospital’s pandemic response presented greater challenges to nurses in coordinating care and performing discharge planning. Fear of COVID-19 infection, social distancing measures, and using personal protective equipment also affected how nurses delivered discharge education during the pandemic. However, the nurses sensed a greater responsibility to ensure the maintenance of essential components of discharge planning procedures to guarantee the patient’s capability to perform self-care at home.

Conclusion: Nurses viewed discharge planning practices as their responsibility and continued them during the pandemic despite facing various challenges. In addition to recognizing the significance of nurses’ roles in discharge planning practices and overall patient care, it is crucial to anticipate and address the diverse working patterns and styles among healthcare professionals in unified wards, ensuring effective coordination.

https://doi.org/10.33546/bnj.2980
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Supporting Agencies

This study was supported by the Thailand’s Education Hub for the Southern Region of ASEAN Countries (THE-AC) Scholarship from Prince of Songkla University, Thailand

Copyright

Copyright (c) 2023 Titis Kurniawan, Kittikorn Nilmanat, Umaporn Boonyasopun, Amelia Ganefianty

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

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Declaration of Conflicting Interest

The authors had no conflict of interest to declare.

Acknowledgment

Heartfelt thanks are extended to every contributor to this study, particularly to participants who shared valuable information and their experiences on practicing discharge planning during the pandemic situation. Sincere gratitude was also sent to the hospital director, who permitted the team to conduct this study, and the ward head nurse, who acted as a gatekeeper and helped us complete the study during the pandemic. Moreover, our gratitude goes to the Prince of Songkla University, Thailand, for supporting this work with the Thailand’s Education Hub for the Southern Region of ASEAN Countries (THE-AC) Scholarship.

Authors’ Contributions

Conceptualization, Methodology, Drafting the manuscript (TK, KN, and UB); Data analysis (TK, AG, KN, and UB); Critical revisions for important intellectual content (TK and KN). All authors have read and agreed to the final version of the manuscript.

Data Availability

The datasets generated during and analyzed during the current study are available from the corresponding author upon reasonable request.

Declaration of Use of AI in Scientific Writing

Nothing to declare.


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