Healthcare Professionals Perspectives on Discharge Planning for Patients with Mental Illness
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Introduction: Discharge planning is transferring a patient to a different level of care to improve continuity of care by bridging the gap between hospital and community care. This study aimed to explore the perspectives of healthcare professionals involved in discharge planning for patients with mental illness.
Method: This research used qualitative methods with a phenomenological approach. Ten participants were selected using a purposive sampling method, with inclusion criteria healthcare professionals involved in the discharge planning process for patients in psychiatric hospitals, had worked in the service for at least 5 years, and provided direct or indirect services to patients. Data were collected through in-depth interviews using interview guides, recording devices, and field notes. Data were analyzed using thematic analysis.
Results: The study identified four themes related to discharge planning preparation for patients with mental illness perceptions of roles and experiences in discharge planning, internal and external barriers in discharge planning, internal and external support in discharge planning and expectations for the continuity of discharge planning.
Conclusions: The findings indicate that there are still significant disparities in the way that discharge planning for patients with mental illness is implemented in different mental health service settings. These study findings are intended to serve as a further source of information to develop a discharge planning system that integrates patients with mental illnesses from the hospital into the community.
Al-Sawafi, A., Lovell, K., Renwick, L., & Husain, N. (2020). Psychosocial family interventions for relatives of people living with psychotic disorders in the Arab world: Systematic review. BMC Psychiatry, 20(1), 1–15. https://doi.org/10.1186/s12888-020-02816-5
Badan Pusat Statistik Aceh. (2022). Retrieved July 11, 2022, from https://aceh.bps.go.id/
Berman, A., Snyder, S., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., Luxford, Y., Moxham, L., Park, T., Parker, B., Reid-Searl, K., & Stanley, D. (2018). Kozier and Erb's Fundamentals of Nursing. Kozier and Erb's Fundamentals of Nursing, 521
Boyd, M. A. (2018). Psychiatric Nursing: Contemporary Practice. 6th edition. Philadelphia, Wolters Kluwer
Carusone, S. C., O'Leary, B., McWatt, S., Stewart, A., Craig, S., & Brennan, D. J. (2017). The lived experience of the hospital discharge "plan”: A longitudinal qualitative study of complex patients. Journal of Hospital Medicine, 12(1), 5–10. https://doi.org/10.1002/jhm.2671
Creswell, J. W., & Poth, C. N. (2018). Qualitative Inquiry & Research Design: Choosing Among Five Approaches. In SAGE Publications Inc (Vol. 4, Issue 1). https://doi.org/10.13187/rjs.2017.1.30
Dehbozorgi, R., & Fereidooni-moghadam, M. (2022). Barriers to family involvement in the care of patients with chronic mental illnesses : A qualitative study. Frontiers in Psychiatry, 13.
Forchuk, C., Martin, M. Lou, Sherman, D., Corring, D., Srivastava, R., O'Regan, T., Gyamfi, S., & Harerimana, B. (2020). Healthcare professionals' perceptions of the implementation of the transitional discharge model for community integration of psychiatric clients. International Journal of Mental Health Nursing, 29(3), 498–507. https://doi.org/10.1111/inm.12687
Gholizadeh, M., Janati, A., Delgoshaei, B., Gorji, H. A., & Tourani, S. (2018). Implementation Requirements for Patient Discharge Planning in Health System: A qualitative study in Iran. Ethiopian Journal of Health Sciences, 28(2), 157–168. https://doi.org/10.4314/ejhs.v28i2.7
Hattangadi, N., Kurdyak, P., Solomon, R., & Soklaridis, S. (2020). Goals of care or goals of life? A qualitative study of clinicians' and patients' experiences of hospital discharge using Patient-Oriented Discharge Summaries (PODS). BMC Health Services Research, 20(1), 1–11. https://doi.org/10.1186/s12913-020-05541-7
Idaiani, S., Yunita, I., Tjandrarini, D. H., Indrawati, L., Darmayanti, I., Kusumawardani, N., & Mubasyiroh, R. (2019). Prevalensi Psikosis di Indonesia berdasarkan Riset Kesehatan Dasar 2018. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 3(1), 9–16. https://doi.org/10.22435/jpppk.v3i1.1882
Kisely, S., Wyder, M., Dietrich, J., Robinson, G., Siskind, D., & Crompton, D. (2017). Motivational aftercare planning to better care: Applying the principles of advanced directives and motivational interviewing to discharge planning for people with mental illness. International Journal of Mental Health Nursing, 26(1), 41–48. https://doi.org/10.1111/inm.12261
Lin, L. E., Lo, S. C., Liu, C. Y., Chen, S. C., Wu, W. C., & Liu, W. I. (2018). Effectiveness of Needs-oriented Hospital Discharge Planning for Caregivers of Patients With Schizophrenia. Archives of Psychiatric Nursing, 32(2), 180–187. https://doi.org/10.1016/j.apnu.2017.10.013
Mlada, K., Formanek, T., Vevera, J., Latalova, K., Winkler, P., & Volavka, J. (2021). Serious physical assault and subsequent risk for rehospitalization in individuals with severe mental illness: a nationwide, register-based retrospective cohort study. Annals of General Psychiatry, 20(1), 4–11. https://doi.org/10.1186/s12991-021-00358-y
Morrison, P., & Stomski, N. J. (2019). Australian mental health caregiver burden: a smallest space analysis. BMJ Open. https://doi.org/10.1136/bmjopen-2018-022419
Noseworthy, A. M., Sevigny, E., Laizner, A. M., Houle, C., & La Riccia, P. (2014). Mental health care professionals' experiences with the discharge planning process and transitioning patients attending outpatient clinics into community care. Archives of Psychiatric Nursing, 28(4), 263–271. https://doi.org/10.1016/j.apnu.2014.05.002
Potter, P. A. & Perry, A. G. (2017). Buku Ajar Fundamental Keperawatan Konsep, Proses, dan Praktik. Edisi 5 volume 7. EGC. Jakarta.
Purwanti, N., Yusuf, A., & Suprajitno, S. (2018). Pengaruh Discharge Planning Berbasis Video Dengan Pendekatan Family Centered Nursing Terhadap Kemampuan Keluarga Merawat Klien Skizofrenia. Journal of Health Sciences, 10(2), 204–213. https://doi.org/10.33086/jhs.v10i2.131
Scanlan, J. N., Hancock, N., & Honey, A. (2017). Evaluation of a peer-delivered, transitional and post-discharge support program following psychiatric hospitalisation. BMC Psychiatry, 17(1), 4–11. https://doi.org/10.1186/s12888-017-1469-x
Smithnaraseth, A., Seeherunwong, A., Panitrat, R., & Tipayamongkholgul, M. (2020). Hospital and patient factors influencing the health status among patients with schizophrenia, thirty days after hospital discharge: multi-level analysis. BMC Psychiatry, 20(1), 1–14. https://doi.org/10.1186/s12888-020-03001-4
Stuart, Keliat & Pasaribu. (2023). Prinsip dan Praktik Keperawatan Kesehatan Jiwa Stuart: Indonesia, 2nd edition. Elsevier.
Tyler, N., Wright, N., & Waring, J. (2019). Interventions to improve discharge from acute adult mental health inpatient care to the community: systematic review and narrative synthesis. BMC. https://doi.org/10.1186/s12913-019-4658-0
Videbeck, S. (2019). Psychiatric Mental Health Nursing. (8th edition). Philadhelpia: Lippincott Williams & Wilkins.
Walke, S. C., Chandrasekaran, V., & Mayya, S. S. (2018). Caregiver burden among caregivers of mentally ill individuals and their coping mechanisms. Journal of Neurosciences in Rural Practice, 9(2), 180–185. https://doi.org/10.4103/JNRP.JNRP_312_17
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