Optimizing The Implementation of Discharge Planning in X General Hospital Jakarta

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.

Analysis of Nurse Performance in Improving the Quality of Hospital Services

“…Many patients complain that nurses are less friendly and slow in handling patient complaints. The high workload, many overflowing tasks from doctors, and the large number of patients are often the reasons why services are less than optimal [2].…”

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

“…Similarly, another study stressed the necessity of non-traditional post-discharge assistance involving various healthcare organizations in monitoring and caring for COVID-19 patients (Shapiro et al, 2020 ). Earlier studies in Indonesia before the pandemic suggested sub-optimal DP practices, indicating a need for improvement (Asmuji, 2018 ; Hardivianty, 2017 ; Wulandari & Hariyati, 2019 ).…”

Implementasi Peran Educator Perawat Pada Discharge Planning Terhadap Kepatuhan Kontrol Pasien Fraktur

“…Perawat sebagai salah satu profesional pemberi asuhan keperawatan yang terintegrasi dengan profesi kesehatan lainnya mempunyai peran penting dalam merencanakan pemulangan pasien dan tindakan selanjutnya (Wakhdi et al, 2021). Perawat dituntut mampu memberikan pelayanan yang profesional dalam membantu proses kesembuhan klien dengan mempersiapkan klien untuk menyusun discharge planning (Fitri Wulandari & Hariyati, 2019). Discharge planning seharusnya dilakukan perawat secara menyeluruh mulai dari sejak awal pasien masuk rumah sakit, dan diberikan asuhan keperawatan dengan pendekatan proses keperawatan dengan menerapkan strategi 4C yaitu Communication, Coordination, Collaboration dan Continual Reassesment untuk menjamin kelanjutan perawatan untuk pasien selama di rumah (Noprianty & Noviyanti, 2019 ) Kebingungan peran menjadi tantangan yang dihadapi oleh perawat dalam melaksanakan discharge planning.…”

“…Terdapat beberapa faktor yang mempengaruhi pasien untuk tidak mau mematuhi jadwal untuk kontrol, mencakup adanya pernyataan keluhan pasien tentang pelayanan kesehatan yang dilakukan oleh profesi pemberi asuhan, juga salah satunya perawat dalam menjalankan peran educator (Supriyati et al,2019. ) Hasil penelitian sebelumnya diketahui bahwa discharge planning belum terlaksana secara maksimal di ruang ICU dirumah sakit X Jakarta dikarenakan kurangnya pemahaman perawat tentang discharge planning, juga sistem yang mendukung di rumah sakit kurang optimal, seperti tidak adanya standart operasional prosedur dan panduan yang jelas tentang discharge planning dirumah sakit (Fitri Wulandari & Hariyati, 2019). Hasil Penelitian sebelumnya juga menemukan mayoritas perawat memiliki pengetahuan yang cukup tentang pelaksanaaan discharge planning, dan hanya sebagian kecil saja yang melaksanakan discharge planning dengan baik.…”