Key result
Knowledge deficits, time constraints, and negative patient attitudes hinder effective acute-care discharge planning by nurses.
Why the study?
Discharge planning guides patients' transition to out-hospital services, but nurses' knowledge, perception, and practices needed investigation.
What are nurses' knowledge, perception, and practices toward discharge planning in acute care settings?
Systematic Review
What are nurses' knowledge, perception, and practices toward discharge planning in acute care settings?
Nurses face multiple obstacles in discharge planning, including knowledge gaps and perceiving it as excessive paperwork, highlighting the need for better time management and education.
Barriers may compromise care transitions in acute settings; confirms widespread knowledge and workflow obstacles for discharge planning.
Aim: Discharge planning (DP) guides patients' transition to out-hospital services. This systematic review investigates nurses' knowledge, perception and practices of discharge planning. Design: We conducted a systematic review following PRISMA guidelines. Methods: Search terms were used to identify research studies published between 1990-2020 across six databases: CINAHL, MEDLINE, PubMed, Complete Academic search, Science Direct and Google Scholar. A total of nine studies met the inclusion criteria. Results: Nine articles revealed nurses' knowledge, perspectives and practices of discharge planning. Obstacles included low-level knowledge of patients' activities and discharge; inability to define DP; debates over the timing of beginning, implementing and preparing discharge; patients and their family members' negative attitudes towards DP; and perceiving DP as excessive, time-consuming paperwork for which the physician is responsible. Better time management during work improves DP in acute care settings.
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Hayajneh et al. (2020) conducted a systematic review in Discharge planning in acute care settings. Discharge planning practices and perceptions was evaluated on Nurses' knowledge, perception, and practices of discharge planning. Nurses face significant obstacles to effective discharge planning in acute care settings, including knowledge deficits, perceiving the process as time-consuming, and negative attitudes from patients.
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