Healthcare Professionals Perspectives on Discharge Planning for Patients with Mental Illness

Hasmila Sari, B. Keliat, J. Sahar, Herni Susanti, K. Junus
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Abstract

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.
医护人员对精神病患者出院规划的看法
简介出院计划是指将病人转移到不同的护理级别,通过弥合医院和社区护理之间的差距来改善护理的连续性。本研究旨在探讨参与精神病患者出院规划的医护人员的观点:本研究采用现象学的定性方法。采用目的性抽样法选出了 10 名参与者,纳入标准为参与精神病院患者出院计划过程的医护人员,在该服务机构工作至少 5 年,并为患者提供直接或间接服务。通过使用访谈指南、录音设备和现场笔记进行深入访谈收集数据。采用主题分析法对数据进行分析:研究确定了与精神病患者出院计划准备相关的四个主题:对出院计划中角色和经验的认知、出院计划中的内外部障碍、出院计划中的内外部支持以及对出院计划连续性的期望: 研究结果表明,在不同的精神健康服务环境中,精神疾病患者出院计划的实施方式仍然存在很大的差异。这些研究结果旨在为制定出院规划系统提供更多信息,以帮助精神病患者从医院融入社区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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