Wahyu, I Made Yudi
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Analysis of Factors Affecting the Implementation of Discharge Planning by Nurses in the Inpatient Ward: A Literature Review Wahyu, I Made Yudi; Susanti, Ni Luh Putu Dina; Negara, I Gusti Ngurah Made Kusuma; Rahyanti, Ni Made Sri
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61472

Abstract

Introduction: Suboptimal discharge planning is a global issue that contributes to high patient readmission rates and increases the burden on healthcare systems. Effective discharge planning is essential to ensure the continuity of patient care after leaving the hospital, including follow-up care and maintaining the patient's health status. The purpose of this literature review is to identify the factors affecting the implementation of discharge planning by nurses in inpatient wards. Methods: This study employed a literature review design. Articles were selected according to the PRISMA guidelines. Inclusion criteria were established to ensure the selection of eligible articles: publications between 2017 and 2024, written in English or Indonesian. The literature review was conducted using three journal databases: ScienceDirect, PubMed, and Google Scholar. Keywords were adjusted to align with the Medical Subject Heading (MeSH) terms, including “influencing factors,” “discharge planning,” “discharge planning implementation by nurses,” and “hospitalization room.” Results: A total of 17 articles were reviewed. Overall, eight factors were identified as influencing the implementation of discharge planning by nurses in inpatient wards. These factors include knowledge, attitude, motivation, personnel, involvement and participation, communication, time, and agreements and consensus. Conclusion: The factors influencing the implementation of discharge planning include medical staff, involvement and participation, communication, time, agreements, consensus, knowledge, attitude, and motivation. These factors are interconnected and significantly impact the quality of discharge planning, ultimately affecting patient satisfaction and health outcomes after discharge.
Pemberdayaan Keluarga Berbasis Video Edukasi dalam Pencegahan dan Perawatan Dekubitus Pada Pasien Post Stroke di RSUD Kabupaten Klungkung Susanti, Ni Putu Aries; Agustini, Ni Luh Putu Inca Buntari; Wahyuni, Ni Komang Sri; Wahyu, I Made Yudi; Israfil, Israfil; Indrayani, Ni Luh Dwi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 4 (2025): Volume 8 No 4 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i4.18074

Abstract

ABSTRAK Stroke merupakan penyebab utama gangguan neurologis di seluruh dunia, dengan sepertiga dari penderitanya memerlukan istirahat di tempat tidur dalam jangka waktu yang lama. Efek samping yang umum terjadi akibat istirahat di tempat tidur yang lama adalah dekubitus. Dengan menggunakan materi edukasi berbasis video, kegiatan pengabdian masyarakat (PKM) ini bertujuan untuk meningkatkan pemahaman dan kecakapan anggota keluarga dalam mencegah dan menangani dekubitus pada pasien stroke. Perencanaan, implementasi, dan evaluasi merupakan teknik yang digunakan. Akun media sosial resmi rumah sakit (YouTube, Instagram, dan Facebook) digunakan untuk menyebarluaskan video edukasi secara daring. Selanjutnya dilakukan pula penyuluhan secara langsung pada 26 keluarga pasien stroke dari ruang perawatan Kamasan, Takmung, dan Pikat. Terakhir, video edukasi diputar berulang-ulang di ruang tunggu Poliklinik, ruang operasi, dan unit perawatan intensif. Kuesioner digunakan untuk mengukur tingkat pengetahuan peserta pada penyuluhan langsung. Evaluasi setelah satu bulan, video yang diunggah di media sosial Youtube telah ditonton lebih dari 600 kali, menunjukkan keberhasilan penyampaian informasi. Sebanyak 92,3% peserta penyuluhan langsung menunjukkan pengetahuan kurang pada pre-test. Setelah edukasi, semua peserta pada post-test menunjukkan peningkatan pengetahuan yang baik. Peserta yang menonton video di ruang tunggu, selama satu bulan dipilih secara acak untuk mengisi kuesioner pengetahuan. Sebanyak 32 peserta didapatkan memiliki pengetahuan yang baik. Edukasi melalui media video efektif dalam meningkatkan pengetahuan masyarakat tentang pencegahan dan perawatan dekubitus pada pasien stroke. Dengan kemajuan teknologi, diharapkan masyarakat lebih mudah mengakses pengetahuan kesehatan melalui media sosial, dan petugas kesehatan dapat lebih kreatif dalam menyajikan informasi kesehatan. Kata Kunci:  Dekubitus, Penyuluhan, Sosial Media, Stroke,Video Edukasi  ABSTRACT Stroke is a leading cause of neurological disorders worldwide, with one-third of sufferers requiring prolonged bed rest. A common side effect of prolonged bed rest is pressure ulcers. By using video-based educational materials, this community service activity (PKM) aims to improve the understanding and skills of family members in preventing and treating pressure ulcers in stroke patients. Planning, implementation, and evaluation are the techniques used. The hospital's official social media accounts (YouTube, Instagram, and Facebook) were used to disseminate educational videos online. Furthermore, direct counseling was also carried out on 26 families of stroke patients from the Kamasan, Takmung, and Pikat treatment rooms. Finally, the educational video was played repeatedly in the Polyclinic waiting room, operating room, and intensive care unit. A questionnaire was used to measure the level of knowledge of participants in direct counseling. Evaluation after one month, the video uploaded on social media Youtube had been watched more than 600 times, indicating the success of information delivery. A total of 92.3% of direct counseling participants showed insufficient knowledge in the pre-test. After education, all participants in the post-test showed a good increase in knowledge. Participants who watched the video in the waiting room, for two weeks were randomly selected to fill out a knowledge questionnaire. A total of 32 participants were found to have good knowledge. Education through video media is effective in increasing public knowledge about prevention and care of pressure ulcers in stroke patients. With the advancement of technology, it is expected that the public will find it easier to access health knowledge through social media, and health workers can be more creative in presenting health information. Keywords: Decubitus, Counseling, Social Media, Stroke, Educational Videos