Pengembangan Instumen Discharge Planning dengan Metode Experiental Learning pada Pasien Diabetes Melitus
Abstract
This study aimed to develop a discharge planning instrument based on experiental learning theory. The Research method uses a Research and Development with interview, document reciew and observation. The results showed that the content standards were following SNARS but needed adjustments so that they were easily understood by healthworkers in implementation. The incomplete discharge planning documentation was because healthworkers lacks an understanding of the material that must be delivered. Interviews with health professionals (76%) nurses suggested guideline discharge planning, (65%) nurses recommended revision of instruments. Health education has been done by applying the experiental learning theory that involves the client and family, giving clients and families real experience and can apply it. Conclusion the instrument develope the adjustment of the items on the instrument at the beginning of the admission and when being treat as well as the addition of items when going to the discharge and the guideline in the form of application of educational material at each stage that can be use by healthworker so that discharge planning can be optimize.
Keywords: Diabetes Melitus, Discharge Planning, Education, Experiental Learning, Instrument
References
Alarslan, G., Mennes, R., Kieft, R., & Heinen, M. (2024). Patients Involvement in The Discharge Process from Hospital to Home: A Patient's Journey. Journal of Advanced Nursing, 80(6), 2462-2474. https://doi.org/10.1111/jan.15984
Gonçalves-Bradley, D. C., Lannin, N. A., Clemson, L., Cameron, I. D., & Shepperd, S. (2022). Discharge Planning from Hospital. The Cochrane database of systematic reviews, 2(2), CD000313. https://doi.org/10.1002/14651858.CD000313
Nugraha, I. B. A., Gotera, W., Chrismayana, N. M., Suastika, K., Budhiarta, A. A. G., Saraswati, M. R., ... & Semadi, I. M. S. (2024). Profil Penderita Diabetes Melitus Tipe 2 dengan Hipoglikemia di Rumah Sakit Rujukan Tersier di Bali Indonesia. Medicina, 55(1), 35-39. https://doi.org/10.15562/medicina.v55i1.1289
Efendi, S., Sriyanah, N., Wahyuni, A. S., Kumape, E. P. O., & Abbas, V. (2022). Simulation of the Implementation of Nursing Discharge Planning to Reduce Patient Recurrence Rates in Hospitals. IJCS: International Journal of Community Service, 1(2), 237-242. , 237–242. https://doi.org/10.55299/ijcs.v1i2.284
Fitri, E. Y., Andini, D., & Natosba, J. (2020). Pengaruh Discharge Planning Model LIMA terhadap Kesiapan Pulang pada Pasien dengan Diabetes Melitus. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 3(1). https://doi.org/10.32584/jkmk.v3i1.443
Ginting, S. (2021). Relationship between the Implementation of Discharge Planning and Recurrence of Hyperglycemia in DM Patients at the Pandan Regional General Hospital , Central Tapanuli Regency in 2020. Science Midwifery, 10(1), 530–535. https://www.midwifery.iocspublisher.org/index.php/midwifery/article/view/280
IDF, I. D. . (2021). IDF Diabetes Atlas, 10th Edition. Journal of Experimental Biology. https://doi.org/https://doi.org/10.1242/jeb.64.3.665
Jones, K. C., Austad, K., Silver, S., Cordova-Ramos, E. G., Fantasia, K. L., Perez, D. C., ... & Drainoni, M. L. (2023). Patient Perspectives of The Hospital Discharge Process: A Qualitative Study. Journal of Patient Experience, 10, 23743735231171564. https://doi.org/10.1177/23743735231171564
Ju, H., Assistant, C. N. E., Ottosen, M., Assistant, R. N., Johnson, C., & Dean, A. (2024). Enhancing Foot Care Education and Support Strategies in Adults with Type 2 Diabetes. Journal of the American Association of Nurse Practitioners, 36(6), 334–341. https://doi.org/10.1097/JXX.0000000000000998
KARS. (2019). Standar Nasional Akreditasi Rumah Sakit (1.1). KARS. https://kars.or.id/ebook-kars/
Lenhard, A. (2024). How SWAT Changed the Conversation. 29(6), 254–262. https://doi.org/10.1097/NCM.0000000000000712
Li, L., Xu, L., Jia, G., Zhou, X., Tang, X., & Zhao, H. (2024). Nurse Education Today Diabetes Specialist Nurses’ Knowledge, Skills, and Personal Attributes for Providing Competent Health Education Practice, and Its Influencing Factors : A Cross-Sectional Survey. Nurse Education Today, 141(82), 106298. https://doi.org/10.1016/j.nedt.2024.106298
Lu, L., Ding, L., Lu, H. Y., Lei, X. N., Wu, Z. Z., & Zhang, R. Validation Of The Index for The Core Competence of Nurses Leading Discharge Planning for Older Patients in China. Frontiers of Nursing, 10(1), 51-64. . 10(1), 51–64. https://doi.org/10.2478/fon-2023-0006
Opper, K., Beiler, J., Yakusheva, O., & Weiss, M. (2019). Effects of Implementing A Health Team Communication Redesign on Hospital Readmissions within 30 Days. Worldviews on Evidence‐Based Nursing, 16(2), 121-130. https://doi.org/10.1111/wvn.12350
Pai, L., Hung, C., Chen, L., Lin, R., & Lockwood, C. (2024). Primary Care Diabetes Efficacy of A Health Education Technology Program in Improving Adherence to Self-Management Behaviors and Quality of Life Among Adults with Type 2 Diabetes : A Randomized Controlled Trial. Primary Care Diabetes, 18(5), 479–485. https://doi.org/10.1016/j.pcd.2024.08.003
Prick, J. C. M., Schaik, S. M. Van, Deijle, I. A., Dahmen, R., Brouwers, P. J. A. M., Hilkens, P. H. E., & Garvelink, M. M. (2022). Development of A Patient Decision Aid for Discharge Planning of Hospitalized Patients with Stroke. 1–9. https://doi.org/10.1186/s12883-022-02679-1
Lorber, D. L., ElSayed, N. A., Bannuru, R. R., Shah, V., Puisis, M., Crandall, J., ... & Shefelman, W. (2024). Diabetes Management in Detention Facilities: A Statement of the American Diabetes Association. Diabetes care, 47(4), 544-555. https://doi.org/10.2337/dci24-0015
Rammang, S., Nurhikmah, N., & Reza, N. N. (2023). Pengendalian Diabetes Melitus Melalui Edukasi dan Pemeriksaan Kadar Gula Darah Sewaktu. Jurnal Pendidikan Tambusai, 7(1), 133-137. https://doi.org/https://doi.org/10.31004/jptam.v7i1.6018
Sofia, D., & Escobar, G. (2021). E Carrillo Ochoa, N., Meza Solano, D. D., Marín Contreras, Y. D., González Escobar, D. S., & Vega Angarita, O. M. (2021). Effect of A Preparation Plan for Hospital Discharge in Patients with Diabetes Mellitus. Aquichan, 21(1). https://doi.org/10.5294/aqui.2021.21.1.3
Wienand, D. (2024). Clinical Nurse Leaders Improve Discharge Planning to Reduce Patient Length of Stay. Nurse Leader, 1–7. https://doi.org/10.1016/j.mnl.2024.09.016
Yen, H., Chi, M., & Huang, H. (2022). International Journal of Nursing Studies Effects of Discharge Planning Services and Unplanned Readmissions on Post-Hospital Mortality in Older Patients : A Time-Varying Survival Analysis. International Journal of Nursing Studies, 128, 104175. https://doi.org/10.1016/j.ijnurstu.2022.104175
Copyright (c) 2024 Rahayu Tri Nuritasari, Septi Viantri Kurdaningsih, Tarisa Tarisa, Muhammad Ilham Rasyid Riyadi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.