Key Factors Impacting the Discharge Planning Process at a Hospital in Banda Aceh: A Cross-Sectional Study
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Abstract
Background: Discharge planning is a systematic process initiated at the point of patient admission and carried out through discharge, intended to promote continuity of care and reduce the risk of post-discharge complications. Despite its recognized importance, the execution of discharge planning in many hospitals remains inadequate, often hindered by barriers such as ineffective communication, poor time management, and insufficient nurse motivation and knowledge.
Objective: This study investigates the relationship between nurses’ communication skills, time availability, knowledge, and motivation, and the implementation of discharge planning within inpatient care settings.
Material and Method: A quantitative, cross-sectional design was utilized in this study. A total of 167 nurses from the inpatient wards of Banda Aceh Regional General Hospital (RSUD) were recruited through purposive sampling. Data were gathered using a validated and reliable structured questionnaire. The analysis included univariate techniques, bivariate analysis using the Chi-square test, and multivariate analysis employing logistic regression.
Results: The implementation of discharge planning was found to be significantly associated with all four independent variables: communication, time availability, knowledge, and motivation (all p < 0.001). Results from the multivariate logistic regression analysis identified motivation as the most influential predictor (OR = 10.67; 95% CI: 4.074–27.984), with communication (OR = 5.74), time (OR = 5.21), and knowledge (OR = 2.95) also demonstrating substantial effects.
Conclusion: Nurse motivation, communication, time availability, and knowledge play a critical role in supporting the delivery of high-quality discharge planning. Targeted interventions aimed at enhancing these four factors are strongly recommended to improve the effectiveness of patient care transitions from hospital to home.
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