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Discharge planning process: applying a model for evidence-based practice.

Patricia J Maramba1, Samantha Richards, Amy L Myers

  • 1West Virginia University Hospitals, School of Nursing, Morgantown, WV, USA. pmaramba@hsc.wvu.edu

Journal of Nursing Care Quality
|April 14, 2004
PubMed
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Discharge planning is crucial but complex in hospitals. Research found insufficient evidence to change current staff nurse roles in patient discharge processes.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Patient Discharge

Background:

  • Discharge planning is vital in acute care but often poorly defined.
  • Decreasing hospital stays limit time for effective patient discharge preparation.
  • A research utilization team investigated evidence for staff nurse roles in discharge.

Purpose of the Study:

  • To identify research-based practices for staff nurses in patient discharge.
  • To evaluate the literature on discharge planning processes and roles.

Main Methods:

  • A literature review was conducted from 1990 to 2002.
  • The review focused on research regarding staff nurses' involvement in discharge planning.
  • The study was performed at a tertiary care teaching institution.

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Main Results:

  • Literature revealed varied discharge planning models.
  • Different healthcare professionals, including nurses and case managers, were involved.
  • No sufficient evidence supported altering current staff nurse practices.

Conclusions:

  • Current evidence does not support a change in staff nurse roles for discharge planning.
  • Further research may be needed to define optimal discharge planning strategies.