Main Article Content

Abstract

Ineffective discharge planning results in discontinuity of patient care at home. This condition worsens patient outcomes, leading to patients returning to health services with the same medical history or with new and more severe complications. This study aims to explore the experience of healthcare workers and patients in implementing discharge planning for heart failure patients. This study employed a phenomenological design with a qualitative, interpretative approach. The participants consisted of 17 individuals: ten health workers from a private hospital in Pekanbaru, two heart specialists, three nurses, two pharmacists, three nutritionists, and seven patients with heart failure who were planning to return home. Participant recruitment was conducted using a purposive sampling method. Data collection was through in-depth interviews, and data analysis used the Colaizzi analysis stages. Four themes are interrelated with the studied phenomena: the information received by patients regarding discharge planning, specific education for heart failure patients, the challenges faced by healthcare workers in completing the discharge planning form, and the important components of discharge planning for heart failure patients. The experiences of healthcare workers and patients in implementing discharge planning in this study reveal that there are still inadequacies that concern both healthcare workers and patients. The themes identified in this study can contribute to the development of discharge planning forms for heart failure patients. Therefore, this study on healthcare services suggests that it may reduce the recurrence rate of heart failure in patients.

Keywords

Components Discharge planning Health Education

Article Details

How to Cite
Sanusi, A., Dewi, W., Bayhakki, B., Wahyuni, S., Huda, N., & Erika, E. (2025). THE EXPERIENCE OF HEALTHCARE WORKERS AND PATIENTS IN THE IMPLEMENTATION OF DISCHARGE PLANNING FOR HEART FAILURE PATIENTS. JKEP, 10(2), 158-164. https://doi.org/10.32668/jkep.v10i2.2283

References

    Sutoto S, Utarini A. Mendorong riset dan berbagi pengalaman untuk peningkatan mutu dan keselamatan pasien di rumah sakit. J Hosp Accredit. 2019;1(1):1–2.

    Shabani F, Shahboulaghi FM, Nayeri ND, Hosseini M, Maleki M, Naderi N, et al. Optimization of heart failure patients' discharge plan in Rajaie Cardiovascular Medical and Research Center: An action research. Int J Community Based Nurs Midwifery. 2021;9(3):199–214.

    Ramlochan J. Discharge Planning Considerations for Congestive Heart Failure: A DNP Project. 2021;

    Hidayah N. Hubungan Kepatuhan Penggunaan Obat Dengan Rehospitalisasi Pasien Congestive Heart Failure (CHF) di ICCU RSUD Tidar Kota Magelang: The Relationship Between Compliance Use of Drugs and Readmission Case on Congestive Heart Failure (CHF) Patients at ICCU Tida. J Ilm Keperawatan (Scientific J Nursing). 2018;4(1):1–6.

    Khasanah S, Susanto A, Rudiati R. Analisis Faktor Yang Berhubungan Dengan Kejadian Rehospitalisasi Pasien Gagal Jantung Kongestif. Profesi (Profesional Islam Media Publ Penelit. 2020;17(2):30–6.

    Ong MK, Romano PS, Edgington S, Harriet U, Auerbach AD, Black JT, et al. Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition–Heart Failure (BEAT-HF) Randomized Clinical Trial. JAMA Intern Med. 2016;176(3):310–8.

    Creswell JW. Penelitian Kualitatif & Desain Riset Memilih Diantara Lima Pendekatan. 1st ed. Yogyakarta: Pustaka Belajar; 2015.

    Kynoch K, Ramis M anne, Crowe L, Cabilan CJ, Mcardle A. Information needs and information seeking behaviors of patients and families in acute healthcare settings: a scoping review. 2019;

    Silavanich V, Nathisuwan S, Phrommintikul A, Permsuwan U. Relationship of medication adherence and quality of life among heart failure patients. Hear Lung [Internet]. 2018;000(15):1–6. Available from: https://doi.org/10.1016/j.hrtlng.2018.09.009

    Kunz M, Schaar JM, Welker KR, Lauder L, Götzinger F, Kindermann I, et al. Medication adherence in patients with acutely decompensated heart failure : A cross-sectional study in the emergency department ( ADHF-ED ). 2025;1–10.

    Oh EG, Lee HJ, Yang YL, Lee S, Kim YM. Development of a discharge education program using the teach-back method for heart failure patients. 2021;1–9.

    Wu JR, Moser DK. Medication Adherence Mediates the Relationship Between Heart Failure Symptoms and Cardiac Event-Free Survival in Patients with Heart Failure. J Cardiovasc Nurs. 2019;33(1):40–6.

    Deswal A, Drazner MH, Fedson SE, Fonarow GC, Hayek SS, Sandhu AT, et al. 2022 AHA / ACC / HFSA Guideline for the Management of Heart Failure : A Report of the American College of Cardiology / American Heart Association Joint Committee on Clinical Practice Guidelines. 2022.

    Billingsley HE, Hummel SL, Carbone S. The Role of Diet and Nutrition in Heart Failure: A State-of-the-Art Narrative Review. HHS Public Access. 2021;63(5):538–51.

    Umeh CA, Torbela A, Saigal S, Kaur H, Kazourra S. Telemonitoring in heart failure patients: Systematic review and metaanalysis of randomized controlled trials. World journa Cardiol. 2022;14(12):640–56.

    Mounsey LA, Guo M, Lau ES, Ho JE. Exercise Training in Heart Failure : Clinical Benefits and Mechanisms. 2025;273–89.

    Nasiri A, Jani H. Challenges and Implementation Strategies of the Discharge Planning According to the Nurses ’ Experiences : A Qualitative Study. 2022;19(2).

    Bradley G, Lannin, Clemson, Cameron, Shepperd. Discharge planning from hospital. Cochrane Database Syst Rev. 2022;

    Agency for Healthcare Research and Quality. Care Transitions from Hospital to Home : IDEAL Discharge Planning. 2022.

    Ramlochan J. Discharge Planning Considerations for Congestive Heart Failure: A DNP Project. Eastern Kentucky University; 2021.

    Dickson VV, Melkus GD, Dorsen C, Katz S, Riegel B. Improving Heart Failure Self-care Through a A Study Protocol. 2015;30(4):14–24.