Electronic Theses and Dissertation

Discharge planning merupakan proses terstruktur yang dimulai sejak awal pasien dirawat hingga pulang, yang bertujuan menjamin kesinambungan perawatan dan mencegah komplikasi paska pemulangan. Pelaksanaan discharge planning di RSUD Kota Banda Aceh belum optimal, ditandai dengan belum digunakan form khusus discharge planning sesuai standar akreditasi. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan pelaksanaan discharge planning di ruang rawat inap RSUD Kota Banda Aceh. Jenis penelitian kuantitatif dengan desain cross-sectional. Penelitian ini menggunakan 167 responden yang dipilih melalui teknik purposive sampling. Alat pengumpulan data menggunakan kuesioner yang telah memenuhi uji validitas dan reliabilitas untuk semua faktor. Data dianalisis menggunakan uji statistik deskriptif, korelasi dan regresi logistik. Hasil penelitian didapatkan ada hubungan faktor komunikasi (p = 0,000), faktor waktu (p = 0,000), faktor pengetahuan (p = 0,000) dan faktor motivasi (p = 0,000). Serta tidak ada hubungan faktor personal (p = 0,077), faktor keterlibatan dan partisipasi (p = 0,459) dan faktor perjanjian dan konsensus (p = 0,234). Faktor yang paling dominan berhubungan dengan pelaksanaan discharge planning adalah faktor motivasi (p = 0,000) dan OR/Exp(B) sebesar 10,677. Motivasi perawat memiliki peran kunci dalam keberhasilan discharge planning di ruang rawat inap. Upaya peningkatan motivasi melalui pelatihan, supervisi dan dukungan manajerial sangat penting untuk meningkatkan kualitas pelayanan keperawatan yang berkesinambungan.

Discharge planning is a structured process initiated at the beginning of hospitalization and continuing through to patient discharge, aimed at ensuring continuity of care and preventing post-discharge complications. The implementation of discharge planning at the Regional General Hospital of Banda Aceh remains suboptimal, as evidenced by the absence of a standardized discharge planning form in accordance with accreditation standards. This study aimed to analyze the factors associated with the implementation of discharge planning in inpatient units at the hospital. A quantitative research approach was employed, using a cross-sectional design. The study involved 167 respondents selected through purposive sampling. Data were collected using a validated and reliable questionnaire measuring all relevant factors. Data were analyzed using descriptive statistics, correlation tests, and logistic regression. The findings revealed significant associations between discharge planning implementation and communication ( p = 0.000), time (p = 0) , knowledge (p = 0) , and motivation (p = 0) No significant associations were found with factors (p = 0.077) involvement and participation (p = 0.459) or agreement and consensus (p = 0.234) The most dominant factor discharge planning implementation was motivation (p = 0.000), with an odds ratio (OR/Exp(B)) of 10.677. Nurses' motivation is crucial in successfully implementing discharge planning in inpatient care. Enhancing motivation through training, supervision, and managerial support is essential to improving the quality and continuity of nursing care services.