ArticleBMC medical informatics and decision making2016
Process evaluation of discharge planning implementation in healthcare using normalization process theory.
Article in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Nurses' knowledge, perception and practice toward discharge planning in acute care settings: A systematic review.Nursing open · 2020Pooled it
- The barriers and facilitators influencing the sustainability of hospital-based interventions: a systematic review.BMC health services research · 2020Pooled it
- Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis.Primary health care research & development · 2019Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Using normalisation process theory to understand workflow implications of decision support implementation across diverse primary care settings.BMJ health & care informatics · 2019Trial
- Adaptation Model for Patient and Caregiver Dyads in Hospital-to-Home Transition: Theory Development and Content Validation.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes.Journal of multidisciplinary healthcare · 2025Review
- An Organizational Case Study of Mental Models among Health System Leaders during Early-Stage Implementation of a Population Health Approach.Journal of healthcare leadership · 2024Article
- Article
- Post-discharge follow-up system in psychiatric patients: A case study of Farabi Hospital in Isfahan.Journal of education and health promotion · 2023Article
- Development and validation of prediction models for the discharge destination of elderly patients with aspiration pneumonia.PloS one · 2023Article
- How to fall into a new routine: factors influencing the implementation of an admission and discharge programme in hospitals and general practices.BMC health services research · 2022Article
- Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review.Systematic reviews · 2022Review
- Protocol for a mixed methods process evaluation of the Promoting Resilience in Nurses (PRiN) trial.International journal of mental health nursing · 2022Article
- Understanding implementation context and social processes through integrating Normalization Process Theory (NPT) and the Consolidated Framework for Implementation Research (CFIR).Implementation science communications · 2022Article
- How to Implement Digital Services in a Way That They Integrate Into Routine Work: Qualitative Interview Study Among Health and Social Care Professionals.Journal of medical Internet research · 2021Article
- Big Data-Enabled Solutions Framework to Overcoming the Barriers to Circular Economy Initiatives in Healthcare Sector.International journal of environmental research and public health · 2021Article
- Making sense of DialysisConnect: a qualitative analysis of stakeholder viewpoints on a web-based information exchange platform to improve care transitions between dialysis clinics and hospitals.BMC medical informatics and decision making · 2021Article
- An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia.Clinical interventions in aging · 2021Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDischarge planning is a care process that aims to secure the transfer of care for the patient at transition from home to the hospital and back home. Information exchange and collaboration between care providers are essential, but deficits are common. A wide range of initiatives to improve the discharge planning process have been developed and implemented for the past three decades. However, there are still high rates of reported medical errors and adverse events related to failures in the discharge planning. Using theoretical frameworks such as Normalization Process Theory (NPT) can support evaluations of complex interventions and processes in healthcare. The aim of this study was to explore the embedding and integration of the DPP from the perspective of registered nurses, district nurses and homecare organizers.
methodsThe study design was explorative, using the NPT as a framework to explore the embedding and integration of the DPP. Data consisted of written documentation from; workshops with staff, registered adverse events and system failures, web based survey and individual interviews with staff.
resultsUsing the NPT as a framework to explore the embedding and integration of discharge planning after 10 years in use showed that the staff had reached a consensus of opinion of what the process was (coherence) and how they evaluated the process (reflexive monitoring). However, they had not reached a consensus of opinion of who performed the process (cognitive participation) and how it was performed (collective action). This could be interpreted as the process had not become normalized in daily practice.
conclusionThe result shows necessity to observe the implementation of old practices to better understand the needs of new ones before developing and implementing new practices or supportive tools within healthcare to reach the aim of development and to accomplish sustainable implementation. The NPT offers a generalizable framework for analysis, which can explain and shape the implementation process of old practices, before further development of new practices or supportive tools.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.