Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Abstract

ObjectivesThe quality of life and health of the patient are strongly influenced by the high incidence of stroke in a particular community or population. After the early recovery phase, recovery planning is crucial, as individuals who have suffered a stroke face uncertainty about the long-term recovery process as well as adjustments in everyday life. The objective of the research is to discuss the philosophical review of discharge planning for stroke patients from the points of view of ontology, epistemology, and axiology, with a focus on the philosophy of nursing science.Materials and methodsIn accordance with PRISMA (2017–2023) criteria, the study is a review of the literature. Keyword searches for “discharge planning,” “stroke,” “patients,” and “RCT” were conducted in the databases of Scopus, Science Direct, and ProQuest. The inclusion criteria encompassed quantitative research design, English-language publications, studies involving adult stroke patients, interventions related to discharge planning, and analysis evaluating discharge planning for stroke patients, yielding 281 identified papers. The Rayyan application is used in the selection process. PICO synthesis and grouping, which are based on the Cochrane Handbook for Systematic Review, are used in the analysis. Using the Joanna Briggs Institute Critical Assessment methodology, methodological quality assessment demonstrates that a multidisciplinary approach through ontological, epistemological, and axiological investigations offers a solid basis for enhancing health information systems and clinical practice.ResultsThere are twenty-two quantitative research findings that show the features of the respondents, who were family caregivers and stroke patients. Ensuring that stroke victims receive the best care possible when they leave the hospital is the aim of recovery planning. In the process, families, patients, and health care providers collaborate. Patient assessment, treatment planning, medication scheduling, patient and family education, advanced care planning, mental and spiritual health support, health service coordination, medical recordkeeping, and monitoring are all essential elements of recovery planning.ConclusionThorough recovery planning guarantees effective monitoring of medical records and coordination of treatment, improving the post-hospital experience for stroke patients. With an emphasis on the best possible recovery, this planning aims to offer focused and well-coordinated treatment. Stroke patients should anticipate comprehensive and well-coordinated post-hospital treatment, which will benefit both patients and families, thanks to the cooperation of health care professionals, patients, and families.