Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes

Urip Rahayu,1,2 Kusman Ibrahim,2 Herry Herman3 1Doctoral Program, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 3Department of Orthopaedic Surgery, Un...

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Main Authors: Rahayu U, Ibrahim K, Herman H
Format: Article
Language:English
Published: Dove Medical Press 2025-05-01
Series:Journal of Multidisciplinary Healthcare
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Online Access:https://www.dovepress.com/application-of-normalization-process-theory-in-discharge-planning-a-sy-peer-reviewed-fulltext-article-JMDH
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author Rahayu U
Ibrahim K
Herman H
author_facet Rahayu U
Ibrahim K
Herman H
author_sort Rahayu U
collection DOAJ
description Urip Rahayu,1,2 Kusman Ibrahim,2 Herry Herman3 1Doctoral Program, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 3Department of Orthopaedic Surgery, Universitas Padjadjaran – Hasan Sadikin General Hospital, Bandung, IndonesiaCorrespondence: Urip Rahayu, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21 Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6281220201942, Fax +6202287793411, Email urip.rahayu@unpad.ac.idBackground: Discharge planning is an important aspect of healthcare to ensure continuity of patient care after hospital discharge. Normalization Process Theory (NPT) has been used to understand how discharge planning interventions can be implemented effectively in clinical practice.Purpose: This review aimed to explore the use of Normalization Process Theory (NPT) in patient discharge planning and how this theory is applied in various healthcare contexts.Methods: A systematic review was conducted using the PRISMA method, using four international databases: PubMed, Scopus, Taylor & Francis, and EBSCO-host. Articles were selected based on inclusion criteria and evaluated using JBI Critical Appraisal Tools and MMAT. The keywords used were patient discharge OR patient transfer/organization and administration OR discharge plan OR patient transfer OR discharge planning AND Normalization process theory OR normalization process model OR NPT OR NPM. The analysis was carried out using descriptive qualitative and thematic analysis.Results: A total of 8 articles that fulfilled the criteria were included in the analysis. The results suggest that implementing NPT enhances the discharge planning process and facilitates the development of more effective intervention models. NPT was utilized as a framework for data collection, coding, and analysis of the discharge planning implementation process. In addition, NPT is associated with improved coordination among healthcare workers, more effective psychosocial support for families, and increased patient compliance with treatment.Conclusion: The application of NPT inpatient discharge planning allows a deeper understanding of the factors that influence the successful implementation of interventions. The use of NPT in research can help improve the quality of discharge planning by considering aspects of team coordination, patient support, and the effectiveness of evidence-based interventions.Keywords: discharge planning, normalization process theory, patient transition, healthcare coordination
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spelling doaj-art-2ebdfeae7c7745f0bbcd3e892f60be762025-08-20T03:24:00ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902025-05-01Volume 18Issue 129973008103409Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and OutcomesRahayu U0Ibrahim K1Herman H2Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas PadjadjaranDepartment of Medical-Surgical Nursing, Faculty of Nursing, Universitas PadjadjaranDepartment of Orthopaedic Surgery, Universitas Padjadjaran – Hasan Sadikin General HospitalUrip Rahayu,1,2 Kusman Ibrahim,2 Herry Herman3 1Doctoral Program, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 2Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia; 3Department of Orthopaedic Surgery, Universitas Padjadjaran – Hasan Sadikin General Hospital, Bandung, IndonesiaCorrespondence: Urip Rahayu, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21 Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6281220201942, Fax +6202287793411, Email urip.rahayu@unpad.ac.idBackground: Discharge planning is an important aspect of healthcare to ensure continuity of patient care after hospital discharge. Normalization Process Theory (NPT) has been used to understand how discharge planning interventions can be implemented effectively in clinical practice.Purpose: This review aimed to explore the use of Normalization Process Theory (NPT) in patient discharge planning and how this theory is applied in various healthcare contexts.Methods: A systematic review was conducted using the PRISMA method, using four international databases: PubMed, Scopus, Taylor & Francis, and EBSCO-host. Articles were selected based on inclusion criteria and evaluated using JBI Critical Appraisal Tools and MMAT. The keywords used were patient discharge OR patient transfer/organization and administration OR discharge plan OR patient transfer OR discharge planning AND Normalization process theory OR normalization process model OR NPT OR NPM. The analysis was carried out using descriptive qualitative and thematic analysis.Results: A total of 8 articles that fulfilled the criteria were included in the analysis. The results suggest that implementing NPT enhances the discharge planning process and facilitates the development of more effective intervention models. NPT was utilized as a framework for data collection, coding, and analysis of the discharge planning implementation process. In addition, NPT is associated with improved coordination among healthcare workers, more effective psychosocial support for families, and increased patient compliance with treatment.Conclusion: The application of NPT inpatient discharge planning allows a deeper understanding of the factors that influence the successful implementation of interventions. The use of NPT in research can help improve the quality of discharge planning by considering aspects of team coordination, patient support, and the effectiveness of evidence-based interventions.Keywords: discharge planning, normalization process theory, patient transition, healthcare coordinationhttps://www.dovepress.com/application-of-normalization-process-theory-in-discharge-planning-a-sy-peer-reviewed-fulltext-article-JMDHDischarge PlanningNormalization Process TheoryPatient TransitionHealth Care Coordination
spellingShingle Rahayu U
Ibrahim K
Herman H
Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes
Journal of Multidisciplinary Healthcare
Discharge Planning
Normalization Process Theory
Patient Transition
Health Care Coordination
title Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes
title_full Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes
title_fullStr Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes
title_full_unstemmed Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes
title_short Application of Normalization Process Theory in Discharge Planning: A Systematic Review of Implementation Strategies and Outcomes
title_sort application of normalization process theory in discharge planning a systematic review of implementation strategies and outcomes
topic Discharge Planning
Normalization Process Theory
Patient Transition
Health Care Coordination
url https://www.dovepress.com/application-of-normalization-process-theory-in-discharge-planning-a-sy-peer-reviewed-fulltext-article-JMDH
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AT hermanh applicationofnormalizationprocesstheoryindischargeplanningasystematicreviewofimplementationstrategiesandoutcomes