Mental Health Unit to Home Transition Plan´s Nursing Care: Scoping Review

Keywords: Mental Illness, Nursing Care, Patient Discharge, Psychiatric Hospitals, Patient Readmission

Abstract

Introduction. Hospital readmission of patients with mental illness is mainly caused by worsening of the underlying disorder; therefore, interventions focused on rehabilitation and social reintegration should be considered, being the transition to home care a strategy that contributes to the reduction of gaps, and an improved access to services and rehospitalizations. The present study seeks to identify and expose, from nursing care, which are the characteristics of the transition plan of the hospitalized patient in the mental health unit reported in the literature synthesizing the findings. Methodology. Scoping review according to the guidelines of the JBI Manual for Evidence Synthesis and the PRISMA report. The databases PubMed, Biblioteca Virtual en Salud, Nursingovid and ScienceDirect were consulted, including publications in Spanish, English and Portuguese in the period 2015-2021. Results. Fourteen articles were selected, identifying the following topics: Discharge Planning and Preparations; Continuity of Health Care; Social and Family Support for Discharge; and Therapeutic Adherence and Implications for Nursing Practice. Discussion. In line with other studies, the interventions that deal with good interpersonal relationships, social support and the generation of the link between the hospital and the community stand out. Conclusions. The retrieved literature reports five characteristics of the transition plan with nursing interventions that represent the success of the transition process for the patient. 

References

Ministerio de Salud y Protección Social. Observatorio Nacional de Salud Mental, ONSM Colombia, Guía metodológica, Actualización. Minsalud [Internet]. 2017 [Consultado 2021 marzo 15]. Recuperado a partir de: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/guia-ross-salud-mental.pdf

Pedraza-Acosta AJ. Plan de mejora en Hospital Psiquiátrico San Camilo cuidado humanizado en el fortalecimiento de la salud mental basado en la teoría de Jean Watson [Tesis de Pregrado]. Bucaramanga, Santander (Colombia): Universidad Autónoma De Bucaramanga; 2018. Recuperado a partir de: https://repository.unab.edu.co/bitstream/handle/20.500.12749/12732/2018_Tesis_Alexandra_Jimena_Pedraza_Acosta.pdf?sequence=1&isAllowed=y

Marquez PV, Saxena S. Making Mental Health a Global Development Priority. Cerebrum [Internet]. 2016. Recuperado a partir de: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5198754/

Monterrosa-Castro Á, Ordosgoitia-Parra E, Beltrán-Barrios T. Ansiedad y depresión identificadas con la Escala de Golberg en estudiantes universitarios del área de la salud. MedUNAB [Internet]. 2020;23(3):372–404. doi: https://doi.org/10.29375/01237047.3881

Organización Mundial de la Salud‎. Plan de acción sobre salud mental 2013-2020. OMS. [Internet]. Ginebra: OMS;2013 [Citado marzo de 2021]. Recuperado a partir de: https://apps.who.int/iris/handle/10665/97488

Pinzón-Olmos MA, Cortés-Duque C, Pinzón-Olmos T, Arias-Duarte R. Determinación de los factores asociados con el reingreso temprano de pacientes con enfermedad mental en dos ciudades de Colombia durante 2018. Rev Colomb Psiquiatr [Internet]. 2021 enero;51(3):176-182. doi: https://doi.org/10.1016/j.rcp.2020.11.006

Buitrago-Ramírez F, Ciurana-Misol R, Chocrón-Bentata L, Fernández-Alonso MC, García-Campayo J, Montón-Franco C, et al. Prevención de los trastornos de la salud mental en atención primaria. Actualización PAPPS 2018. Aten Prim [Internet]. 2018;50:83–108. doi: https://doi.org/10.1016/S0212-6567(18)30364-0

Torres-de Galvis Y. Costos asociados con la salud mental. Rev. Cienc. Salud [Internet]. 2018;16(2):182–187. Recuperado a partir de: https://revistas.urosario.edu.co/index.php/revsalud/article/view/6761/5994

Augusto-Ferreira JLT. El entorno domiciliario en el paciente con alteraciones en la salud mental: el escenario de los cuidados de enfermería. Rev. Iberoam. Educ. Investi. Enferm [Internet]. 2013;3(1):38–45. Recuperado a partir de: https://www.enfermeria21.com/revistas/aladefe/articulo/62/el-entorno-domiciliario-en-el-paciente-con-alteraciones-en-la-salud-mental-el-escenario-de-los-cuidados-de-enfermeria/

Aragón-Alegría D, Candelo-Majin R, Hurtado-García DM, Meneses-Sotelo CA, Muñoz SF, Prado-Villegas YM, et al. Evaluación del plan de alta por enfermería en el hospital San José, Popayán 2017. Rev. Méd. Risaralda [Internet]. 2020;26(1):61-67. doi: https://doi.org/10.22517/25395203.20951

Melo-Melo BG, Vargas-Hernández Y, Carrillo GM, Alarcón-Trujillo DK. Efecto del programa Plan de egreso en la díada persona con enfermedad crónica y sus cuidadores familiares. Enferm Clín [Internet]. 2018;28(1):36–43. doi: https://doi.org/10.1016/j.enfcli.2017.09.006

Peters M, Godfrey C, McInerney P, Munn Z, Trico AC, Khalil H. Chapter 11: Scoping Reviews. En: Aromataris E, Munn Z. Journal Briggs Institute Reviewer`s Manual. JBI [Internet]. 2020;407. doi: https://doi.org/10.46658/JBIRM-20-01

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Med [Internet]. 2021;18(3):e1003583. Recuperado a partir de: https://dx.plos.org/10.1371/journal.pmed.1003583

Pollock D, Davies EL, Peters MDJ, Tricco AC, Alexander L, McInerney P, et al. Undertaking a scoping review: A practical guide for nursing and midwifery students, clinicians, researchers, and academics. J Adv Nurs [Internet]. 2021;77(4):2102–2113. doi: https://doi.org/10.1111/jan.14743

Colombia, Ministerio de Salud. Resolución número 8430 de 1993, Normas científicas, técnicas y administrativas para la investigación en salud. [Internet]. Recuperado a partir de: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF

Smithnaraseth A, Seeherunwong A, Panitrat R, Tipayamongkholgul M. Hospital and patient factors influencing the health status among patients with schizophrenia, thirty days after hospital discharge: multi-level analysis. BMC Psychiatry. 2020;20(1):1–13. doi: https://doi.org/10.1186/s12888-020-03001-4

Chiappetta L, Stark S, Mahmoud KF, Bahnsen KR, Mitchell AM. Motivational Interviewing to Increase Outpatient Attendance for Adolescent Psychiatric Patients. J. Psychosoc. Nurs. Ment Health Serv [Internet]. 2018;56(6):31–6. doi: https://doi.org/10.3928/02793695-20180212-04

Nakanishi M, Niimura J, Tanoue M, Yamamura M, Hirata T, Asukai N. Association between length of hospital stay and implementation of discharge planning in acute psychiatric inpatients in Japan. Int J Ment Health Syst [Internet]. 2015;9(1):1–8. doi: https://doi.org/10.1186/s13033-015-0015-9

Keogh B, Callaghan P, Higgins A. Managing preconceived expectations: mental health service users experiences of going home from hospital: a grounded theory study. J Psychiatr Ment Health Nurs [Internet]. 2015;22(9):715–23. doi: https://doi.org/10.1111/jpm.12265

Lam M, Li L, Anderson KK, Shariff SZ, Forchuk C. Evaluation of the transitional discharge model on use of psychiatric health services: An interrupted time series analysis. J Psychiatr Ment Health Nurs [Internet]. 2020;27(2):172–84. doi: https://doi.org/10.1111/jpm.12562

Lin LE, Lo SC, Liu CY, Chen SC, Wu WC, Liu WI. Effectiveness of Needs-oriented Hospital Discharge Planning for Caregivers of Patients With Schizophrenia. Arch Psychiatr Nurs [Internet]. 2018;32(2):180–7. doi: https://doi.org/10.1016/j.apnu.2017.10.013

Reynolds LM, Davies JP, Mann B, Tulloch S, Nidsjo A, Hodge P, et al. StreetWise: developing a serious game to support forensic mental health service users’ preparation for discharge: a feasibility study. J Psychiatr Ment Health Nurs [Internet]. 2017;24(4):185–93. doi: https://doi.org/10.1111/jpm.12340

Limandri, BJ. Negotiating a Medication Treatment Plan. J. Psychosoc. Nurs. Ment. Health Serv [Internet]. 2020;58(9):9-12. doi: https://doi.org/10.3928/02793695-20200814-01

Habit NF, Johnson E, Edlund BJ. Appointment reminders to decrease 30-day readmission rates to inpatient psychiatric hospitals. Prof Case Manag [Internet]. 2018;23(2):70–4. doi: https://doi.org/10.1097/NCM.0000000000000248

Xiao S, Tourangeau A, Widger K, Berta W. Discharge planning in mental healthcare settings: A review and concept analysis. Int J Ment Health Nurs [Internet]. 2019;28(4):816–32. doi: https://doi.org/10.1111/inm.12599

Ådnanes M, Cresswell-Smith J, Melby L, Westerlund H, Šprah L, Sfetcu R, et al. Discharge planning, self-management, and community support: Strategies to avoid psychiatric rehospitalisation from a service user perspective. Patient Educ Couns [Internet]. 2020;103(5):1033–40. doi: https://doi.org/10.1016/j.pec.2019.12.002

Hegedüs A, Kozel B, Richter D, Behrens J. Effectiveness of Transitional Interventions in Improving Patient Outcomes and Service Use After Discharge From Psychiatric Inpatient Care: A Systematic Review and Meta-Analysis. Front. Psychiatry [Internet]. 2020;10(989). doi: https://doi.org/10.3389/fpsyt.2019.00969

Kollerup MG, Curtis T, Laursen BS. Improving posthospital medication management in a Danish municipality: A process evaluation. J Clin Nurs [Internet]. 2018;27(19–20):3603–12. doi: https://doi.org/10.1111/jocn.14516

Niimura J, Tanoue M, Nakanishi M. Challenges following discharge from acute psychiatric inpatient care in Japan: patients’ perspectives. J Psychiatr. Ment. Health. Nurs [Internet]. 2016;23(9–10):576–84. doi: https://doi.org/10.1111/jpm.12341

Bowersox NW, Bohnert ASB, Ganoczy D, Pfeiffer PN. Inpatient psychiatric Care Experience and Its Relationship to Posthospitalization Treatment Participation. Psychiatr Serv [Internet]. 2013;64(6):554–62. doi: https://doi.org/10.1176/appi.ps.002342012

Khaleghparast S, Ghanbari B, Kahani S, Malakouti K, Seyedalinaghi S, Sudhinaraset M. The effectiveness of discharge planning on the knowledge, clinical symptoms and hospitalisation frequency of persons with schizophrenia: A longitudinal study in two hospitals in Tehran, Iran. J Clin Nurs [Internet]. 2013;23(15–16):2215–22. doi: https://doi.org/10.1111/jocn.12499

Colombia, Ministerio de Salud. Resolución número 1441 de mayo 2013, Procedimientos y condiciones que deben cumplir los Prestadores de Servicios de Salud para habilitar los servicios [Internet]. Recuperado a partir de: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/resolucion-1441-de-2013.pdf

Wyder M, Kisely S, Meurk C, Dietrich J, Fawcett T, Siskind D, et al. The language we use – the effect of writing mental health care plans in the first person. Australas Psychiatry [Internet]. 2018;26(5):496–502. doi: https://doi.org/10.1177/1039856218772251

Kemp KA, Quan H, Santana MJ. Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year. Patient Exp J [Internet]. 2017;4(2):13–22. doi: https://doi.org/10.35680/2372-0247.1205

Bullock S, Morecroft CW, Mullen R, Ewing AB. Hospital patient discharge process: An evaluation. Eur J Hosp Pharm [Internet]. 2017;24(5):278–82. doi: https://doi.org/10.1136/ejhpharm-2016-000928

Cardoso L, Miasso AI, Galera Frari-Galera SA, Marques-Maia B, Braga-Esteves R. Adherence level and knowledge about psychopharmacological treatment among patients discharged from psychiatric internment. Ver. Latrino-Am. Enfermagem [Internet]. 2011;19(5):1146–54. doi: https://doi.org/10.1590/S0104-11692011000500012

Roos E, Bjerkeset O, Steinsbekk A. Health care utilization and cost after discharge from a mental health hospital; An RCT comparing community residential aftercare and treatment as usual. BMC Psychiatry [Internet]. 2018;18(1):1–13. doi: https://doi.org/10.1186/s12888-018-1941-2

Pitts SE, Silverman MJ. Effects of Verbal Processing on Psychiatric Patients’ Proactive Coping Skills Using Recreational Music Therapy. J Creat Ment Heal [Internet]. 2015;10(2):181–99. doi: https://doi.org/10.1080/15401383.2014.984097

Forchuk C, Martin ML, Sherman D, Corring D, Srivastava R, O’Regan T, et al. Healthcare professionals’ perceptions of the implementation of the transitional discharge model for community integration of psychiatric clients. Int J Ment Health Nurs [Internet]. 2019;29(3):498–507. doi: https://doi.org/10.1111/inm.12687

Fontanella CA, Hiance-Steelesmith DL, Bridge JA, Lester N, Sweeney HA, Hurst M, et al. Factors associated with timely follow-up care after psychiatric hospitalization for youths with mood disorders. Psychiatr Serv [Internet]. 2015;67(3):324–31. doi: https://doi.org/10.1176/appi.ps.201500104

Vergara FH, Sullivan NJ, Sheridan DJ, Davis JE. The Best Practice for Increasing Telephone Outreach: An Integrative Review. Prof Case Manag [Internet]. 2018;23(6):307–17. doi: https://doi.org/10.1097/NCM.0000000000000296

Hautala-Jylhä PL, Nikkonen M, Jylhä J. Continuity of care in psychiatric post-ward outpatient services - Conceptions of patients and personnel concerning factors contributing to the continuity of care. J Psychiatr Ment Health Nurs. 2005;12(1):38–50. doi: https://doi.org/10.1111/j.1365-2850.2004.00790.x

Zisman-Ilani Y, Roe D, Elwyn G, Kupermintz H, Patya N, Peleg I, et al. Shared Decision Making for Psychiatric Rehabilitation Services Before Discharge from Psychiatric Hospitals. Health Commun [Internet]. 2018;34(6):631–7. doi: https://doi.org/10.1080/10410236.2018.1431018

Roque AP, Findlay LJ, Okoli C, El-Mallakh P. Patient Characteristics Associated with Inpatient Psychiatric Re-admissions and the Utility of the READMIT Clinical Risk Index. Issues Ment Health Nurs [Internet]. 2017;38(5):411–9. doi: https://doi.org/10.1080/01612840.2016.1269856

Kaur D, Pareek B, Sujata N. Revolving Door Phenomena and its Associated Factors among Patients with Psychiatric Illnesses. Int J Adv Nurs Manag [Internet]. 2016;4(3):283. doi: https://doi.org/10.5958/2454-2652.2016.00063.9

Niksalehi S, Namazi S, Tashk M, Bavaghar S, Afandi M, Jamalizadeh F. Impact of Family Psychoeducation Intervention on Relapse Prevention in Hospitalized Psychiatric Patients. Hormozgan Med J [Internet]. 2019;23(4):e86970. doi: https://doi.org/10.5812/hmj.86970

Tsikada OS. Evidence-Based Strategies for Improving Medication Adherence Among Psychiatric Patients: A Systematic Review[disertación en Internet] Walden University. 2020;81(12-B). Recuperado a partir de: https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=10083&context=dissertations

Virgolesi M, Pucciarelli G, Colantoni AM, D’Andrea F, Di Donato B, Giorgi F, et al. The effectiveness of a nursing discharge programme to improve medication adherence and patient satisfaction in the psychiatric intensive care unit. J Clin Nurs [Internet]. 2017;26(23–24):4456–66. doi: https://doi.org/10.1111/jocn.13776

St. John IJ, Englund HM. Improving patient discharge education through daily educational bursts: A pilot study. J Nurses Prof Dev. 2020;36(5):283–7. doi: https://doi.org/10.1097/NND.0000000000000627

Weiss ME, Bobay KL, Bahr SJ, Costa L, Hughes RG, Holland DE. A model for hospital discharge preparation: From case management to care transition. J Nurs Adm. 2015;45(12):606–14. doi: https://doi.org/10.1097/NNA.0000000000000273

Han KT, Kim SJ, Jang SI, Hahm M Il, Kim SJ, Lee SY, et al. The outcomes of psychiatric inpatients by proportion of experienced psychiatrists and nurse staffing in hospital: New findings on improving the quality of mental health care in South Korea. Psychiatry Res [Internet]. 2015;229(3):880–6. doi: https://doi.org/10.1016/j.psychres.2015.07.051

Colombia, Congreso de Colombia. Ley 911 de 2004, disposiciones en materia de responsabilidad deontológica para el ejercicio de la profesión de Enfermería en Colombia. Diario Oficial (45693) [DO]. Recuperado a partir de: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/INEC/IGUB/ley-911-de-2014.pdf

Kataoka M, Ozawa K, Tanioka T, Locsin R. Clarifying the Strengths-Oriented Attitude among Nurses in Psychiatric Hospitals in Japan. Health [Internet]. 2015;07(06):776–87. doi: https://doi.org/10.4236/health.2015.76092

Schuelke S, Aurit S, Connot N, Denney S. Virtual Nursing: The New Reality in Quality Care. Nurs Adm Q. 2019;43(4):322–8. doi: https://doi.org/10.1097/NAQ.0000000000000376

How to Cite
1.
Rivera-Romero N, Devia-Vega JS. Mental Health Unit to Home Transition Plan´s Nursing Care: Scoping Review. MedUNAB [Internet]. 2022 Dec. 20 [cited 2026 Mar. 9];25(3):451-60. Available from: https://revistasunabeduco.biteca.online/index.php/medunab/article/view/4244

Downloads

Download data is not yet available.
Published
2022-12-20

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Escanea para compartir
QR Code

Some similar items: