SYSTEMATIC REVIEW DISCHARGE PLANNING PATIENT STROKE: A NURSING SCIENCE PHILOSOPHY

Abstract

This article discusses a philosophical overview of discharge planning for stroke patients from an ontological, epistemological, and axiological point of view, emphasizing the importance of this process in ensuring proper care after leaving the treatment facility. With a focus on the philosophy of nursing science, the study is a literature review that follows the PRISMA (2017-2023) guidelines with keyword searches for "discharge planning," "stroke," "patients," and "RCT" in Scopus, Science Direct, and ProQuest databases. Of the 281 articles identified, the inclusion criteria involved quantitative research design, publications in English, studies in adult patients with strokes, intervention discharge planning, and analysis supporting discharge planning in stroke patients. The selection process uses the Rayyan application and selects 22 relevant studies. The analysis was done with PICO synthesis and grouping based on the Cochrane Handbook for Systematic Review. Methodological quality assessment using the Joanna Briggs Institute Critical Assessment tool shows that a multidisciplinary approach through ontological, epistemological, and axiological studies provides a strong foundation for improving clinical practice and health information systems. Close collaboration between care teams, patients, and families in discharge planning is emphasized for optimal treatment of stroke patients and the development of efficient health information systems. The practical implications of this research include integrating ontological concepts, deep understanding of knowledge, applying ethical values, and improving discharge planning processes to improve care for stroke patients.