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Author
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Dzumbunu, Maxwell T.
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Title
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The Impact of discharge planning on home transition of stroke patients: a case study of St Giles medical rehabilitation centre.
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Abstract
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This study investigates the impact of discharge planning on the home transition of stroke patients, using St Giles Medical Rehabilitation Centre as a case study. Discharge planning is a critical phase in the continuum of stroke care, aimed at ensuring a smooth transition from institutional care to the home environment. The study had four objectives to assess the nature of discharge planning and home transition, evaluate the effects of discharge planning in promoting functional ability in stroke patients at St Giles Medical Rehabilitation Centre, identify the effects of discharge planning in promoting quality of life in stroke patients transitioning from St Giles Medical Rehabilitation Centre to their homes and develop a model for discharge planning for stroke patients for St Giles. The Evidence-Based (EBP) model was utilized as the theoretical framework for this study as it improves discharge planning for stroke patients by ensuring interventions are grounded in the best available research evidence, leading to better patient outcomes and increased adherence to clinical guidelines. Thus, the research examines the effects of discharge planning in promoting functional ability and quality of life in stroke patients transitioning from St Giles Medical Rehabilitation Centre to their homes. A mixed methods approach was employed, combining quantitative and qualitative questionnaires and focus group discussions with discharged stroke patients, caregivers, and healthcare workers working at St Giles. A cross-sectional descriptive and explanatory case study was conducted to investigate the impact of discharge planning on smooth home transition, utilizing a combination of probability and stratified sampling methods to ensure a representative sample. The findings reveal that effective discharge planning, particularly when initiated early and involving caregivers, leads to improved functional independence and quality of life after discharge. However, gaps in communication, inadequate home preparation, and lack of follow-up support were identified as barriers to successful home transition. The study also highlights the challenges faced by social workers during discharge planning, including sudden discharges, lack of cooperation from relatives and caregivers, and the impact of traditional beliefs on discharge planning. The study's results underscore the significance of effective discharge planning in facilitating a smooth transition from hospital to home, thereby enhancing the overall quality of life for stroke survivors. By identifying the key elements of successful discharge planning, such as early initiation, caregiver involvement, and ongoing support, this research provides valuable insights for healthcare providers and policymakers seeking to improve rehabilitation outcomes. The proposed model for discharge planning offers a practical framework for healthcare professionals to follow, ensuring that stroke patients receive comprehensive and coordinated care that addresses their complex needs. Ultimately, this study contributes to the growing body of evidence highlighting the importance of discharge planning in stroke care and provides a foundation for future research and quality improvement initiatives aimed at enhancing the care and outcomes of stroke patients in Zimbabwe and beyond. By combining the key findings and implications of both studies, this abstract provides a comprehensive overview of the research and its significance, highlighting the importance of effective discharge planning in stroke care and the need for a structured and patient-centered approach to ensure successful home transition and improved health outcomes.
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Date
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June 2025
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Publisher
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BUSE
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Keywords
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Discharge Planning
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Home Transition
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Stroke Patients
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Supervisor
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Mr. P. Gonorashe
Dzumbunu, Maxwell T..pdf