Rahayu Urip, Ibrahim Kusman, Herman Herry
Doctoral Program, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
J Multidiscip Healthc. 2025 May 30;18:2997-3008. doi: 10.2147/JMDH.S523495. eCollection 2025.
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.
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.
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.
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.
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.
出院计划是医疗保健的一个重要方面，以确保患者出院后护理的连续性。正常化过程理论（NPT）已被用于理解出院计划干预措施如何在临床实践中有效实施。
本综述旨在探讨正常化过程理论（NPT）在患者出院计划中的应用，以及该理论在各种医疗环境中的应用方式。
采用PRISMA方法进行系统综述，使用四个国际数据库：PubMed、Scopus、Taylor & Francis和EBSCO-host。根据纳入标准选择文章，并使用JBI批判性评价工具和MMAT进行评估。使用的关键词是患者出院或患者转诊/组织与管理或出院计划或患者转诊或出院计划以及正常化过程理论或正常化过程模型或NPT或NPM。分析采用描述性定性和主题分析。
共有8篇符合标准的文章纳入分析。结果表明，实施NPT可加强出院计划过程，并有助于开发更有效的干预模型。NPT被用作出院计划实施过程的数据收集、编码和分析框架。此外，NPT与医护人员之间更好的协调、对家庭更有效的心理社会支持以及患者对治疗依从性的提高相关。
NPT在住院患者出院计划中的应用有助于更深入地理解影响干预措施成功实施的因素。在研究中使用NPT可以通过考虑团队协调方面、患者支持以及循证干预措施的有效性来帮助提高出院计划的质量。
