Evidence on strategies promoting discharge planning participation in patients with chronic heart failure: A scoping review protocol.

Abstract

Chronic heart failure (CHF) poses a significant global healthcare burden. High readmission rates, driven by inadequate discharge preparation and suboptimal transitional care, underscore the need for effective discharge planning. Patient participation in discharge planning is essential for optimal outcomes, yet evidence on strategies promoting such participation remains fragmented. To systematically identify, map, and synthesize evidence on strategies promoting patient participation in discharge planning for adults with CHF, and to map the range of outcomes reported in relation to such strategies. Following JBI methodology and PRISMA-ScR guidelines, we will search 20 databases (including PubMed, CINAHL, Embase, Cochrane Library, Web of Science, Chinese databases) from inception. Studies of any design addressing patient participation in discharge planning for adults (≥18 years) with CHF will be included. Two reviewers will independently screen studies and extract data on study characteristics, participation strategies, and reported outcomes. Data will be synthesized using a thematic synthesis methodology, with findings presented in tables, figures, and narrative format; the PAGER framework will guide the identification of patterns, advances, gaps, and evidence pertinent to clinical practice. This scoping review will systematically map evidence on strategies promoting patient participation in discharge planning for adults with CHF and describe reported outcomes. By identifying effective approaches and evidence-practice gaps, this review will inform clinical practice, policy development, and future research to enhance patient-centered discharge planning for this vulnerable population. Results will be disseminated via peer-reviewed publication and stakeholder engagement.