Readiness for Hospital Discharge: Predictors and Outcomes in Adult Medical-Surgical Patients

10.00
Hdl Handle:
http://hdl.handle.net/10755/152261
Type:
Presentation
Title:
Readiness for Hospital Discharge: Predictors and Outcomes in Adult Medical-Surgical Patients
Abstract:
Readiness for Hospital Discharge: Predictors and Outcomes in Adult Medical-Surgical Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Piacentine, Linda B., MS, RN, ACNP
P.I. Institution Name:Marquette University
Title:Research Assistant
Co-Authors:Marianne Weiss, DNSc, RN; Norah Louise Johnson, MSN, RN, CPNP
Background and Significance: Patient perception of readiness for discharge has rarely been measured in studies of hospital discharge and transition to home. Assessing readiness for discharge is essential to successful discharge planning. Identifying predictors and outcomes of readiness or lack of readiness is critical to determining appropriate timing of discharge and subsequent post-discharge coping. Purpose: The purpose of the study was to assess predictors and outcomes of patients? perceptions of readiness for hospital discharge. Specifically the study investigated the impact of patient characteristics and nursing practices (education and care coordination) on perceived readiness for discharge and post-discharge outcomes (coping difficulty, utilization of services). Sample: A convenience sample of 147 English speaking medical-surgical patients at least 18 years old anticipating discharge home were enrolled. 113 subjects completed the 3 week post-discharge telephone survey. Methods: Meleis? Transitions Theory provided the framework for this longitudinal correlational study. Data were collected prior to hospital discharge and at 3 weeks post-discharge using the following instruments: Readiness for Hospital Discharge Scale (RHDS), Quality of Discharge Teaching Scale, Post-Discharge Coping Difficulty Scale and measures of care coordination and utilization of post-discharge services Results: A path analysis was conducted. Significant predictors of readiness for discharge accounting for 51% of the variance were: Living alone (r=-0.30), discharge education/content amount (r=-0.22), discharge teaching/skill of delivery (r=0.58) and care coordination (r=0.27). A negative correlation was found between RHDS and post-discharge coping difficulty scores (r=-0.27). Greater RHDS scores were associated with lower risk of readmission. Conclusions & Implications: The skill of nurses in delivery of discharge teaching was the strongest predictor of readiness for discharge. Content overload in discharge education decreased RHDS scores. Patient education and care coordination are hospital-based care strategies that impact readiness for discharge and subsequent post-discharge outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleReadiness for Hospital Discharge: Predictors and Outcomes in Adult Medical-Surgical Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152261-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Readiness for Hospital Discharge: Predictors and Outcomes in Adult Medical-Surgical Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Piacentine, Linda B., MS, RN, ACNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Assistant</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">linda.piacentine@marquette.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marianne Weiss, DNSc, RN; Norah Louise Johnson, MSN, RN, CPNP</td></tr><tr><td colspan="2" class="item-abstract">Background and Significance: Patient perception of readiness for discharge has rarely been measured in studies of hospital discharge and transition to home. Assessing readiness for discharge is essential to successful discharge planning. Identifying predictors and outcomes of readiness or lack of readiness is critical to determining appropriate timing of discharge and subsequent post-discharge coping. Purpose: The purpose of the study was to assess predictors and outcomes of patients? perceptions of readiness for hospital discharge. Specifically the study investigated the impact of patient characteristics and nursing practices (education and care coordination) on perceived readiness for discharge and post-discharge outcomes (coping difficulty, utilization of services). Sample: A convenience sample of 147 English speaking medical-surgical patients at least 18 years old anticipating discharge home were enrolled. 113 subjects completed the 3 week post-discharge telephone survey. Methods: Meleis? Transitions Theory provided the framework for this longitudinal correlational study. Data were collected prior to hospital discharge and at 3 weeks post-discharge using the following instruments: Readiness for Hospital Discharge Scale (RHDS), Quality of Discharge Teaching Scale, Post-Discharge Coping Difficulty Scale and measures of care coordination and utilization of post-discharge services Results: A path analysis was conducted. Significant predictors of readiness for discharge accounting for 51% of the variance were: Living alone (r=-0.30), discharge education/content amount (r=-0.22), discharge teaching/skill of delivery (r=0.58) and care coordination (r=0.27). A negative correlation was found between RHDS and post-discharge coping difficulty scores (r=-0.27). Greater RHDS scores were associated with lower risk of readmission. Conclusions &amp; Implications: The skill of nurses in delivery of discharge teaching was the strongest predictor of readiness for discharge. Content overload in discharge education decreased RHDS scores. Patient education and care coordination are hospital-based care strategies that impact readiness for discharge and subsequent post-discharge outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T11:29:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:29:41Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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