Broadening the Horizons on Predictors of Discharge Teaching, Discharge Readiness, and Postdischarge Outcomes

Malagon-Maldonado, Gabriella; Hiner, Jacqueline B.; Lanciers, Monika

doi:10.1111/1552-6909.12628

Cited by 4 publications

(3 citation statements)

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“…() also established that nurse assessment of low discharge readiness was associated with an increase in readmission. While in obstetrics, Malagon‐Maldonado, Hiner, and Lanciers () found that maternal/infant length of stay, delivery mode and the quality of discharge teaching were predictive of readiness for hospital discharge. This exploration of multiple uses of readiness and readiness for hospital discharge allowed identification of multiple and related uses of the concept, which are helpful in defining the attributes (Walker & Avant, ).…”

Section: Resultsmentioning

confidence: 99%

Readiness for hospital discharge: A concept analysis

Galvin¹,

Wills

Coffey

2017

Journal of Advanced Nursing

121

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This analysis contributes to the advancement of knowledge in the area of hospital discharge, by proposing an operational definition of readiness for hospital discharge, derived from the literature. A better understanding of the phenomenon will assist healthcare professionals to recognize, measure and implement interventions where necessary, to ensure patients are ready for hospital discharge and assist in the advancement of knowledge for all professionals involved in patient discharge from hospital.

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Section: Resultsmentioning

confidence: 99%

Readiness for hospital discharge: A concept analysis

Galvin¹,

Wills

Coffey

2017

Journal of Advanced Nursing

121

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“…After discharge, primary caregiving transitions from healthcare providers (HCPs) to parents, which poses a challenge to the parents who lack experience in caring for preterm infants. Hospital staff can promote a smooth transition by increasing parents’ knowledge and skills of caring for preterm infants and improving their readiness for discharge (Jack et al., 2009; Jefferies, 2014; Malagon‐Maldonado, Hiner, & Lanciers, 2015).…”

Section: Introductionmentioning

confidence: 99%

Understanding preparation for preterm infant discharge from parents’ and healthcare providers’ perspectives: Challenges and opportunities

Hua

Wang

et al. 2020

Journal of Advanced Nursing

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Aim To describe the facilitating/inhibiting factors of preparation for preterm infant discharge and recommendations for increasing discharge readiness from parents’ and healthcare providers’ perspectives based on Meleis's Transitions Theory. Design A qualitative cross‐sectional descriptive design. Methods We selected a purposive sample of 17 parents (9 fathers and 8 mothers) and 13 healthcare providers (10 nurses and 3 clinicians) from the neonatal intensive care unit of a tertiary hospital in Eastern China. Data were collected between May ‐July 2018. Data from audio‐recorded semi‐structured individual interviews were coded with content analysis both inductively and deductively. Results The analyses yielded four themes: personal conditions, community conditions, nursing therapeutics, and patterns of response. Parents and healthcare providers had unique opinions about the themes. Conclusion Meleis's Transitions Theory seems to be an applicable and practicable framework for understanding the discharge preparation of parents with preterm infants and may be used to help healthcare providers to develop appropriate interventions on discharge preparation practice. Impact To address the lack of discharge readiness of preterm infants in China and countries with a similar clinical context, healthcare providers should help parents play a more active role to promote their engagement in discharge preparation. In a wider global community, healthcare providers should consider parents’ personal conditions and their practical needs in performing discharge preparation.

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“…4.2.3 Psychological stability. The third attribute is the psychological state that includes the patient's mental and emotional states (Yulia et al, 2020), disease acceptance (F alun et al, 2016;Yulia et al, 2020), adaptation to the conditions (Changsuphan et al, 2018;Kaya et al, 2018;Malagon-Maldonado et al, 2015;Nurhayati et al, 2019) and a sense of security (Changsuphan et al, 2018).…”

Section: Defining Attributesmentioning

confidence: 99%

Readiness for discharge from hospital: a concept analysis

Monfared

Dehghan–Nayeri

Javadi-Pashaki

et al. 2022

QRJ

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PurposeThis study aimed to analyze and define the concept of readiness for hospital discharge (RHD) in patients with myocardial infarction (MI).Design/methodology/approachWalker and Avant's approach was used for concept analysis. Electronic text searches were performed using valid databases with “readiness for hospital discharge” and “MI” keywords. The research included quantitative and qualitative studies related to RHD published between 1997 and 2021 in English and Persian. Out of 103 obtained articles, 29 met the inclusion criteria.FindingsIn the analysis, the authors identified stable physical state, desirable individual and social conditions, psychological stability, adequate support, adequate information and knowledge, and multidisciplinary care as the attributes of the determinants of RHD. Antecedents were divided into two categories, including preadmission conditions (economic and social, etc.) and postadmission conditions (disease severity and patient health needs, etc). The consequences were also identified as both positive (e.g. self-care) and side effects (e.g. reduced readmission).Originality/valueThe results showed that the concept of RHD in MI patients is a complex and multidimensional condition that applies to all patients on discharge. It is critical for the care team to pay attention to its attributes and scopes in the process of preparing the patient for discharge. It is also suggested that the concept be used as a nursing diagnosis on the North American Nursing Diagnosis Association (NANDA) list. The Association provides nurses with an up-to-date list of nursing diagnoses.

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Broadening the Horizons on Predictors of Discharge Teaching, Discharge Readiness, and Postdischarge Outcomes

Cited by 4 publications

References 0 publications

Readiness for hospital discharge: A concept analysis

Readiness for hospital discharge: A concept analysis

Understanding preparation for preterm infant discharge from parents’ and healthcare providers’ perspectives: Challenges and opportunities

Readiness for discharge from hospital: a concept analysis

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