Coping Difficulties After Hospitalization

Miller, Judith; Piacentine, Linda B.; Weiss, Marianne

doi:10.1177/1054773808325226

Cited by 36 publications

(17 citation statements)

References 32 publications

(42 reference statements)

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“…The quality of the discharge teaching was associated with patients' increased perceptions of being ready for hospital discharge more so than the amount of content received (Weiss et al, 2007). Miller and colleagues described patients as being surprised by the length of time it took to recover and the level of fatigue after they were home (Miller, Piacentine, & Weiss, 2008), which may be a contributing factor to patients limited recall of discharge instructions. Other potential explanations for limited recall or a lack of suggestions for improvement may be patients feeling overwhelmed, accepting the status quo, or they had not experienced any problems to draw their attention to the missed information.…”

Section: Discussionmentioning

confidence: 99%

Hospital to Home Health Care Transition: Patient, Caregiver, and Clinician Perspectives

2011

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Increasing national attention is focused on improving posthospital transitions. Home health patients are in an opportune position to provide insight into this transition as they resume care for themselves with informal caregivers and home health professionals. This qualitative study describes the experiences of patients, informal caregivers, and home health clinicians during the posthospital transition. A total of 40 patients, 35 informal caregivers, and 15 clinicians participated in this study. Patients recalled receiving discharge instructions but with few details and limited information about follow-up actions if they had problems. Discharge instructions were a versatile means of communication. Home health clinicians used these instructions to guide discussions with patients and their caregivers. Both informal caregivers and home health care clinicians emphasized the inadequate preparation of caregivers during the discharge process. More attention is needed to proactively engage informal caregivers and involve home health clinicians who can facilitate the implementation of discharge plans to improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Hospital to Home Health Care Transition: Patient, Caregiver, and Clinician Perspectives

2011

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“…There has been considerable effort to reduce the length of hospitalisation to conserve medical resources (Rose, Ramsay, & Leaf, 2008;Khalifa, 2017). Parents are often not prepared for the transition from hospital to home care and are consequently vulnerable to stressors related to physical fatigue, lifestyle change and parental role adaptation (Fitzgerald, Piacentine, & Weiss, 2008). The parents are advised to prepare environment and facilities, improve their knowledge and skills, and prepare for changes in their physical-emotional status well before their infants' discharge.…”

Section: Introductionmentioning

confidence: 99%

Parental readiness for hospital discharge as a mediator between quality of discharge teaching and parental self‐efficacy in parents of preterm infants

Hua

Yuwen

Simoni

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To examine the extent to which parental readiness for hospital discharge mediates the relationship between quality of discharge teaching and parental self‐efficacy in parents of preterm infants. Background Parental readiness for hospital discharge and self‐efficacy should be considered to establish whether preterm infants and their families are prepared for the discharge. High‐quality discharge teaching could facilitate a smooth discharge transition. However, little is known about how quality of discharge teaching influences parental readiness for hospital discharge and self‐efficacy. Design This was a descriptive cross‐sectional study of 202 parents with preterm infants in a tertiary hospital in Eastern China. Methods The key variables of interest were measured using the Chinese versions of the Quality of Discharge Teaching Scale, Readiness for Hospital Discharge Scale‐Parent Form, and Preterm Parenting and Self‐Efficacy Checklist. Path analyses were conducted to test the mediation models. STROBE checklist was used to compile the study's report. Results Parental readiness for discharge (overall and knowledge dimension) partially mediated the relationship between the quality of discharge teaching and parental self‐efficacy. The two dimensions (content received and delivery) of quality of discharge teaching positively influenced parental self‐efficacy by improving parental readiness for discharge. Conclusions Parental readiness for hospital discharge, especially the knowledge dimension, was an important factor in quality of discharge teaching's association with self‐efficacy in parents of preterm infants. Improving the quality of discharge teaching could increase parental readiness for discharge and thus promote parental self‐efficacy. Relevance to clinical practice Improving discharge instructions is essential to help parents of preterm infants prepare for the transition to home care. Assessing readiness and confidence at an early stage and continuing to do so throughout the hospital stay may provide additional ways for nurses to identify parents’ knowledge gaps and to provide tailored interventions at more opportune times before hospital discharge.

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“…Hospital discharge is a complex process starting before admission where possible, or immediately after admission [1]. In recent years, modern medical treatment and cost-effective use have ensued shorter length of hospital stay and pressure on discharge of patients [2]. A variety of adverse events are related to discharge such as drug errors, hospital-acquired infections, and procedure-related complications [3], were elderly patients are particular at risk of poorer outcomes and admissions to hospital as an emergency within 30 days of discharge (emergency readmission) [4].…”

Section: Introductionmentioning

confidence: 99%

“…A variety of adverse events are related to discharge such as drug errors, hospital-acquired infections, and procedure-related complications [3], were elderly patients are particular at risk of poorer outcomes and admissions to hospital as an emergency within 30 days of discharge (emergency readmission) [4]. A vast body of literature focuses on the patient’s condition, especially cognitive impairment and vulnerability, can complicate care in the discharge process [5, 6], and cause difficulties in managing post hospitalization care [2]. Vulnerability may be related to a number of challenges, such as side effects of new drugs [7], reduced mobility and increased risk of falls [8, 9], depression [10], and lack of support system [11].…”

Section: Introductionmentioning

confidence: 99%

Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey

et al. 2019

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BackgroundThe Discharge Care Experiences Survey (DICARES) was previously developed to measure quality of discharge care in elderly patients (≥ 65 years). The objective of this study was to test the factorial validity of responses of the DICARES, and to investigate its association with existing quality indicators.MethodsWe conducted a cross-sectional study at two hospitals in Bergen, Western Norway. A survey, including DICARES, was sent by postal mail to 1,418 patients 30 days after discharge from hospital. To test the previously identified three-factor structure of the DICARES we applied a first order confirmatory factor analysis with corresponding fit indices and reliability measures. Spearman’s correlation coefficients, and linear regression, was used to investigate the association of DICARES scores with the quality indicators Nordic Patient Experiences Questionnaire and emergency readmission within 30 days.ResultsA total of 493 (35%) patients completed the survey. The mean age of the respondents was 79 years (SD = 8) and 52% were women. The confirmatory factor analysis showed acceptable fit. Cronbach’s α between items within factors was 0.82 (Coping after discharge), 0.71 (Adherence to treatment), and 0.66 (Participation in discharge planning). DICARES was moderately correlated with the Nordic Patient Experiences Questionnaire (rho = 0.49, P < 0.001). DICARES overall score was higher in patients with no readmissions compared to those who were emergency readmitted within 30 days (P < 0.001), indicating that more positive experiences were associated with fewer readmissions.ConclusionsDICARES appears to be a feasible instrument for measuring quality of discharge care in elderly patients (≥ 65 years). This brief questionnaire seems to be sensitive with regard to readmission, and independent of comorbidity. Further studies of patients’ experiences are warranted to identify elements that impact on discharge care in other patient groups.

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Coping Difficulties After Hospitalization

Cited by 36 publications

References 32 publications

Hospital to Home Health Care Transition: Patient, Caregiver, and Clinician Perspectives

Hospital to Home Health Care Transition: Patient, Caregiver, and Clinician Perspectives

Parental readiness for hospital discharge as a mediator between quality of discharge teaching and parental self‐efficacy in parents of preterm infants

Discharge care quality in hospitalised elderly patients: Extended validation of the Discharge Care Experiences Survey

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