Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: A structural equation model analysis

Guan, Mei-jun; Feng, Xianqiong

doi:10.1002/nop2.1640

Cited by 3 publications

(1 citation statement)

References 38 publications

(42 reference statements)

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“…concluded that medical staff should conduct discharge training for hysterectomy patients according to their individual characteristics and needs and provide accurate, appropriate, standardized and e cient introductions and guidance. (25) The results of this study are the same regarding the age of most patients and companions. Also, in this study, the average score for the dimensions of the quality of the discharge process from the perspective of patients and companions showed that most of them needed to be taught the content received from the nurses at the time of discharge.…”

Section: Discussionmentioning

confidence: 67%

The quality of hospital discharge from the perspective of stakeholders: a case study in Iran

Behzadinejad,

Bahrami,

Jafari

2023

Preprint

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Today, the importance of the hospital, hospital processes and the improvement of the quality level of hospital services are felt more than ever due to the rapid growth of technology. The hospital is responsible for ensuring the health of patients, and the satisfaction of patients and improving the quality of care is one of the important indicators in hospital and nursing care and the main factor determining the quality of hospital services. The purpose of the current research is to determine the quality of hospital discharge from the perspective of the beneficiaries. Methodology: This is an analytical, applied and cross-sectional research study. The research community included patients and their companions as well as nurses. Sampling of patients and their companions was done in the form of available sampling and at the time of discharge of the patient. For sampling nurses, the census method is used to determine the sample size.In order to collect the required information in this research, a questionnaire called the Quality of Discharge Training Scale (QDTS). Findings: The average score of the quality dimensions of the discharge from the perspective of patients, patient companions and nurses showed that most patients (11.07±5.09) and patient companions (11.75±5.15) need to be taught the content received from nurses were at the time of discharge. If the content received from the providers was not optimal from the point of view of patients (17.92±5.35) and patients' companions (17.77±5.25) and it is lower than the average average. If most providers (13.29±4.37) were satisfied with the quality of the content they provided to patients and companions at the time of discharge and it was favorable. But the area of evaluation of teaching skills and effectiveness from the point of view of all three groups of patients (33.82±10.23) and patient companions (31.83±11.26) and nurses (28.60±7.62) There was no favorable report and it was lower than average. A higher percentage of patients (58.1 percent), patient companions (52.8 percent) and nurses (49.1 percent) evaluated the discharge quality as average. Conclusion: The results showed that patients and their companions need to be educated about the content received from nurses at the time of discharge. If most providers were satisfied with the quality of the content they provided to patients and companions at the time of discharge, it was desirable. In the field of evaluation of teaching skills and effectiveness from the point of view of all three groups of stakeholders, it is not reported at the optimal level and it is lower than the average. Also, most of the patients and companions believed that the performance status of the discharge quality was average and the level of understanding of the patients and companions The quality of discharge is reported to be moderate. Managers should understand the characteristics of different departments, provide relevant guidance and assistance, and nurses should understand the characteristics of patients and provide specific guidelines for each patient.

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Section: Discussionmentioning

confidence: 67%

The quality of hospital discharge from the perspective of stakeholders: a case study in Iran

Behzadinejad,

Bahrami,

Jafari

2023

Preprint

View full text Add to dashboard Cite

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Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: A structural equation model analysis

Guan

Feng

2023

Nursing Open

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Aim To explore the relationship between the quality of discharge teaching, readiness for hospital discharge and postdischarge health outcomes in hysterectomy patients. Design Cross‐sectional online survey. Methods A cross‐sectional survey design was used to investigate 331 hysterectomy patients in a hospital in Chengdu. The results were analysed using Spearman's correlation and structural equation model. Results Spearman's correlation analysis revealed moderate‐to‐strong correlations among the quality of discharge teaching, readiness for hospital discharge and postdischarge health outcomes. The total and direct effects of the quality of discharge teaching on patients' readiness for hospital discharge were both 0.70 and readiness for hospital discharge on patients' postdischarge health outcomes were both 0.49. The total, direct and indirect effects of the quality of discharge teaching on patients' postdischarge health outcomes were 0.58, 0.24 and 0.34, respectively. Readiness for hospital discharge mediated the interaction mechanism.

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Association between quality of discharge teaching and self‐management in patients after percutaneous coronary intervention: A chain mediation model

Yang,

Pu,

Jiang

et al. 2024

Journal of Clinical Nursing

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AimsTo examine chain mediating effect of discharge readiness and self‐efficacy between quality of discharge teaching and self‐management in patients after percutaneous coronary intervention (PCI).BackgroundAlthough self‐management after PCI has significant benefits in controlling risk factors and delaying disease progression, the status of self‐management remains unoptimistic. A large number of studies have explored the close relationship between the quality of discharge teaching and patients self‐management, but little is known about the underlying mechanisms.MethodsThe cross‐sectional samples was collected from a tertiary hospital in China. Self‐reported questionnaires were used to assess quality of discharge teaching, discharge readiness, self‐efficacy and self‐management. Pearson correlation analysis and mediation effect analysis were used for statistical analysis.Reporting MethodThe study used the STROBE checklist for reporting.ResultsA total of 198 patients with a mean age of 64.99 ± 11.32 (34–85) were included. The mean score of self‐management was 88.41 ± 11.82. Quality of discharge teaching, discharge readiness, self‐efficacy and self‐management were all positively correlated. Mediation effect analysis showed that the mediating effects of discharge readiness, self‐efficacy, discharge readiness and self‐efficacy between quality of discharge teaching and self‐management were 0.157, 0.177 and 0.049, respectively, accounting for 21.96%, 24.76% and 6.85% of the total effect.ConclusionThe quality of discharge teaching for patients after PCI not only directly affects self‐management, but also can indirectly affect self‐management through discharge readiness and self‐efficacy.Relevance to Clinical PracticeTo improve the life quality of patients after PCI, medical staff should pay attention to the influence of self‐management of quality of discharge teaching, and develop intervention strategies based on the path of discharge readiness and self‐efficacy.Patient or Public ContributionQuestionnaires filled out by patients were used to understand the association between quality of discharge teaching, discharge readiness, self‐efficacy and self‐management.

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Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: A structural equation model analysis

Cited by 3 publications

References 38 publications

The quality of hospital discharge from the perspective of stakeholders: a case study in Iran

The quality of hospital discharge from the perspective of stakeholders: a case study in Iran

Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: A structural equation model analysis

Association between quality of discharge teaching and self‐management in patients after percutaneous coronary intervention: A chain mediation model

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