Managing the incongruities: The hospital discharge experience for elderly patients, their families, and nurses

Congdon, JoAnn G.

doi:10.1016/0897-1897(94)90004-3

Cited by 40 publications

(49 citation statements)

References 13 publications

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“…In some cases, patients may be reluctant to ask questions because of perceived lack of professionals' time, an unfamiliar environment, lack of continuity in staff, and a feeling they may have already been told (Henderson & Zernike, 2001). In other situations, patients, family members, and health care providers may have different perceptions about information that is important (Suhonen, Nenonen, Laukka, & Valimake, 2005) and about readiness for hospital discharge (Congdon, 1994). Patients may have different expectations about their own ability to perform self-care activities (Bull, 1994a) and cope with change (Clark, Steinberg, & Bischoff, 1997).…”

Section: Review Of Related Literaturementioning

confidence: 99%

“…Patients should be central within the discharge preparation process (Congdon, 1994;Procter, Wilcockson, Pearson, & Allgar, 2001) and actively involved (Anthony & Hudson-Barr, 2004;Cleary, Horsfall, & Hunt, 2003), but inadequate participation is frequently reported (Bull & Roberts, 2001;Congdon, 1994;Grimmer et al, 2004;LeClerc et al, 2002). In a study by Tierney et al (1993), only 41% of patients were asked how they would manage after discharge.…”

Section: Review Of Related Literaturementioning

confidence: 99%

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Patients' Perceptions of Hospital Discharge Informational Content

Maloney

Weiss

2008

Clin Nurs Res

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Section: Review Of Related Literaturementioning

confidence: 99%

Section: Review Of Related Literaturementioning

confidence: 99%

Patients' Perceptions of Hospital Discharge Informational Content

Maloney

Weiss

2008

Clin Nurs Res

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“…It has been described as an estimate of patients' and family members' ability to leave an acute care facility, 18 a perception of being prepared or not prepared for hospital discharge, 7,19 and as an indicator of sufficient recovery to allow safe discharge although the patient is in an intermediate rather than later stage of recovery. 1 Attributes of readiness for discharge include physical stability; functional ability, preparedness, and competence to manage self-care at home; psychosocial factors including coping skills; availability of social support; adequate education and information about what to expect; and access to healthcare system and community resources.…”

Section: Introductionmentioning

confidence: 99%

“…The patient's perception of readiness for discharge may be different than their care provider's evaluation. 7,8 In studies of hospital discharge and the transition to care at home, the patient's perception of readiness for discharge has rarely been included as a study variable. Assessment of readiness for discharge and the transition to home-based recovery and care has become increasingly important for patient safety, satisfaction, and outcomes.…”

mentioning

confidence: 99%

Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients

Weiss

Piacentine²,

Lokken³

et al. 2007

Clinical Nurse Specialist

229

388

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The purpose of the study was to identify predictors and outcomes of adult medical-surgical patients' perceptions of their readiness for hospital discharge. Design: A correlational, prospective, longitudinal design with path analyses was used to explore relationships among transition theory-related variables. Setting: Midwestern tertiary medical center. Sample: 147 adult medical-surgical patients. Methods: Predictor variables included patient characteristics, hospitalization factors, and nursing practices that were measured prior to hospital discharge using a study enrollment form, the Quality of Discharge Teaching Scale, and the Care Coordination Scale. Discharge readiness was measured using the Readiness for Hospital Discharge Scale administered within 4 hours prior to discharge. Outcomes were measured 3 weeks postdischarge with the Post-Discharge Coping Difficulty Scale and self-reported utilization of health services. Findings: Living alone, discharge teaching (amount of content received and nurses' skill in teaching delivery), and care coordination explained 51% of readiness for discharge score variance. Patient age and discharge readiness explained 16% of variance in postdischarge coping difficulty. Greater readiness for discharge was predictive of fewer readmissions. Conclusions: Quality of the delivery of discharge teaching was the strongest predictor of discharge readiness. Study results provided support for Meleis' transitions theory as a useful model for conceptualizing and investigating the discharge transition. Implications for Practice: The study results have implications for the CNS role in patient and staff education, system building for the postdischarge transition, and measurement of clinical care outcomes.KEY WORDS: discharge, education, outcomes, readiness f e a t u r e a r t i c l e

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“…In a study of elderly patients, the patient often indicated readiness for discharge, whereas the family indicated a lack of readiness and the nurse expressed uncertainty about discharge readiness (Congdon, 1994).…”

mentioning

confidence: 99%

Psychometric Properties of the Readiness for Hospital Discharge Scale

Weiss

Piacentine²

2006

J Nurs Meas

181

313

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Abstract:The purpose of the study was to assess the psychometrics properties of the (Korttila, 1991) and continue their recovery at home or in an intermediate care facility. The need to assess readiness for hospital discharge and transition to another location and level of care has become increasingly important to patient safety, satisfaction, and outcomes. The purpose of this study was to evaluate the psychometric properties of the Readiness for Hospital Discharge Scale (RHDS), an instrument developed to measure patients' perception of their readiness for hospital discharge.

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Managing the incongruities: The hospital discharge experience for elderly patients, their families, and nurses

Cited by 40 publications

References 13 publications

Patients' Perceptions of Hospital Discharge Informational Content

Patients' Perceptions of Hospital Discharge Informational Content

Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients

Psychometric Properties of the Readiness for Hospital Discharge Scale

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