Predictors of Readiness for Hospital Discharge After Birth: Building Evidence for Practice

Malagon-Maldonado, Gabriella; Connelly, Cynthia D.; Bush, Ruth A.

doi:10.1111/wvn.12208

Cited by 33 publications

(34 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Both the content received and the skills of the nurses in delivering the discharge teaching were associated with the patients’ RHD. This finding is consistent with previous studies (Malagon‐Maldonado et al., 2017; Palonen et al., 2015; Suwan et al., 2018; Weiss et al., 2017). Discharge teaching is the primary mechanism used by nurses to help patients transition to home.…”

Section: Discussionsupporting

confidence: 93%

The factors of patient‐reported readiness for hospital discharge in patients with depression: A cross‐sectional study

Wang

Meng

et al. 2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Accessible summary What is known on the subject? The attributes of readiness for hospital discharge (RHD) have been identified to be physical stability, adequate support, psychological ability, and adequate information and knowledge. Patient‐reported RHD has been regarded as an outcome indicator, and poor RHD leads to unplanned readmission, emergency department visits and even death. Knowledge regarding patient‐reported RHD and its factors among patients with depression is limited. What the paper adds to existing knowledge? RHD among patients with depression is at a moderate level. More than a quarter of people with depression had low RHD. The knowledge dimension of the RHDS among patients with depression should be further strengthened. The length of stay, content received and delivery dimensions of the QDTS were significantly associated with RHD. What are the implications for practice? This study encourages nurses to assess patient‐reported RHD at discharge in mental health settings. Nurses should pay more attention to patients with hospital stays longer than 20 days. Nurses could improve RHD by enhancing the quality of discharge teaching, particularly the content received and the skills nurses used to deliver such content. Nurses’ managers could develop programmes to improve teaching skills via Internet technology, such as simulated patients and online interprofessional discharge planning. Abstract IntroductionLow readiness for hospital discharge (RHD) can be followed by negative healthcare outcomes. However, no studies have investigated RHD among patients with depression. AimThis study aimed to examine patient‐reported RHD and its factors among patients with depression. MethodIn total, 367 inpatients with depression were recruited and completed the Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS). A binary logistic regression analysis was performed to explore the factors of RHD among patients with depression. ResultsThe total RHDS score was 7.70 ± 1.52. Approximately 28.9% of the participants had low RHD (RHDS score < 7). The results revealed that RHD was significantly associated with the length of stay, content received and delivery. DiscussionRHD among patients with depression is at a moderate level. More than a quarter of people with depression had low RHD. To improve RHD, enhancing the quality of discharge teaching is imperative for patients with depression. Implications for PracticeNurses should pay more attention to patients with a hospital stay longer than 20 days. Nurses could improve RHD by enhancing the quality of discharge teaching, particularly the content received and the skills nurses used to deliver such content.

show abstract

Section: Discussionsupporting

confidence: 93%

The factors of patient‐reported readiness for hospital discharge in patients with depression: A cross‐sectional study

Wang

Meng

et al. 2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…Previous quantitative research suggests parental readiness is associated with parent demographic characteristics. For example, limited English proficiency, low educational level, and young maternal age are associated with less readiness (Malagon‐Maldonado, Connelly, & Bush, 2017; Miquel‐Verges, Donohue, & Boss, 2011; Smith, Hwang, Dukhovny, Young, & Pursley, 2013). However, psychological inhibitors of discharge readiness remain unknown.…”

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

View full text Add to dashboard Cite

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.

show abstract

“…(30,35). Bu doğrultuda sezaryen doğumların, hastanede kalış süresinin uzamasına, anne izlem ve eğitimlerinin artması ile sezaryen doğum yapan kadınların taburculuğa hazır oluşluğunu artırabildiği vurgulanırken (30), bunun tam tersine, vajinal doğum sonrası sezaryen operasyonuna oranla annelerin yaşadığı fiziksel ve psikolojik sorunların daha az ve konfor düzeyinin daha yüksek olması nedeniyle taburculuğa hazır oluşluklarının daha iyi düzeyde olduğunu belirten sonuçlar da bulunmaktadır (15,23,32). Bulgulardaki farklılığın, literatürdeki çalışmaların Sağlık Bakanlığına bağlı Devlet Hastanelerinde (26,30,32) yapılmış olması ve buna bağlı olarak hasta bakım ve eğitimdeki farklılıkların taburculuğa hazır oluşluğu etkilemesinden kaynaklandığı düşünülmektedir.…”

Section: Verilerin Toplanma şEkliunclassified

Investigation of The Relationship Between Postpartum Comfort and Readiness for Hospital Discharge and Affecting Factors

Öztürk

Yağiz

Güneri

2021

Batı Karadeniz Tıp Dergisi

View full text Add to dashboard Cite

Bu çalışma doğum yapan kadınların konfor düzeyi ile taburculuğa hazır oluşlukları arasındaki ilişki ve etkileyen faktörleri belirlemek amacı ile yapılmış kesitsel ve ilişkisel bir çalışmadır. Gereç ve Yöntemler:Araştırma, Kasım 2019-Mart 2020 tarihleri arasında, İzmir İl'inde bir üniversite hastanesinin kadın doğum servisinde yeni doğum yapmış anneler ile yürütülmüştür. Çalışmanın örneklemini 163 anne oluşturmuştur. Veriler, Birey Tanıtım Formu, Doğum Sonu Konfor Ölçeği ve Hastane Taburculuğuna Hazır Oluşluk Ölçeği kullanılarak yeni doğum yapmış anne ile toplanmıştır. Verilerin analizinde, sayı, yüzde, ortalama hesaplamaları, parametrik testlerden One Way Anova varyans analizi ve Student t testi ile korelasyon analizi kullanılmıştır. Değişkenlerin ölçekler üzerine etkisini belirlemek için regresyon analizi yapılmıştır.Bulgular: Katılımcıların yaş ortalaması 27.9±5.6 olup, %80.1'i bir kez doğum yapmış, %58.3'ü son doğumunu sezaryen ile yapmış, %17.8'i doğum sonu sorun yaşamıştır. Doğum Sonu Konfor Ölçeği puan ortalaması 115.43±15.51 (min=76,00-max=158,00); Hastane Taburculuğuna Hazır Oluşluk Ölçeği puan ortalaması 154.29±31.08 (min=63,00-max=215,00) olarak hesaplanmış ve ölçekler arasında orta düzeyde pozitif yönde anlamlı bir ilişki bulunmuştur. Her iki ölçekte doğum yöntemi arasında anlamlı fark bulunmazken, evlilik yılı ve doğum sayısındaki artış, taburculuğa hazır oluşluğu; odada başka hastanın olmaması ve oda koşullarından memnun olma durumunun doğum sonu konforu artırdığı saptanmıştır. Doğum sonuna ait sorun veya komplikasyon olarak en sık ağrı, kanama, mesane veya anüs rüptürü ve gaz problemi olarak belirtilmiştir. Doğum sonuna ait sorun veya komplikasyon yaşanmasının, taburculuğa hazır oluşluğu ve doğum sonu konforu azalttığı saptanmıştır.Sonuç: Annelerin doğum sonu konfor ve taburculuğa hazır oluşluklarının orta düzeyde olduğu, bireysel ve çevresel faktörlerin bu değişkenler üzerinde etkili olduğu saptanmıştır. Doğum sonu konforu ve taburculuğa hazır oluşluğun artırılması için, anne ve bebeklerin ihtiyaçları ve beklentileri belirlenerek hasta bakım kalitesinin artırılması önerilmektedir.

show abstract

Predictors of Readiness for Hospital Discharge After Birth: Building Evidence for Practice

Cited by 33 publications

References 16 publications

The factors of patient‐reported readiness for hospital discharge in patients with depression: A cross‐sectional study

The factors of patient‐reported readiness for hospital discharge in patients with depression: A cross‐sectional study

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

Investigation of The Relationship Between Postpartum Comfort and Readiness for Hospital Discharge and Affecting Factors

Contact Info

Product

Resources

About