Readiness for hospital discharge: A concept analysis

Galvin, Eileen Catherine; Wills, Teresa; Coffey, Alice

doi:10.1111/jan.13324

Cited by 92 publications

(125 citation statements)

References 34 publications

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“…The complete readiness for hospital discharge includes physical stability, sufficient support, psychological ability and enough information and knowledge. It suggests that medical staff should strengthen communication with patients and their families, provide them with high-quality discharge guidance services, and ensure that patients understand and master relevant contents of discharge guidance [18].…”

Section: The Readiness For Hospital Discharge Of Patients With Hystermentioning

confidence: 99%

Analysis of the Status Quo and Influencing Factors of Readiness for Hospital Discharge of Patients Undergoing Hysteromyomectomy

Zhang¹,

Wang²,

Cai³

et al. 2020

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Objective: To evaluate the status quo and influencing factors of readiness for hospital discharge of patients undergoing hysteromyomectomy. Methods: A total of 240 patients with uterine fibroid undergoing hysteromyomectomy from 2 hospitals in Jingzhou were investigated using a self-designed general information questionnaire, the Readiness for Hospital Discharge Scale and the Quality of Discharge Teaching Scale. Results: The total score of readiness for hospital discharge was (91.36 ± 18.46), the multiple linear regression analysis showed that the quality of discharge guidance, the scope of myomectomy, pain degree of incision and the average monthly income per family were the main influencing factors of readiness for hospital discharge. Conclusion: The readiness for hospital discharge was at a medium level in patients with uterine fibroid undergoing hysteromyomectomy, medical personnel should give specific discharge guidance according to the specific conditions of patients to ensure the safety of patients after discharge.

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Section: The Readiness For Hospital Discharge Of Patients With Hystermentioning

confidence: 99%

Analysis of the Status Quo and Influencing Factors of Readiness for Hospital Discharge of Patients Undergoing Hysteromyomectomy

Zhang¹,

Wang²,

Cai³

et al. 2020

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“…In fact, the relational aspect that distinguishes this activity of "ensuring" is inherent in the nature of care that is close to the needs of patients (Hagerty & Patusky, 2003) and accompanies them in every transition (Meleis, Sawyer, Im, Messias, & Schumacher, 2000). The nurse plays an important role in managing discharge and recognising the patient's readiness for it (Galvin et al, 2017) so that appropriate interventions could be included into patient care at the established time (Carroll & Dowling, 2007).…”

Section: Checklist Activities Rate a (%)mentioning

confidence: 99%

“…Readiness is described as both a state and a process characterised by physical stability, competence to manage self-care at home, adequate support to cope after leaving the hospital and adequate information, plus the knowledge to respond to common problems (Galvin et al, 2017;Røsstad et al, 2017). In many cases, patients are not ready to go home from the hospital because there is not enough time for discharge preparation (Galvin et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Discharge of older patients with chronic diseases: What nurses do and what they record. An observational study

Facchinetti

Ianni

Piredda

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To describe which nursing activities are observed during the discharge of older patients with chronic diseases and to investigate the consistency between the nursing activities actually observed and those documented. Background The discharge from hospital of older patients with chronic diseases is a critical transition that can lead to dissatisfaction, delays in discharge, re‐admission, adverse events and increased mortality. Although nurses’ interventions during discharge are important for patient outcomes, little is known about the nursing activities actually performed as compared with those documented. Design An observational study of the nursing activities performed during patients’ discharge and a retrospective audit of the nursing records of the same patients and nurses. Methods Structured nonparticipant observations were conducted of the activities performed by nurses at discharge. A retrospective audit of the nursing records relating to patient discharge, including the nursing diary and the assessment of critical issues at hospital discharge, was also conducted. The STROBE guidelines were followed (See Supporting Information Appendix S2). Results During hospital discharge of 102 patients, 1,224 nursing activities were observed. The number of activities was not related to patients’ age, gender and educational level, nor to nurses’ postgraduate education. Statistically significant correlations emerged between the number of activities observed and the nurses’ work experience. Conclusions A predefined discharge plan guiding nurses’ activities during discharge would enable them to respond better to the care needs of elderly patients. Relevance to clinical practice Results from the study could help clinical nurses to address care priorities of patients at discharge, by using appropriate plans and checklists and improving recording rates. Novice nurses should be supported when caring for elderly patients with chronic disease at discharge.

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“…A better understanding of this phenomenon will assist in recognising, measuring, and implementing interventions where necessary, to ensure patients are ready for hospital discharge [6].…”

Section: Introductionmentioning

confidence: 99%

“…Medical care providers are responsible for adequate preparation of patients for discharge from the hospital [5]. Galvin et al [6] proposed an operational definition of readiness for hospital discharge that includes following attributes:…”

Section: Introductionmentioning

confidence: 99%

The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire

Buszko

Kosobucka²,

Michalski³

et al. 2017

Medical Research Journal

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The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire ABSTRACT Introduction. Medical care providers are responsible for adequate preparation of patients for discharge from the hospital. The purpose of this study was to validate a new self-reported questionnaire assessing the readiness of patients for hospital discharge. The scoring less than 44 points for the entire questionnaire indicates low readiness, obtaining between 44 and 57 points indicates medium readiness, and scores over 57 points are classified as high readiness for discharge from hospital.Conclusions. The validation procedure revealed that RHD MIS is a reliable and homogeneous tool to measure the readiness of patients for hospital discharge. The set of items divided into three subscales allows subjective and objective evaluation of the patient's knowledge and expectations. Further investigation is needed to assess the potential impact of RHD MIS scoring on long-term outcome.

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Readiness for hospital discharge: A concept analysis

Cited by 92 publications

References 34 publications

Analysis of the Status Quo and Influencing Factors of Readiness for Hospital Discharge of Patients Undergoing Hysteromyomectomy

Analysis of the Status Quo and Influencing Factors of Readiness for Hospital Discharge of Patients Undergoing Hysteromyomectomy

Discharge of older patients with chronic diseases: What nurses do and what they record. An observational study

The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire

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