Validation of Patient and Nurse Short Forms of the Readiness for Hospital Discharge Scale and Their Relationship to Return to the Hospital

Weiss, Marianne; Costa, Linda L.; Yakusheva, Olga; Bobay, Kathleen L.

doi:10.1111/1475-6773.12092

Cited by 114 publications

(199 citation statements)

References 25 publications

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“…Nurses and patients independently completed the questionnaire on the day of discharge. Nurse judgement of low discharge readiness was associated with a six-to nine-fold increase in readmission risk; however, patient self-assessment was associated neither with readmission nor with visits in emergency department [19]. Patient self-assessment is a purely subjective assessment, while nurse evaluation is more objective [20,21].…”

Section: Discussionmentioning

confidence: 98%

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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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Section: Discussionmentioning

confidence: 98%

“…Readmission rates, however, were similar between the groups [18]. Weiss et al [19] validated a short, eight-item version of RHDS for discharge readiness assessment, its associations with 30-day readmissions, and emergency department visit rates. Nurses and patients independently completed the questionnaire on the day of discharge.…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

show abstract

“…[4][5][6][7] What we learned from this research was that the quality of discharge teaching impacted readiness for discharge and, ultimately, post-discharge coping difficulty and readmission. Specifically, we found that how nurses teach impacts these outcomes; [6] in the presence of poor quality teaching, content delivered is not necessarily content well received.…”

Section: Introductionmentioning

confidence: 91%

“…In developing a measure of discharge teaching for these studies, we reviewed literature on discharge teaching and general patient teaching sources. [7][8][9][10][11][12] What emerged from this review were four evidence-based approaches to discharge teaching (patient engagement, adult learning theory, motivational interviewing, and the teachback method) and 13 teaching skills aligned with these approaches. Through triangulation methods, [12] a synthesized model, the Theoretical Framework to Guide Patient/Family Teaching emerged.…”

Section: Introductionmentioning

confidence: 99%

“…[9,[22][23][24] However, recent research has consistently demonstrated that, although discharge teaching content is important, it is the teaching skills of discharging nurses that is a critical factor in patient readiness for hospital discharge, difficulties with post-discharge coping, and return to the hospital for readmission or an emergency department visit. [4,6,7] Good content in the presence of poor teaching does not achieve these key outcomes of discharge teaching. Recommendations for improving discharge teaching emphasize a patient-centered approach in which both the content and method of teaching are individualized to the patient's characteristics and situation, rather than the typical approach of standardized information based on the patients' diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Teaching students to teach patients: A theory-guided approach

Candela

Piacentine

Bobay

et al. 2018

JNEP

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Nurses in every setting provide patient teaching on a routine basis, often several times a day. Patient teaching skills are essential competencies to be developed during pre-licensure nursing education. While students learn what to teach for specific conditions, they often lack competence in how to teach in ways that individualize and optimize patient learning. The ultimate goal of patient teaching is to arm patients with the knowledge and skills, and the desire and confidence in their ability to reach their targeted health outcomes. We describe the creation of a theoretical framework to guide development of patient teaching skills. The framework, rooted in the contemporary health care values of patient-centered care, is a synthesis of four evidence-based approaches to patient teaching: patient engagement, motivational interviewing, adult learning theory, and teach-back method. Specific patient teaching skills, derived from each of the approaches, are applied within the context of discharge teaching, an important nursing practice linked to patient outcomes. This exemplar emphasizes the use of critical teaching process skills and targeted informational content. An online student learning module based on the theoretical framework and combined with simulation experiences provides the nurse educator with one strategy for use with nursing students. The theoretical framework has applicability for skill development during pre-licensure education and skill refinement for nurses in clinical practice.

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Effect of Implementing Discharge Readiness Assessment in Adult Medical-Surgical Units on 30-Day Return to Hospital

et al. 2019

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Key Points Question What is the effect of adding structured nurse assessment of patient readiness for discharge to standard medical-surgical unit discharge practices on 30-day return to hospital? Findings In this multisite cluster randomized clinical trial, when patient self-assessments were combined with readiness assessment by nurses, high-readmission units showed a reduction in 30-day hospital returns. Mixed results were observed for nurse assessments only and for low-readmission units. Meaning Adding a structured discharge readiness assessment by the discharging nurse that includes patient self-assessment to standard practice for hospital discharge may reduce readmissions and emergency department or observation visits.

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Validation of Patient and Nurse Short Forms of the Readiness for Hospital Discharge Scale and Their Relationship to Return to the Hospital

Cited by 114 publications

References 25 publications

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

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

Teaching students to teach patients: A theory-guided approach

Effect of Implementing Discharge Readiness Assessment in Adult Medical-Surgical Units on 30-Day Return to Hospital

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