Background: With the development of the "person-centered" model of nursing care, for a better understanding of patient self-reported Readiness for Hospital Discharge (RHD) the theme is being studied extensively by researchers and professionals around the world. Methods: Using search terms such as "readiness for hospital discharge", (RHD) we systematically searched the PubMed database for relevant articles on patients with RHD from 2019 to the present. Screening was performed strictly according to the inclusion and exclusion criteria, and finally, the relevant literature was read and summarized. Results: A total of 8 articles met the criteria published between 2019 and 2022. The probability of being unprepared for discharge varied by disease type. Factors influencing patient RHD included demographic characteristics, psychological status, disease-related information, and hospital setting factors. Conclusions: Studies of RHD patients have been extensively developed in recent years. There is evidence to sustain that some patients leave the hospital unprepared, and in conditions that would require further attention of clinical staff. The issue may not be receiving the best required attention in what should be a priority of healthcare management and concern with impacts on the patients’ quality of life. Contribution to Evidence-Based Care: The article contributes to an update on how to identify patients with low RHD in the context of busy nursing workloads and make clear interventions, thus improving the efficiency of nursing care. In addition, according to the factors affecting patients' RHD, scientific discharge plans were constructed and used clinically to promote the application of nursing research results in nursing practice. Finally, the article sustains taht evidence-based nursing care can ensure better quality ofcare and contribute to the improvement of impacts on patients' quality of life.

Background: As the number of total knee arthroplasty (TKA) increases and the length of stay decreases, the readiness of patients for discharge needs attention. The purpose of this study is to clarify the relationship between the quality of discharge teaching, depression, self-efficacy for rehabilitation, and readiness for hospital discharge (RHD), thereby providing evidence support for improving readiness for discharge in patients with TKA.Methods: A total of 319 TKA patients participated in this cross-sectional study. Bivariate Pearson’s correlation was used to test the correlation between the four variables. Multivariate regression models and Bootstrap tests were used to examine the mediating role of depression and self-efficacy for rehabilitation. In addition, we used a mediation model 6 to explore the relationship between the quality of discharge teaching, depression, self-efficacy for rehabilitation, and RHD. All regression models were adjusted for age, sex, residential status, education level, number of joint replacements, and number of co-morbidities.Results: Depression was negatively associated with RHD (r=-0.281, P＜0.01) ,and self-efficacy for rehabilitation was positively associated with RHD (r=0.396, P＜0.01), with both playing a partially mediating role between the quality of discharge teaching and RHD, the effect value being 62.7%. The effect of discharge teaching quality on RHD in patients with TKA was weakened when depression and recovery self-efficacy were added.Conclusions: The results of this study emphasized the importance of depression and self-efficacy for rehabilitation on the RHD of patients with TKA. When providing discharge teaching, physicians and nurses could use relevant psychological intervention methods to improve the patient's physical and mental condition, with the final goal of improving their RHD.