Factors and post-discharge outcomes associated with patients’ readiness for discharge from the emergency medicine ward: A prospective study

Siow, Elaine; Lo, Shuk Man; Yeung, Kwai Lin; Yeung, Richard Sai Dat; Choi, Kai Chow; Chair, Sek Ying

doi:10.1016/j.ienj.2019.04.002

Cited by 24 publications

(40 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, knowledge scored the lowest of the four RHDS dimensions, which is inconsistent with previous findings that expected support scored the lowest in other countries (Coffey & McCarthy, 2013;Siow et al, 2019). This finding may be related to cultural differences.…”

Section: Discussioncontrasting

confidence: 98%

“…Consistent results were found in studies showing that patients who stayed longer in the hospital were more likely to have low RHD than patients who had shorter stays (Kaya, et al., 2018; Schmocker et al., 2015). The authors attributed this finding to longer‐stay patients being sicker and more likely to have complex hospitalizations and post‐discharge needs (Siow et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

“…To improve patient‐reported RHD, many studies have explored multiple factors associated with discharge readiness, such as discharge teaching (Chen et al., 2016; Suwan et al., 2018), social support (Siow et al., 2019), sociodemographic characteristics (Yanikkerem et al., 2018), health literacy (Wallace et al., 2016) and hospital factors (Mabire et al., 2019; Suwan et al., 2018). Notably, a high quality of discharge teaching, in which nurses play an important role (Mabire et al., 2015; Weiss et al., 2017), has been shown to have a positive influence on RHD (Kang et al., 2018; Qiu et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

“…The score of “knowledge” dimension was the lowest one in the four dimensions of RHDS in our study, which is consistent with the findings of most research about RHD in China, but is inconsistent with studies done in other countries where the dimension with the lowest score varied. 19 , 24 , 40 , 41 Differences in discharge teaching might be one rationale. Discharge teaching in China is usually delivered by nurses on the day of discharge, it is difficult for nurses to provide individual discharge teaching in such a limited time period, and patients are also eager to go home rather than concentrating on learning.…”

Section: Discussionmentioning

confidence: 99%

Readiness for Hospital Discharge of Adult Patients with Major Depressive Disorder in China: A Cross-Sectional Study

Xiong

Liu

Chen

et al. 2021

PPA

View full text Add to dashboard Cite

Purpose Being ready for discharge is vital to successful hospital-to-home transitions. However, despite a wealth of evidence on its effectiveness, little is known about readiness for hospital discharge (RHD) in adult patients with major depressive disorder (MDD) and its influencing factors. In this study, we investigated the patient-reported RHD and its influencing factors among Chinese adult patients with MDD. Patients and Methods In this cross-sectional design study, 230 adult patients with MDD were recruited according to the inclusion and exclusion criteria, 6 were excluded due to incomplete questionnaires, finally 224 patients were included in our study. Data were collected from March to September 2019 in a tertiary general hospital in Hunan Province (China). The general information, RHD, quality of discharge teaching and level of depression were assessed by using questionnaires. Univariate analysis and ordinal logistic regression analysis were performed to explore the influencing factors of RHD. Results The RHD score was 7.37 ± 1.40, and 36.2% of participants were not ready for discharge. The score of quality of discharge teaching scale (QDTS) was 6.36 ± 1.89, the dimension of delivery scored highest, followed by content-needed and content-received. The proportions of patients with no, mild, moderate, moderately severe and severe depression were 12.5%, 27.7%, 25.0%, 25.4% and 9.4%, respectively. The following factors were associated with RHD: the level of depression (OR=0.66), the content-received dimension of QDTS (OR=1.16), education level (OR=1.24), work status (OR=1.76) and length of hospitalization (OR=0.53). Conclusion The RHD among participants was at a moderate level. It is strongly suggested to take the assessment of RHD as a routine process. High education level, employment and the content-received dimension of QDTS were protective factors of participants’ RHD, and long-term hospitalization, the high level of depression were its risk factors.

show abstract

“…The concept of RHD examines whether the patients complete a safe discharge process, continue further rehabilitation and return to society (Fenwick, 1979). Studies show that sufficient RHD can reduce medical expenses and is related to satisfactory PDO, such as higher quality of life and lower incidence of readmission, unscheduled clinic visits and post‐discharge coping difficulty (Jiang et al., 2017; Meng et al., 2020; Piccenna et al., 2016; Siow et al., 2019; Weiss et al, 2014; Weiss et al., 2017). Furthermore, Weiss's study indicated that RHD played an important intermediary role between QDT and PDO in surgical patients and mothers after birth (Weiss & Lokken, 2009; Weiss et al., 2007).…”

Section: Introductionmentioning

confidence: 99%

Discharge teaching, readiness for hospital discharge and post‐discharge outcomes in cataract patients: A structural equation model analysis

2020

View full text Add to dashboard Cite

Aim To explore the interaction mechanism of cataract patients’ quality of discharge teaching, discharge readiness and post‐discharge outcomes using structural equation model analysis. Background The quality of discharge teaching and discharge readiness are two indicators used to evaluate the quality of hospital discharge services. Little research has been done on the quality of discharge teaching, discharge readiness and post‐discharge outcomes in cataract patients, especially in China. Methods Four questionnaires were administered to 192 patients, and the results were analysed using Spearman's correlation and structural equation model. Results The statistical analysis showed low‐to‐moderate correlations among the quality of discharge teaching, discharge readiness and post‐discharge outcome variables; discharge readiness played an intermediary role in the interaction mechanism of the three variables. Conclusion The cataract patients demonstrated satisfactory quality of discharge teaching, discharge readiness and post‐discharge outcomes. Quality of discharge teaching affected post‐discharge outcomes through the intermediary role of discharge readiness. Implications for Nursing Management Nursing managers should recognize the importance of discharge services, pay more attention to improve the quality of discharge teaching and strengthen discharge readiness to prevent the risks of post‐discharge complications and readmission.

show abstract

Factors and post-discharge outcomes associated with patients’ readiness for discharge from the emergency medicine ward: A prospective study

Cited by 24 publications

References 33 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

Readiness for Hospital Discharge of Adult Patients with Major Depressive Disorder in China: A Cross-Sectional Study

Discharge teaching, readiness for hospital discharge and post‐discharge outcomes in cataract patients: A structural equation model analysis

Contact Info

Product

Resources

About