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Clinical nursing research · Feb 2018
Quality of Transition From Hospital to Home: The Influence of Nurse- and Patient-Reported Readiness.
- Andrea S Wallace, Yelena Perkhounkova, and Nicole L Bohr.
- 1 The University of Utah, Salt Lake City, UT, USA.
- Clin Nurs Res. 2018 Feb 1; 27 (2): 129-147.
AbstractIdentifying those at risk of poor outcomes after hospital discharge is a central focus of health care systems. Our purpose was to better understand whether and how patient- and nurse-assessed readiness for discharge (Pt- and RN-RHDS) is related to patient experiences after discharge. We conducted a prospective survey of 70 Veterans and their assigned nurses on the day of, and again with Veterans 2 weeks after, hospital discharge. The predictive model for post-discharge coping difficulty included educational level ( p = .05) and an interaction between Pt-RHDS ratings and Pt-RN RHDS discordance ( p = .01). The predictive model for patient-reported quality of hospital to home transition experience included Pt-RN RHDS discordance and an interaction between Pt-RHDS and the number of people living with the patient ( p = .05). Our findings demonstrate that agreement between Pt- and RN-RHDS may be an important measure in work aiming to improve patient outcomes post-hospitalization.
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