Nurse and Patient Perceptions of Discharge Readiness in Relation to Postdischarge Utilization
Bibliographic Data
| ID | 9101568 |
|---|---|
| Authors | Marianne Wei (0000-0003-4217-9822, Marquette University), Marianne Weiss, Olga Yakusheva (0000-0001-5501-1397, Marquette University), Kathleen L Bobay (0000-0003-2734-6602, Marquette University), Kathleen Bobay |
| Year | 2010 |
| Volume | 48 |
| Issue | 5 |
| Pages | 482-486 |
| Publication date | 2010-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e3181d5feae |
| PMID | 20393364 |
| OpenAlex | W2097308078 |
| Language | EN |
| Citations received | 6 |
| References cited | 21 |
BACKGROUND: Prevention of hospital readmission and emergency department (ED) utilization will be a crucial strategy in reducing health care costs. There has been limited research on nurse assessment and patient perceptions of discharge readiness in relation to postdischarge outcomes. OBJECTIVES: To investigate the association of nurse and patient assessments of discharge readiness with postdischarge readmissions and ED visits. RESEARCH DESIGN: Hierarchical regression analysis of readmission or ED utilization using independent nurse and patient assessments of discharge readiness and patient characteristics as explanatory variables, with hospital and unit fixed effects. SUBJECTS: A total of 162 adult medical-surgical patients and their discharging nurses from 13 medical-surgical units of 4 Midwestern hospitals. MEASURES: Readiness for Hospital Discharge Scale completed independently by patients and their discharging nurses within 4 hours before hospital discharge; Postdischarge utilization (unplanned readmission or ED visit within 30 days postdischarge). RESULTS: Correlations between nurse assessment and patient perceptions of discharge readiness were low (r = 0.15-0.32). Nurses rated patient readiness higher than patients themselves. Controlling for patient characteristics, nurse readiness for hospital discharge scale score (odds ratio = 0.57, P = 0.05) but not patient readiness for hospital discharge scale score was associated with postdischarge utilization. CONCLUSIONS: Nurse assessment was more strongly associated with postdischarge utilization than patient self-assessment. Formalizing nurse assessment of discharge readiness could facilitate identification of patients at risk for readmission or ED utilization before discharge when anticipatory interventions could prevent avoidable postdischarge utilization
Acute care · Emergency department · Health care · Hospital discharge · Intensive care medicine · Logistic regression · Medical emergency · MEDLINE · Odds · Patient discharge · Psychological intervention · Scale (ratio) · Emergency and Acute Care Studies · Emergency Medicine · Heart Failure Treatment and Management · Hospital Admissions and Outcomes · Medicine · Nursing
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| Unique citing works | 6 |
|---|---|
| Citations per year | 0,46 |
| Citation span | 2013 - 2024 (12) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 6 |