Quality of Transition From Hospital to Home: The Influence of Nurse- and Patient-Reported Readiness. (February 2018)

• Record Type: Journal Article
• Authors: Wallace, Andrea S.; Perkhounkova, Yelena; Bohr, Nicole L.
• Is Part Of: Clinical nursing research. Volume 27:Number 2(2018:Feb.)
• Page Start: 129
• Page End: 147
• Publication Date: 2018-02
• Subjects: nurses -- nurse–patient relationships -- patient discharge -- patient readmission; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Clinical medicine -- Research -- Periodicals; 610.73
• DOI: 10.1177/1054773816669449
• Languages: English
• ISSNs: 1054-7738

Abstract

Identifying 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.