The effect of caregiver's and nurse's perception of a patient's discharge readiness on postdischarge medical resource consumption. (5th March 2020)

• Record Type: Journal Article
• Authors: Shih, Tsung‐Ying; Lin, Li‐Chan; Wu, Shiao‐Chi; Yang, Man‐Hua
• Is Part Of: Journal of advanced nursing. Volume 76:Number 6(2020)
• Page Start: 1355
• Page End: 1363
• Publication Date: 2020-03-05
• Subjects: caregiver -- emergency -- hospital discharge -- nurse -- perception -- readiness -- readmission; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14329
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aims: The purpose of this study was to validate patient's primary caregiver and their nurse's perception of patient discharge readiness assessment and their association with postdischarge medical consumption. Design: The study employed a descriptive research, prospective longitudinal study design. Method: The study was performed in a ward of a medical centre in Taipei, Taiwan, from June 2017–May 2018. Obtained data were analysed using an independent t test, one‐way ANOVA and logistic regression approach. Results/findings: The number of comorbidities and the number of days of hospital stay were positively associated with post discharge emergency room visits. Caregiver readiness for hospital discharge had significant negative correlation with patient's 30‐day readmission. Both caregiver and nurse readiness for the hospital discharge scale score were not factors associated with the patients' 30‐day emergency room visit. Conclusion: Based on the research findings, to assess the discharge readiness as perceived by caregivers at patients' discharge is recommended. Impact: Caregiver and nurse scores on readiness for hospital discharge showed a significant positive correlation. The higher the score of a caregiver's readiness for a patient's hospital discharge, the lower the 30‐day readmission rate. Family‐centred care enables patients to safely pass though the transition phase from hospital to community and reduces the postrelease consumption of medical resources. The discharge readiness perceived by caregivers should be included in any decision‐making. Abstract : 目的: 本项研究旨在验证病人主要照护人员及其护士对病人出院准备情况评估的感知, 以及他们与出院后医疗资源消耗的关系。 设计: 本项研究采用描述性研究、前瞻性纵向研究设计。 方法: 本项研究于2017年6月至2018年5月在台湾台北市某医疗中心病房进行。采用独立 t 检验、单因素方差分析和逻辑回归分析法对所得数据进行分析。 结果/发现结果: 并存病数量和住院天数与出院后急诊室就诊呈正相关。照护人员出院准备情况与病人30天内再入院呈显著负相关。照护人员和护士出院准备量表得分均与患者30天内急诊室就诊无关。 结论: 根据研究结果, 建议对照护人员在病人出院时所感知的出院准备情况进行评估。 影响: 照护人员和护士在出院准备方面的得分呈显著正相关。照护人员对病人出院的准备程度得分越高, 30天内再入院率越低。以家庭为中心的照护可使病人能够安全地度过从医院到社区的过渡阶段, 并减少出院后医疗资源消耗。照护人员所感知的出院准备情况应纳入任何决策之中。