Validation of Patient and Nurse Short Forms of the Readiness for Hospital Discharge Scale and Their Relationship to Return to the Hospital
Article first published online: 16 JUL 2013
© Health Research and Educational Trust
Health Services Research
Volume 49, Issue 1, pages 304–317, February 2014
How to Cite
Weiss, M. E., Costa, L. L., Yakusheva, O. and Bobay, K. L. (2014), Validation of Patient and Nurse Short Forms of the Readiness for Hospital Discharge Scale and Their Relationship to Return to the Hospital. Health Services Research, 49: 304–317. doi: 10.1111/1475-6773.12092
- Issue published online: 17 JAN 2014
- Article first published online: 16 JUL 2013
- Manuscript Accepted: 11 MAY 2013
- Discharge readiness;
- emergency visits
To validate patient and nurse short forms for discharge readiness assessment and their associations with 30-day readmissions and emergency department (ED) visits.
Data Sources/Study Setting
A total of 254 adult medical-surgical patients and their discharging nurses from an Eastern US tertiary hospital between May and November, 2011.
Prospective longitudinal design, multinomial logistic regression analysis.
Data Collection/Extraction Methods
Nurses and patients independently completed an eight-item Readiness for Hospital Discharge Scale on the day of discharge. Patient characteristics, readmissions, and ED visits were electronically abstracted.
Nurse assessment of low discharge readiness was associated with a six- to nine-fold increase in readmission risk. Patient self-assessment was not associated with readmission; neither was associated with ED visits.
Nurse discharge readiness assessment should be added to existing strategies for identifying readmission risk.