Discharge Readiness: An Integrative Review Focusing on Discharge Following Pediatric Hospitalization


  • Stacee M. Lerret PhD(c), RN, CPNP

    Corresponding author
    1. Stacee M. Lerret, MSN, RN, CPNP-AC/PC, is a Liver Transplant and Liver Disease Nurse Practitioner, Division of Pediatric Gastroenterology and Nutrition, Medical College of Wisconsin, Milwaukee, WI, USA.
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slerret@chw.org, with a copy to the Editor: roxie.foster@UCDenver.edu


PURPOSE.  This review aims to identify factors associated with parental discharge readiness following pediatric hospitalization, with focus applicability to solid organ transplant patients.

DESIGN AND METHODS.  Thirty-eight publications, including research and clinical practice papers, were identified using Cooper's methodology for conducting integrative research reviews (1982).

RESULTS.  Four concepts emerged influencing discharge readiness: support, identification of unique and individual needs, education, and communication and coordination. Synthesis of themes resulted in two overarching concepts: meaningful interactions and confidence building.

PRACTICE IMPLICATIONS.  Nurses have a singular opportunity to enhance meaningful interactions and confidence building, ultimately promoting a successful transition home.