Journal of Health And Care
Volume 26, Issue 2 (Summer 2024)
JHC 2024, 26(2): 143-154 |
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Ethics code: IR.MUK.REC.1401.162
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Vatandost S, Keshavarzi S, Kamyari N, Asadi N. Investigating the Relationship between Patients' Discharge Readiness from the Nurses' Perspective and Post-discharge Outcomes. JHC 2024; 26 (2) :143-154
URL: http://hcjournal.arums.ac.ir/article-1-1533-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1533-en.html
Department of Critical Care Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract: (73 Views)
Background: The healthcare systems, in addition to focusing on improving patient health during hospitalization, should pay attention to the outcomes followed by discharge. Therefore, it is crucial to identify factors associated with post-discharge outcomes. Hence, this study aimed to investigate the relationship between patients' discharge readiness from the nurses’ perspective and post-discharge outcomes.
Methods: The present descriptive-analytical study was conducted in 2022. The study population included adult patients hospitalized in the general wards of two selected educational medical centers in Sanandaj City and the discharge nurses of each patient. A total of 360 people were selected through convenience sampling. Data collection tools included demographic information forms, a questionnaire on discharge readiness from the nurses' perspective, and a 6-item checklist on post-discharge outcomes. Data were analyzed using SPSS 21 software with a significance level of 0.05, using descriptive statistics and independent t-test, chi-square test, and multiple regression analysis.
Results: The total score of patients' discharge readiness was 7.82±1.19 considered moderate. The lowest score was in the knowledge dimension (7.61±1.60). One month after discharge recovery was reported by 93.4% of patients. Patients who died within one month after discharge had significantly lower discharge readiness scores from the nurses' perspective (P<0.001).
Conclusion: These results indicated that although the overall discharge readiness score was in an appropriate range, the score in the knowledge dimension needs more attention. On the other hand, to reduce negative outcomes after discharge, evaluating the nurses' assessment of the patient's condition at the time of discharge and considering it in the discharge decision-making process should be taken into account, as patients who died had significantly lower discharge readiness from the nurses' perspective
Methods: The present descriptive-analytical study was conducted in 2022. The study population included adult patients hospitalized in the general wards of two selected educational medical centers in Sanandaj City and the discharge nurses of each patient. A total of 360 people were selected through convenience sampling. Data collection tools included demographic information forms, a questionnaire on discharge readiness from the nurses' perspective, and a 6-item checklist on post-discharge outcomes. Data were analyzed using SPSS 21 software with a significance level of 0.05, using descriptive statistics and independent t-test, chi-square test, and multiple regression analysis.
Results: The total score of patients' discharge readiness was 7.82±1.19 considered moderate. The lowest score was in the knowledge dimension (7.61±1.60). One month after discharge recovery was reported by 93.4% of patients. Patients who died within one month after discharge had significantly lower discharge readiness scores from the nurses' perspective (P<0.001).
Conclusion: These results indicated that although the overall discharge readiness score was in an appropriate range, the score in the knowledge dimension needs more attention. On the other hand, to reduce negative outcomes after discharge, evaluating the nurses' assessment of the patient's condition at the time of discharge and considering it in the discharge decision-making process should be taken into account, as patients who died had significantly lower discharge readiness from the nurses' perspective
Type of Study: cross-sectional design |
Subject:
nursing
Received: 2024/01/25 | Accepted: 2024/06/6 | Published: 2024/07/31
Received: 2024/01/25 | Accepted: 2024/06/6 | Published: 2024/07/31
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