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Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital.
Health Serv Res. 2014 Feb;49(1):304-17
Authors: Weiss ME, Costa LL, Yakusheva O, Bobay KL
Abstract
OBJECTIVE: 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.
STUDY DESIGN: 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.
PRINCIPAL FINDINGS: 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.
CONCLUSIONS: Nurse discharge readiness assessment should be added to existing strategies for identifying readmission risk.
PMID: 23855675 [PubMed - indexed for MEDLINE]