Document Type
Article
Language
eng
Publication Date
2017
Publisher
Elsevier (WB Saunders)
Source Publication
Journal of Pediatric Nursing
Source ISSN
0882-5963
Abstract
Purpose
This study explored the sequential relationships of parent perceptions of the quality of their discharge teaching and nurse and parent perceptions of discharge readiness to post-discharge outcomes (parental post-discharge coping difficulty, readmission and emergency department visits).
Design/methods
In this secondary analysis of data from a longitudinal pilot study of family self-management discharge preparation, the correlational design used regression modeling with data from a convenience sample of 194 parents from two clinical units at a Midwest pediatric hospital. Data were collected on the day of discharge (Quality of Discharge Teaching Scale; Readiness for Hospital Discharge Scale), at 3 weeks post-discharge (Post-Discharge Coping Difficulty Scale), and from electronic records (readmission, ED visits).
Results
Parent-reported quality of discharge teaching delivery (the way nurses teach), but not the amount of content, was positively associated with parent perception (B = 0.54) and nurse assessment (B = 0.16) of discharge readiness. Parent-reported discharge readiness was negatively associated with post-discharge coping difficulty (B = − 0.52). Nurse assessment of discharge readiness was negatively associated with readmission; a one point increase in readiness (on a 10 point scale) decreased the likelihood of readmission by 52%.
Conclusion
There is a sequential effect of quality of discharge teaching delivery on parent discharge readiness, which is associated with parent coping difficulty and child readmission.
Practice Implications
Efforts to improve discharge outcomes should include strategies to build nurse teaching skills for high-quality delivery of discharge teaching. In addition, routine nurse assessment of discharge readiness can be used to identify children at risk for readmission and trigger anticipatory interventions.
Recommended Citation
Weiss, Marianne E.; Sawin, Kathleen; Gralton, Karen; Johnson, Norah L.; Klingbeil, Carol; Lerret, Stacee M.; Malin, Shelly; Yakusheva, Olga; and Schiffman, Rachel, "Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children" (2017). College of Nursing Faculty Research and Publications. 462.
https://epublications.marquette.edu/nursing_fac/462
Comments
Accepted version. Journal of Pediatric Nursing, Vol. 34 (May-June 2017): 68-64. DOI. © 2017 Elsevier B.V. Used with permission.