Parent Readiness for Hospital Discharge Scale: Psychometrics and Association with Postdischarge Outcomes

Authors

Marianne Weiss, Marquette UniversityFollow
Stacee M. Lerret, Medical College of WisconsinFollow
Rachel Schiffman, University of Wisconsin - Milwaukee

Document Type

Article

Language

eng

Publication Date

1-2020

Publisher

Elsevier

Source Publication

Journal of Pediatric Health Care

Source ISSN

0891-5245

Abstract

Introduction The purpose of this study is to validate the Readiness for Hospital Discharge Scale (RHDS) for use with parents of hospitalized children. PedRHDS is a structured tool for a discharge readiness assessment before pediatric discharge. Methods Using combined data from four studies with 417 parents, psychometric testing and item reduction proceeded with principal component analysis for factor structure delineation, Cronbach's alpha for reliability estimation, and regression analysis for predictive validity. Results A 23-item PedRHDS retained the a priori factor structure. Reliability ranged from 0.73 to 0.85 for the 23-item and 10- and 8-item short scales. PedRHDS (all forms) was associated with postdischarge coping difficulty (explaining 12%–16% of variance) and readmission (odds ratio = 0.71−0.80). Discussion The PedRHDS and both short forms (PedRHDS-SF10 and PedRHDS-SF8) are reliable and valid measures of parental discharge readiness that can be used as outcome metrics of hospital care and risk indicators for postdischarge coping difficulty and readmission.

Comments

Accepted version. Journal of Pediatric Health Care, Vol. 34, No. 1 (January/February 2020): 30-37. DOI. © 2020 Elsevier. Used with permission.

Recommended Citation

Weiss, Marianne; Lerret, Stacee M.; and Schiffman, Rachel, "Parent Readiness for Hospital Discharge Scale: Psychometrics and Association with Postdischarge Outcomes" (2020). College of Nursing Faculty Research and Publications. 715.
https://epublications.marquette.edu/nursing_fac/715