Quality of Transition From Hospital to Home: The Influence of Nurse- and Patient-Reported Readiness

Andrea S. Wallace, Yelena Perkhounkova and Nicole L. Bohr

Clinical Nursing Research, 2018, vol. 27, issue 2, 129-147

Abstract: Identifying those at risk of poor outcomes after hospital discharge is a central focus of health care systems. Our purpose was to better understand whether and how patient- and nurse-assessed readiness for discharge (Pt- and RN-RHDS) is related to patient experiences after discharge. We conducted a prospective survey of 70 Veterans and their assigned nurses on the day of, and again with Veterans 2 weeks after, hospital discharge. The predictive model for post-discharge coping difficulty included educational level ( p = .05) and an interaction between Pt-RHDS ratings and Pt-RN RHDS discordance ( p = .01). The predictive model for patient-reported quality of hospital to home transition experience included Pt-RN RHDS discordance and an interaction between Pt-RHDS and the number of people living with the patient ( p = .05). Our findings demonstrate that agreement between Pt- and RN-RHDS may be an important measure in work aiming to improve patient outcomes post-hospitalization.

Keywords: nurses; nurse–patient relationships; patient discharge; patient readmission (search for similar items in EconPapers)
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:sae:clnure:v:27:y:2018:i:2:p:129-147

DOI: 10.1177/1054773816669449

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