Yazarlar |
Sıdıka Kaya
Hacettepe Üniversitesi, Türkiye |
Gülay Sain Güven
Hacettepe Üniversitesi, Türkiye |
Seda Aydan
Hacettepe Üniversitesi, Türkiye |
Ahmet Kar
Kırıkkale Üniversitesi, Türkiye |
Mesut Teleş
Niğde Ömer Halisdemir Üniversitesi, Türkiye |
Ahmet Yıldız
Batman Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Gülsüm Şeyma KOCA
Kastamonu Üniversitesi, Türkiye |
Nazan Kartal
Çankırı Karatekin Üniversitesi, Türkiye |
Cahit Korku
Niğde Ömer Halisdemir Üniversitesi, Türkiye |
Duygu Ürek
Karadeniz Teknik Üniversitesi, Türkiye |
İpek Bilgin Demir
İstanbul Medeniyet Üniversitesi, Türkiye |
Onur Toka
Hacettepe Üniversitesi, Türkiye |
Özet |
Aim: To determine the variables that affect patients’ perceptions about their readiness for discharge and to elucidate the effects of these perceptions on patient outcomes such as unplanned readmission to the hospital, emergency department visits and death within 30 days after discharge. Background: In recent years, it has become even more important to assess patients’ readiness for discharge as patients tend to be discharged more quickly. Methods: For the determination of patients’ self-assessment, the Readiness for Hospital Discharge Scale/Short Form was utilized. This 1-year prospective cohort study included 1,601 patients. Data were analysed using a chi-square test, Mann–Whitney U test, univariate logistic regression analysis and multiple logistic regression analysis. Results: The results of multiple logistic regression analysis revealed that age, sex, marital status, educational status, presence of someone to help at home after discharge and length of stay were predictors of patients’ readiness for hospital discharge. Furthermore, being unready for discharge increased the risk of 30 day unplanned readmission and 30 day death. Conclusions: Considering these predictors, patients’ perceptions of readiness for discharge must be assessed before deciding to discharge them. Implications for Nursing Management: Nurse managers can consider the predictors of patients’ readiness for discharge, thus the risk of unplanned readmission and death may be reduced. |
Anahtar Kelimeler |
death | emergency department visits | hospital readmission | patient outcomes | readiness for hospital discharge |
Makale Türü | Özgün Makale |
Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
Dergi Adı | Journal of Nursing Management |
Dergi ISSN | 0966-0429 |
Dergi Tarandığı Indeksler | SSCI |
Makale Dili | İngilizce |
Basım Tarihi | 09-2018 |
Cilt No | 26 |
Sayı | 6 |
Sayfalar | 707 / 716 |
Doi Numarası | 10.1111/jonm.12605 |
Makale Linki | http://doi.wiley.com/10.1111/jonm.12605 |