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Patients’ readiness for discharge: Predictors and effects on unplanned readmissions, emergency department visits and death       
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 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