title: Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital.
abstract: OBJECTIVE
  To validate patient and nurse short forms for discharge readiness assessment and their associations with 30-day readmissions and emergency department (ED) visits.
  
  
  METHODS
  A total of 254 adult medical-surgical patients and their discharging nurses from an Eastern US tertiary hospital between May and November, 2011.
  
  
  METHODS
  Prospective longitudinal design, multinomial logistic regression analysis.
  
  
  METHODS
  Nurses and patients independently completed an eight-item Readiness for Hospital Discharge Scale on the day of discharge. Patient characteristics, readmissions, and ED visits were electronically abstracted.
  
  
  RESULTS
  Nurse assessment of low discharge readiness was associated with a six- to nine-fold increase in readmission risk. Patient self-assessment was not associated with readmission; neither was associated with ED visits.
  
  
  CONCLUSIONS
  Nurse discharge readiness assessment should be added to existing strategies for identifying readmission risk.
authors.affiliation: Wheaton Franciscan Healthcare, St. Joseph/Sister, Rosalie Klein Professor of Women's Health, Marquette University College of Nursing, Milwaukee, WI, 53201-1881.
authors.forename: Marianne E
authors.initials: ME
authors.lastname: Weiss
authors.forename: Linda L
authors.initials: LL
authors.lastname: Costa
authors.forename: Olga
authors.initials: O
authors.lastname: Yakusheva
authors.forename: Kathleen L
authors.initials: KL
authors.lastname: Bobay
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006302:Health Services Research; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009726:Nurses; D009730:Nursing Assessment; D010351:Patient Discharge / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data; D010361:Patients; D010465:Perception; D011446:Prospective Studies; D011795:Surveys and Questionnaires
keywords: Discharge readiness; emergency visits; readmissions