title: Nurse and parent perceptions associated with the Parent Education Discharge Instruction Programme in southern India.
abstract: Introduction Parents of children with CHD require home care knowledge in order to ensure their child's health and safety, but there has been no research on how to achieve this in a resource-constrained environment. The aim of this investigation was to compare parent and nurse perceptions of parent readiness for discharge after a structured nurse-led parent discharge teaching programme in India. Materials and methods A pre-post design was used to compare parent and nurse perceptions of parental uncertainty and readiness for hospital discharge before and after introduction of the parent education discharge instruction programme in a paediatric cardiac surgery unit.
  
  
  RESULTS
  Parents (n=68) and nurses (n=63) participated in this study. After the discharge programme implementation, parents had less uncertainty (M=93.3 SD=10.7 versus M=83.6 SD=4.9, p=0.001) and ambiguity (M=40.8 SD=6.8 versus M=33.4 SD=3.7, p=0.001) about their child's illness; however, they rated themselves as being less able to cope with the transition to home (M=24.3 SD=4.1 versus 23.1 SD=2.2, p=0.001) and as having less support at home than that required (M=31.5 SD=9.9 versus 30.9 SD=3.2, p=0.001). Parents' and nurses' perception of parental readiness for hospital discharge were more closely aligned after implementation of a nurse-led discharge programme (r=0.81, p=0.001).
  
  
  CONCLUSIONS
  The results of this study suggest that the discharge programme had positive and negative effects on parental perceptions of uncertainty and readiness for discharge. Further examination is warranted to delineate these influences and to design methods for supporting parents during the transition to home care.
authors.affiliation: 1Cincinnati Children's Hospital Medical Center,Research in Patient Services,Heart Institute,Cincinnati,Ohio,United States of America.
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Staveski
authors.affiliation: 2Amrita Institute of Medical Sciences,Ponekkara,Kochi,Kerala,India.
authors.forename: V P
authors.initials: VP
authors.lastname: Parveen
authors.affiliation: 2Amrita Institute of Medical Sciences,Ponekkara,Kochi,Kerala,India.
authors.forename: Sai B
authors.initials: SB
authors.lastname: Madathil
authors.affiliation: 3Family, Community, and Mental Health Systems,University of Virginia School of Nursing,Charlottesville,Virginia,United States of America.
authors.forename: Susan
authors.initials: S
authors.lastname: Kools
authors.affiliation: 4Family Health Care Nursing,University of California San Francisco School of Nursing,San Francisco,California,United States of America.
authors.forename: Linda S
authors.initials: LS
authors.lastname: Franck
mesh_terms: D000223:Adaptation, Psychological; D007722:Health Knowledge, Attitudes, Practice; D006330:Heart Defects, Congenital / Q000451:nursing*; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D007194:India; D007223:Infant; D009726:Nurses / Q000523:psychology*; D010290:Parents / Q000193:education* / Q000523:psychology*; D010351:Patient Discharge; D011569:Psychiatric Status Rating Scales
keywords: Parent education; cardiac surgery; discharge