title: Quality of Transition From Hospital to Home: The Influence of Nurse- and Patient-Reported Readiness.
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.
authors.affiliation: 1 The University of Utah, Salt Lake City, UT, USA.
authors.forename: Andrea S
authors.initials: AS
authors.lastname: Wallace
authors.affiliation: 2 The University of Iowa, Iowa City, IA, USA.
authors.forename: Yelena
authors.initials: Y
authors.lastname: Perkhounkova
authors.affiliation: 2 The University of Iowa, Iowa City, IA, USA.
authors.forename: Nicole L
authors.initials: NL
authors.lastname: Bohr
mesh_terms: D000368:Aged; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D009723:Nurse-Patient Relations; D009730:Nursing Assessment / Q000592:standards*; D010351:Patient Discharge / Q000592:standards*; D010359:Patient Readmission; D011446:Prospective Studies; D012944:Social Support; D011795:Surveys and Questionnaires / Q000706:statistics & numerical data*; D014728:Veterans / Q000706:statistics & numerical data*
keywords: nurses; nurse–patient relationships; patient discharge; patient readmission