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

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dc.contributor.authorKaya, Sidika
dc.contributor.authorGuven, Gulay Sain
dc.contributor.authorAydan, Seda
dc.contributor.authorKar, Ahmet
dc.contributor.authorTeles, Mesut
dc.contributor.authorYildiz, Ahmet
dc.contributor.authorToka, Onur
dc.date.accessioned2020-06-25T18:29:28Z
dc.date.available2020-06-25T18:29:28Z
dc.date.issued2018
dc.departmentKırıkkale Üniversitesi
dc.descriptionUrek, Duygu/0000-0001-6471-5601
dc.description.abstractAimTo 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 30days after discharge. BackgroundIn recent years, it has become even more important to assess patients' readiness for discharge as patients tend to be discharged more quickly. MethodsFor 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. ResultsThe 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 30day unplanned readmission and 30day death. ConclusionsConsidering these predictors, patients' perceptions of readiness for discharge must be assessed before deciding to discharge them. Implications for Nursing ManagementNurse managers can consider the predictors of patients' readiness for discharge, thus the risk of unplanned readmission and death may be reduced.en_US
dc.description.sponsorshipScientific and Technological Research Council of Turkey (TUBITAK)Turkiye Bilimsel ve Teknolojik Arastirma Kurumu (TUBITAK) [114K404]en_US
dc.description.sponsorshipThe Scientific and Technological Research Council of Turkey (TUBITAK), Grant/Award Number: 114K404en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1111/jonm.12605
dc.identifier.endpage716en_US
dc.identifier.issn0966-0429
dc.identifier.issn1365-2834
dc.identifier.issue6en_US
dc.identifier.pmid29573007
dc.identifier.scopus2-s2.0-85044294421
dc.identifier.scopusqualityQ1
dc.identifier.startpage707en_US
dc.identifier.urihttps://doi.org/10.1111/jonm.12605
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7327
dc.identifier.volume26en_US
dc.identifier.wosWOS:000443945100011
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Nursing Management
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectdeathen_US
dc.subjectemergency department visitsen_US
dc.subjecthospital readmissionen_US
dc.subjectpatient outcomesen_US
dc.subjectreadiness for hospital dischargeen_US
dc.titlePatients' readiness for discharge: Predictors and effects on unplanned readmissions, emergency department visits and deathen_US
dc.typeArticle

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