The association between patient‐reported readiness for hospital discharge and outcomes in patients diagnosed with anxiety disorders: A prospective and observational study
Accessible summary What is known on the subject? Readiness for hospital discharge (RHD) has been an important topic for nurses. RHD can be measured by the Readiness for Hospital Discharge Scale (RHDS), including 4 subscales: personal status, knowledge, coping ability and expected support. There are...
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| Veröffentlicht in: | Journal of psychiatric and mental health nursing 2020-08, Vol.27 (4), p.380-392 |
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| creator | Meng, Na Liu, Ruian Wong, Mengmeng Liao, Jingping Feng, Chi Li, Xiaolin |
| description | Accessible summary
What is known on the subject?
Readiness for hospital discharge (RHD) has been an important topic for nurses.
RHD can be measured by the Readiness for Hospital Discharge Scale (RHDS), including 4 subscales: personal status, knowledge, coping ability and expected support.
There are few studies that focus on RHD in patients diagnosed with mental disorders.
What does the paper add to existing knowledge?
Improving patient‐reported RHD can decrease the risks of unscheduled post‐discharge clinic visits, readmission and poor quality of life (QOL) in patients diagnosed with anxiety disorders.
Improving patient‐reported personal status can decrease the risk of poor QOL in patients diagnosed with anxiety disorders.
Improving patient‐reported knowledge can decrease the risks of unscheduled post‐discharge clinic visits and readmission in patients diagnosed with anxiety disorders.
Improving patient‐reported expected support can decrease the risk of unscheduled post‐discharge clinic visits in patients diagnosed with anxiety disorders.
Improving the methods of discharge teaching and anxiety severity can enhance RHD in patients diagnosed with anxiety disorders.
What are the implications for practice?
Nurses could enhance patient‐reported RHD to reduce unscheduled post‐discharge medical resource utilization or improve QOL by facilitating knowledge acquisition and skill development and improving social support systems.
Nurse managers could add RHD assessment to patients' discharge process and train nurses in the methods of discharge education.
Nurses could advance their methods of discharge education, such as listening to and answering patients' questions, choosing a convenient time and engaging in online education.
Introduction
The association between readiness for hospital discharge (RHD) and post‐discharge outcomes remains unclear in individuals with anxiety disorders.
Aim
To explore the factors of RHD and the effect of patient‐reported RHD on post‐discharge outcomes.
Method
In the observational study, 373 patients diagnosed with anxiety disorders completed the self‐administered Readiness for Hospital Discharge Scale (RHDS) on discharge. After 30 days, phone interviews were conducted to collect data on post‐discharge outcomes, including self‐reported unscheduled medical service utilization, symptom severity and quality of life (QOL). Multiple logistic regression models were built to explore the relationships among sociodemographic characteristics, the R |
| doi_str_mv | 10.1111/jpm.12592 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2339794199</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2424813006</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3532-39da33572666ed4e081feb8de450417e9affce9717125fbbb6167349e373a1573</originalsourceid><addsrcrecordid>eNp1kctu1DAUhi1ERUthwQsgS2zKIq2vyZhdVXFpVQSLso6c-KTjURIH2-kwOx6BB-GpeBLOdKZdIOGNbenzd87xT8grzk45rrPVNJxyoY14Qo64LHUhFpo93Z41LxgX5SF5ntKKMaaUZM_IoeRGSS34Efl9swRqUwqtt9mHkTaQ1wAjnfAKY_7z81eEKcQMjkawzo-QEu1CpMuQJp9tT51P7dLGW_SMjoY5t2GARP2jIyFib8eQ0LH2eYncDw95s30ZooOY3tFzOkUUQpv93V7UJIh3901hkZRnt3lBDjrbJ3i534_Jtw_vby4-FddfPl5enF8XrdRSFNI4K6WuRFmW4BSwBe-gWThQmilegbFd14KpeIWf1jVNU_KyksqArKTlupLH5GTnxZ6-z5ByPeCM0Pd2hDCnWkhpKqO4MYi--QddhTlix0gpoRZcMlYi9XZHtThkitDVU_SDjZuas3obYY0R1vcRIvt6b5ybAdwj-ZAZAmc7YO172PzfVF99_bxT_gUIQKpY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2424813006</pqid></control><display><type>article</type><title>The association between patient‐reported readiness for hospital discharge and outcomes in patients diagnosed with anxiety disorders: A prospective and observational study</title><source>MEDLINE</source><source>Wiley Online Library</source><creator>Meng, Na ; Liu, Ruian ; Wong, Mengmeng ; Liao, Jingping ; Feng, Chi ; Li, Xiaolin</creator><creatorcontrib>Meng, Na ; Liu, Ruian ; Wong, Mengmeng ; Liao, Jingping ; Feng, Chi ; Li, Xiaolin</creatorcontrib><description>Accessible summary
What is known on the subject?
Readiness for hospital discharge (RHD) has been an important topic for nurses.
RHD can be measured by the Readiness for Hospital Discharge Scale (RHDS), including 4 subscales: personal status, knowledge, coping ability and expected support.
There are few studies that focus on RHD in patients diagnosed with mental disorders.
What does the paper add to existing knowledge?
Improving patient‐reported RHD can decrease the risks of unscheduled post‐discharge clinic visits, readmission and poor quality of life (QOL) in patients diagnosed with anxiety disorders.
Improving patient‐reported personal status can decrease the risk of poor QOL in patients diagnosed with anxiety disorders.
Improving patient‐reported knowledge can decrease the risks of unscheduled post‐discharge clinic visits and readmission in patients diagnosed with anxiety disorders.
Improving patient‐reported expected support can decrease the risk of unscheduled post‐discharge clinic visits in patients diagnosed with anxiety disorders.
Improving the methods of discharge teaching and anxiety severity can enhance RHD in patients diagnosed with anxiety disorders.
What are the implications for practice?
Nurses could enhance patient‐reported RHD to reduce unscheduled post‐discharge medical resource utilization or improve QOL by facilitating knowledge acquisition and skill development and improving social support systems.
Nurse managers could add RHD assessment to patients' discharge process and train nurses in the methods of discharge education.
Nurses could advance their methods of discharge education, such as listening to and answering patients' questions, choosing a convenient time and engaging in online education.
Introduction
The association between readiness for hospital discharge (RHD) and post‐discharge outcomes remains unclear in individuals with anxiety disorders.
Aim
To explore the factors of RHD and the effect of patient‐reported RHD on post‐discharge outcomes.
Method
In the observational study, 373 patients diagnosed with anxiety disorders completed the self‐administered Readiness for Hospital Discharge Scale (RHDS) on discharge. After 30 days, phone interviews were conducted to collect data on post‐discharge outcomes, including self‐reported unscheduled medical service utilization, symptom severity and quality of life (QOL). Multiple logistic regression models were built to explore the relationships among sociodemographic characteristics, the RHDS and its subscales, and post‐discharge outcomes.
Results
The unscheduled clinic visits were significantly associated with low RHD, knowledge and expected support. Readmission was significantly associated with low RHD and knowledge. Poor QOL was significantly associated with low RHD and personal status. Delivery, received content and anxiety severity were the predictors of RHD.
Discussion
Improved RHD is associated with fewer unscheduled clinic visits and readmissions and better QOL. Enhancing discharge education can improve RHD.
Implications for practice
Nurses should enhance patient‐reported RHD to improve post‐discharge outcomes by advancing the quality of discharge education in patients diagnosed with anxiety disorders.</description><identifier>ISSN: 1351-0126</identifier><identifier>EISSN: 1365-2850</identifier><identifier>DOI: 10.1111/jpm.12592</identifier><identifier>PMID: 31943521</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Anxiety disorders ; Anxiety Disorders - physiopathology ; Anxiety Disorders - therapy ; Clinical outcomes ; Diagnostic Self Evaluation ; Discharge ; discharge education ; discharge readiness ; expected support ; Female ; Humans ; knowledge ; Male ; Medical diagnosis ; Middle Aged ; Nursing ; Observational studies ; Patient Discharge - standards ; Patient education ; Patient Outcome Assessment ; Patient Readmission - standards ; Patients ; personal status ; post‐discharge outcomes ; Prospective Studies</subject><ispartof>Journal of psychiatric and mental health nursing, 2020-08, Vol.27 (4), p.380-392</ispartof><rights>2020 John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons Ltd.</rights><rights>Copyright © 2020 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-39da33572666ed4e081feb8de450417e9affce9717125fbbb6167349e373a1573</citedby><cites>FETCH-LOGICAL-c3532-39da33572666ed4e081feb8de450417e9affce9717125fbbb6167349e373a1573</cites><orcidid>0000-0002-5234-8872 ; 0000-0002-4786-5277</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpm.12592$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpm.12592$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31943521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meng, Na</creatorcontrib><creatorcontrib>Liu, Ruian</creatorcontrib><creatorcontrib>Wong, Mengmeng</creatorcontrib><creatorcontrib>Liao, Jingping</creatorcontrib><creatorcontrib>Feng, Chi</creatorcontrib><creatorcontrib>Li, Xiaolin</creatorcontrib><title>The association between patient‐reported readiness for hospital discharge and outcomes in patients diagnosed with anxiety disorders: A prospective and observational study</title><title>Journal of psychiatric and mental health nursing</title><addtitle>J Psychiatr Ment Health Nurs</addtitle><description>Accessible summary
What is known on the subject?
Readiness for hospital discharge (RHD) has been an important topic for nurses.
RHD can be measured by the Readiness for Hospital Discharge Scale (RHDS), including 4 subscales: personal status, knowledge, coping ability and expected support.
There are few studies that focus on RHD in patients diagnosed with mental disorders.
What does the paper add to existing knowledge?
Improving patient‐reported RHD can decrease the risks of unscheduled post‐discharge clinic visits, readmission and poor quality of life (QOL) in patients diagnosed with anxiety disorders.
Improving patient‐reported personal status can decrease the risk of poor QOL in patients diagnosed with anxiety disorders.
Improving patient‐reported knowledge can decrease the risks of unscheduled post‐discharge clinic visits and readmission in patients diagnosed with anxiety disorders.
Improving patient‐reported expected support can decrease the risk of unscheduled post‐discharge clinic visits in patients diagnosed with anxiety disorders.
Improving the methods of discharge teaching and anxiety severity can enhance RHD in patients diagnosed with anxiety disorders.
What are the implications for practice?
Nurses could enhance patient‐reported RHD to reduce unscheduled post‐discharge medical resource utilization or improve QOL by facilitating knowledge acquisition and skill development and improving social support systems.
Nurse managers could add RHD assessment to patients' discharge process and train nurses in the methods of discharge education.
Nurses could advance their methods of discharge education, such as listening to and answering patients' questions, choosing a convenient time and engaging in online education.
Introduction
The association between readiness for hospital discharge (RHD) and post‐discharge outcomes remains unclear in individuals with anxiety disorders.
Aim
To explore the factors of RHD and the effect of patient‐reported RHD on post‐discharge outcomes.
Method
In the observational study, 373 patients diagnosed with anxiety disorders completed the self‐administered Readiness for Hospital Discharge Scale (RHDS) on discharge. After 30 days, phone interviews were conducted to collect data on post‐discharge outcomes, including self‐reported unscheduled medical service utilization, symptom severity and quality of life (QOL). Multiple logistic regression models were built to explore the relationships among sociodemographic characteristics, the RHDS and its subscales, and post‐discharge outcomes.
Results
The unscheduled clinic visits were significantly associated with low RHD, knowledge and expected support. Readmission was significantly associated with low RHD and knowledge. Poor QOL was significantly associated with low RHD and personal status. Delivery, received content and anxiety severity were the predictors of RHD.
Discussion
Improved RHD is associated with fewer unscheduled clinic visits and readmissions and better QOL. Enhancing discharge education can improve RHD.
Implications for practice
Nurses should enhance patient‐reported RHD to improve post‐discharge outcomes by advancing the quality of discharge education in patients diagnosed with anxiety disorders.</description><subject>Adult</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - physiopathology</subject><subject>Anxiety Disorders - therapy</subject><subject>Clinical outcomes</subject><subject>Diagnostic Self Evaluation</subject><subject>Discharge</subject><subject>discharge education</subject><subject>discharge readiness</subject><subject>expected support</subject><subject>Female</subject><subject>Humans</subject><subject>knowledge</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Observational studies</subject><subject>Patient Discharge - standards</subject><subject>Patient education</subject><subject>Patient Outcome Assessment</subject><subject>Patient Readmission - standards</subject><subject>Patients</subject><subject>personal status</subject><subject>post‐discharge outcomes</subject><subject>Prospective Studies</subject><issn>1351-0126</issn><issn>1365-2850</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctu1DAUhi1ERUthwQsgS2zKIq2vyZhdVXFpVQSLso6c-KTjURIH2-kwOx6BB-GpeBLOdKZdIOGNbenzd87xT8grzk45rrPVNJxyoY14Qo64LHUhFpo93Z41LxgX5SF5ntKKMaaUZM_IoeRGSS34Efl9swRqUwqtt9mHkTaQ1wAjnfAKY_7z81eEKcQMjkawzo-QEu1CpMuQJp9tT51P7dLGW_SMjoY5t2GARP2jIyFib8eQ0LH2eYncDw95s30ZooOY3tFzOkUUQpv93V7UJIh3901hkZRnt3lBDjrbJ3i534_Jtw_vby4-FddfPl5enF8XrdRSFNI4K6WuRFmW4BSwBe-gWThQmilegbFd14KpeIWf1jVNU_KyksqArKTlupLH5GTnxZ6-z5ByPeCM0Pd2hDCnWkhpKqO4MYi--QddhTlix0gpoRZcMlYi9XZHtThkitDVU_SDjZuas3obYY0R1vcRIvt6b5ybAdwj-ZAZAmc7YO172PzfVF99_bxT_gUIQKpY</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Meng, Na</creator><creator>Liu, Ruian</creator><creator>Wong, Mengmeng</creator><creator>Liao, Jingping</creator><creator>Feng, Chi</creator><creator>Li, Xiaolin</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5234-8872</orcidid><orcidid>https://orcid.org/0000-0002-4786-5277</orcidid></search><sort><creationdate>202008</creationdate><title>The association between patient‐reported readiness for hospital discharge and outcomes in patients diagnosed with anxiety disorders: A prospective and observational study</title><author>Meng, Na ; Liu, Ruian ; Wong, Mengmeng ; Liao, Jingping ; Feng, Chi ; Li, Xiaolin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-39da33572666ed4e081feb8de450417e9affce9717125fbbb6167349e373a1573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Anxiety disorders</topic><topic>Anxiety Disorders - physiopathology</topic><topic>Anxiety Disorders - therapy</topic><topic>Clinical outcomes</topic><topic>Diagnostic Self Evaluation</topic><topic>Discharge</topic><topic>discharge education</topic><topic>discharge readiness</topic><topic>expected support</topic><topic>Female</topic><topic>Humans</topic><topic>knowledge</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Observational studies</topic><topic>Patient Discharge - standards</topic><topic>Patient education</topic><topic>Patient Outcome Assessment</topic><topic>Patient Readmission - standards</topic><topic>Patients</topic><topic>personal status</topic><topic>post‐discharge outcomes</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meng, Na</creatorcontrib><creatorcontrib>Liu, Ruian</creatorcontrib><creatorcontrib>Wong, Mengmeng</creatorcontrib><creatorcontrib>Liao, Jingping</creatorcontrib><creatorcontrib>Feng, Chi</creatorcontrib><creatorcontrib>Li, Xiaolin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychiatric and mental health nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meng, Na</au><au>Liu, Ruian</au><au>Wong, Mengmeng</au><au>Liao, Jingping</au><au>Feng, Chi</au><au>Li, Xiaolin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between patient‐reported readiness for hospital discharge and outcomes in patients diagnosed with anxiety disorders: A prospective and observational study</atitle><jtitle>Journal of psychiatric and mental health nursing</jtitle><addtitle>J Psychiatr Ment Health Nurs</addtitle><date>2020-08</date><risdate>2020</risdate><volume>27</volume><issue>4</issue><spage>380</spage><epage>392</epage><pages>380-392</pages><issn>1351-0126</issn><eissn>1365-2850</eissn><abstract>Accessible summary
What is known on the subject?
Readiness for hospital discharge (RHD) has been an important topic for nurses.
RHD can be measured by the Readiness for Hospital Discharge Scale (RHDS), including 4 subscales: personal status, knowledge, coping ability and expected support.
There are few studies that focus on RHD in patients diagnosed with mental disorders.
What does the paper add to existing knowledge?
Improving patient‐reported RHD can decrease the risks of unscheduled post‐discharge clinic visits, readmission and poor quality of life (QOL) in patients diagnosed with anxiety disorders.
Improving patient‐reported personal status can decrease the risk of poor QOL in patients diagnosed with anxiety disorders.
Improving patient‐reported knowledge can decrease the risks of unscheduled post‐discharge clinic visits and readmission in patients diagnosed with anxiety disorders.
Improving patient‐reported expected support can decrease the risk of unscheduled post‐discharge clinic visits in patients diagnosed with anxiety disorders.
Improving the methods of discharge teaching and anxiety severity can enhance RHD in patients diagnosed with anxiety disorders.
What are the implications for practice?
Nurses could enhance patient‐reported RHD to reduce unscheduled post‐discharge medical resource utilization or improve QOL by facilitating knowledge acquisition and skill development and improving social support systems.
Nurse managers could add RHD assessment to patients' discharge process and train nurses in the methods of discharge education.
Nurses could advance their methods of discharge education, such as listening to and answering patients' questions, choosing a convenient time and engaging in online education.
Introduction
The association between readiness for hospital discharge (RHD) and post‐discharge outcomes remains unclear in individuals with anxiety disorders.
Aim
To explore the factors of RHD and the effect of patient‐reported RHD on post‐discharge outcomes.
Method
In the observational study, 373 patients diagnosed with anxiety disorders completed the self‐administered Readiness for Hospital Discharge Scale (RHDS) on discharge. After 30 days, phone interviews were conducted to collect data on post‐discharge outcomes, including self‐reported unscheduled medical service utilization, symptom severity and quality of life (QOL). Multiple logistic regression models were built to explore the relationships among sociodemographic characteristics, the RHDS and its subscales, and post‐discharge outcomes.
Results
The unscheduled clinic visits were significantly associated with low RHD, knowledge and expected support. Readmission was significantly associated with low RHD and knowledge. Poor QOL was significantly associated with low RHD and personal status. Delivery, received content and anxiety severity were the predictors of RHD.
Discussion
Improved RHD is associated with fewer unscheduled clinic visits and readmissions and better QOL. Enhancing discharge education can improve RHD.
Implications for practice
Nurses should enhance patient‐reported RHD to improve post‐discharge outcomes by advancing the quality of discharge education in patients diagnosed with anxiety disorders.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31943521</pmid><doi>10.1111/jpm.12592</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-5234-8872</orcidid><orcidid>https://orcid.org/0000-0002-4786-5277</orcidid></addata></record> |
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| ispartof | Journal of psychiatric and mental health nursing, 2020-08, Vol.27 (4), p.380-392 |
| issn | 1351-0126 1365-2850 |
| language | eng |
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| source | MEDLINE; Wiley Online Library |
| subjects | Adult Anxiety disorders Anxiety Disorders - physiopathology Anxiety Disorders - therapy Clinical outcomes Diagnostic Self Evaluation Discharge discharge education discharge readiness expected support Female Humans knowledge Male Medical diagnosis Middle Aged Nursing Observational studies Patient Discharge - standards Patient education Patient Outcome Assessment Patient Readmission - standards Patients personal status post‐discharge outcomes Prospective Studies |
| title | The association between patient‐reported readiness for hospital discharge and outcomes in patients diagnosed with anxiety disorders: A prospective and observational study |
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