Why the study?
Discharge decisions often rely only on clinical criteria, but discharge readiness is multifactorial and perceived differently by patients, families, nurses, and physicians.
There are significant differences in the perception of readiness for hospital discharge between patients and nurses, particularly in knowledge, which can be predicted by demographic factors.
Patient-nurse discordance on discharge readiness may signal communication gaps; leaves open whether aligning perceptions improves transitions or outcomes.
Decision to discharge is often based solely on clinical criteria but readiness for discharge is multifactorial and perceived differently by patients, families, nurses, and physicians. This is an analytical cross-sectional study aimed to compare perceptions of readiness to discharge 452 patients and their assigned nurses on the day of hospital discharge. To compare perceptions of readiness to discharge patients and their assigned nurses on the day of hospital discharge via readiness for hospital discharge (RHD) self-reported questionnaire. The biggest difference between nurses and patients' perception scores was in the knowledge subscale. The results of linear regression model showed that patients' gender, education, occupation, ward, nurse's age, and marital status predict the difference between nurses and patients' perception of readiness. Hospitalization in ear, nose, and throat (ENT) department with increasing difference and the older age of nurses is associated with a decrease in the difference between the perception. Assessment of nurse's self-readiness can help with the development of care and education planning tailored to patients' needs before discharge.
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Mehraeen et al. (2022) studied this question.
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