The predictability of health literacy, pre-discharge teaching, care coordination before discharge on readiness for hospital discharge among older medical patients
Keywords:
health literacy, pre-discharge teaching, care coordination before discharge, older medical patients, readiness for hospital dischargeAbstract
The readiness for hospital discharge enhances the transition of older medical patients from the hospital to their homes or health service facilities smoothly. This predictive correlational research aimed to investigate the predictability of health literacy, pre-discharge teaching, and care coordination before discharge on readiness for hospital discharge among older medical patients. The sample comprised 85 older medical patients admitted to a super tertiary hospital. Data were collected through an interview form assessing older medical patients' health literacy, discharge teaching quality, care coordination before discharge, and readiness for hospital discharge. Analysis involved descriptive statistics, Pearson’s product-moment correlation, and multiple regression analysis. The research revealed that the samples scored high in readiness for hospital discharge, with a mean of 8.34 points (SD = 0.85). Health literacy, encompassing understanding health information, communication skills, decision-making skills, self-management skills, discharge teaching, and care coordination before discharge, collectively explained 39.1% of the variance in readiness for hospital discharge among older medical patients (Adjusted R2 = .391). Significant predictors of readiness for hospital discharge included care coordination before discharge (ß = .375, p<0.001) and discharge teaching (ß = .321, p=0.002). These findings provide essential information and guidelines for multidisciplinary teams to develop programs or guidelines for preparing older medical patients before hospital discharge.
References
Panuthai S. Factors affecting readiness for hospital discharge among older persons. Nursing J 2014;41(4):150-60 [in Thai]
Limpawattana P. Geriatric syndromes. In: Limpawattana P, editor. Elderly syndrome and interesting health issues. 2nd ed. Khon Kaen: Klungnana Vitthaya Press;2018.p.1-11
Vieira Alves R, Fernandes M, Figueiredo I, Drummond Borges D, Antunes M. Clinical adverse events in elderly hospitalized patients in a medical ward-a prospective study. EHJ 2020;6:70-2.
O’Brien MW, Mallery K, Rockwood K, et al. Impact of hospitalization on patients ability to perform basic activities of daily living. Can Geriatr J 2023;26(4):524–9.
Gonçalves-Bradley DC, Lannin NA, Clemson L, et al. Discharge planning from hospital. Cochrane Database Syst Rev. 2022;2(2):CD000313. doi: 10.1002/14651858.CD000313.pub6.
Kaya S, Sain Guven G, Aydan S, et al. Patients’ readiness for discharge: Predictors and effects on unplanned readmissions, emergency department visits and death. J Nurs Manag 2018;26:707–16.
Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas 2006;14:163–80.
Schumacher KL, Meleis AI lbrahim Transitions: a central concept in nursing. Image J Nurs Sch 1994;26:119–27.
Wallace AS, Perkhounkova Y, Bohr NL, et al. Readiness for hospital discharge, health literacy, and social living status. Clin Nurs Res 2016;25:494–511.
Sangwattanarat W, Sapinun L, Siripanyawat S, et al. Relation factors to readiness for hospital discharge among surgical hospitalized patients in Maharaj Nakorn Chiang Mai hospital. Int J Evid Based Healthc 2016;14:S28.
Rhiantong J, Panuthai S. Factors related to readiness for hospital discharge among hospitalized elderly patients in tertiary hospitals. Nursing J 2021;48:214-25. [in Thai]
Pooun S, Wattanakitkrileart D, Poungkaew A, et al. Influencing factors of readiness for hospital discharge among patients with acute coronary syndrome in super-tertiary hospitals. Thai J Cardio-Thorac Nurs 2021;32:44-58. [in Thai]
Kardosod A, Lertwatthanawilat W, Jumpathong L, et al. Factors influencing readiness for hospital discharge in knee replacement patients. Nursing J 2021;48:93-103. [in Thai]
Health Education Division, Department of Health Service Support Ministry of Public Health. Health literacy. Nonthaburi: The Agricultural Cooperative Federation Printery of Thailand Limited; 2013. [in Thai]
Meleis AI, Sawyer LM, Im EO, et al. Experiencing transitions: An emerging middle-range theory. ANS Adv Nurs Sci. 2000;23:12-28.
Suwan N, Panuthai S, Lasuka D, et al. Factors influencing readiness for hospital discharge among Thai older persons with chronic obstructive pulmonary disease. Pac Rim Int J Nurs Res. 2018;22:156-68.
Weiss M, Yakusheva O, Bobay K. Nurse and patient perceptions of discharge readiness in relation to post discharge utilization. Med Care 2010;48:482-6.
Thorndike RM. Correlational procedure for research. New York: Gardner Press.; 1978.
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67:2072–8.
Weiss ME, Piacentine LB. Psychometric Properties of the Readiness for Hospital Discharge Scale. J Nurs Meas 2006;14:163–80.
Hadjistavropoulos H, Biem H, Sharpe D, et al. Patient perceptions of hospital discharge: reliability and validity of a patient continuity of care questionnaire. Int J Qual Heal Care 2008;20:314–23.
Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec 2007;21:31–42.
Sriprasong S. An empirical test, a daily activity model in acute myocardial infarction after discharging from the hospital. Bangkok: Mahidol University; 2008.
Meleis AI, Sawyer LM, Im EO, et al. Experiencing transitions: An emerging middle range theory. Adv Nurs Sci 2000;23:12–28.
Nursing Department Srinagarind Hospital Khon Kaen University. Discharge planning and continuing care policy. Khon Kaen: Srinagarind Hospital Khon Kaen University; 2016:16.
Chaipadung N, Sriprasong S, Saneha C, et al. Predicting factors of readiness for hospital discharge in patients with heart failure. Nurs Sci J Thai 2023;41:73-86. [in Thai]
La Manna JB, Bushy A, Gammonley D. Post-hospitalization experiences of older adults diagnosed with diabetes: “It was daunting!” Geriatr Nurs 2018;39:103-11.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
