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Predictors of Readiness for Hospital Discharge After Birth: Building Evidence for Practice
- Source :
- Worldviews on Evidence-Based Nursing. 14:118-127
- Publication Year :
- 2017
- Publisher :
- Wiley, 2017.
-
Abstract
- Background Preparation for hospital discharge after birth became a global concern when hospitals in many developing countries began implementing shorter lengths of stay for uncomplicated deliveries. A mother's perceived readiness for hospital discharge may be influenced by many factors that can ultimately shape postdischarge outcomes. Aims The purpose of this study was to explore the antepartum, intrapartum, and postpartum predictors of discharge readiness, including nursing educational practices that are predictive of postpartum mothers’ perceptions of readiness for hospital discharge. Methods The Adaptation to Transitions conceptual framework guided the descriptive correlational study design and measures. A purposive sample of 185 English- and Spanish-speaking postpartum mothers who experienced an uneventful vaginal or cesarean birth of a healthy infant completed demographic, quality of discharge teaching, and readiness for hospital discharge questionnaires prior to discharge. Results Mothers with three or more children, delivery mode, bottle-feeding, the delivery of education, and the difference between educational content received and needed, were significant predictors that accounted for 42% of the variance in readiness for hospital discharge (R2 = 0.42, F[10,174] = 14.52, p < .001). Nurses’ skill in teaching and educational content received were significant predictors even with parity, feeding, and delivery mode in the model. Linking Evidence to Action The relationship between quality of discharge teaching and discharge readiness provides evidence of the critical role nurses have in the discharge preparation process. Nurse education programs and evidence-based guidelines should be designed to enhance patient education focused on the adequacy and delivery of teaching content.
- Subjects :
- business.industry
Developing country
General Medicine
Discharge readiness
Delivery mode
03 medical and health sciences
0302 clinical medicine
Cesarean Birth
Correlational study
Nursing
030225 pediatrics
Hospital discharge
Medicine
030212 general & internal medicine
Nurse education
business
General Nursing
Patient education
Subjects
Details
- ISSN :
- 1545102X
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Worldviews on Evidence-Based Nursing
- Accession number :
- edsair.doi...........87ee4fc6a960ebd7586c80fa7eff5a00