Статті в журналах: "Perceived readiness for discharge"

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Leets, Laura L., Jennifer Cahill, Amber M. Sprenger, Juli Simon Thomas, Rob Hartman, Mary E. Poyner Reed, Haylee Manning, et al. "Nudging Discharge Readiness With a Poster: A Sequential, Exploratory Mixed Methods Pilot Study of Patient Caregivers." Journal of Patient Experience 7, no. 6 (November 5, 2020): 1341–48. http://dx.doi.org/10.1177/2374373520968976.

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Many hospitals face a common challenge: limited space for a high number of patients. This has led to quick patient throughput, which can impact patient perception of discharge readiness. This study examined whether a poster highlighting tasks to complete as part of the discharge process improved caregiver perception of readiness to transition home. Using a sequential, exploratory mixed methods design, focus groups were convened to explore clinical staff perspective on the discharge process on 3 pediatric inpatient units at a large, urban, pediatric academic medical center in the United States. Analysis of this content informed the design of a poster intervention to “nudge” caregivers (eg, parents, legal guardians) toward readiness and self-efficacy that was then tested in a randomized, controlled experiment. The poster focused on practical knowledge for specific areas of transition adjustment, such as medication and care recipient recovery behaviors, barriers, and enablers. Caregivers (n = 135) completed surveys at discharge indicating their perceived readiness to transition home with their child. Analysis of covariance was used to test the effect of the poster condition (poster vs no poster) on caregiver readiness, preparedness, and confidence for discharge while controlling for previous admission history. Significant effects for poster presence were found on caregivers’ perceived readiness for discharge, F 1,125 = 7.75, P = .006, Cohen’s d = 0.44; and caregivers’ perceived preparedness for the transition home, F 1,121 =7.24, P = .008, Cohen’s d = 0.44. Only a marginal effect was found for poster condition on caregivers’ confidence ratings, F 1,125 = 2.93, P = .090, Cohen’s d = 0.29. The results suggest that simple nudges in the patient care environment may yield measurable improvements in caregiver outcomes.

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Mehraeen, Parisa, Fateme Jafaraghaee, Ezzat Paryad, and Ehsan Kazemnejad Leyli. "Comparison of Nurses’ and Patients’ Readiness for Hospital Discharge: A Multicenter Study." Journal of Patient Experience 9 (January 2022): 237437352210925. http://dx.doi.org/10.1177/23743735221092552.

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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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WEISS, MARIANNE E., LINDA B. PIACENTINE, LISA LOKKEN, JANICE ANCONA, JOANNE ARCHER, SUSAN GRESSER, SUE BAIRD HOLMES, SALLY TOMAN, ANNE TOY, and TERI VEGA-STROMBERG. "Perceived Readiness for Hospital Discharge in Adult Medical-Surgical Patients." Clinical Nurse Specialist 21, no. 1 (January 2007): 31–42. http://dx.doi.org/10.1097/00002800-200701000-00008.

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Meng, Li, Zhang Lingling, Zhang Haihong, Zhang Xiaobai, Huang Dandan, and Wu Shaoyan. "Readiness for Hospital Discharge and Its Correlation with the Quality of Discharge Teaching among the Parents of Premature Infants in NICU." Applied Bionics and Biomechanics 2022 (July 13, 2022): 1–8. http://dx.doi.org/10.1155/2022/4924021.

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Objectives. To assess the extent of the readiness for hospital discharge and the correlation with discharge teaching quality among parents of premature infants’ in the NICU. Background. Low readiness for discharge from the hospital can lead to negative outcomes in healthcare for infants born prematurely and their parents. Discharge guidelines are a basic approach to ensure the readiness of the parents for discharge from the hospital. No investigation has ever been conducted into the sufficiency of hospital discharge guidelines for premature infants and their impact on parental readiness for hospital discharge. Design. Data was collected from four hospitals in China using a correlational descriptive study. Methods. Two hundred and eight parents of premature NICU-hospitalized infants of four tertiary hospitals in Henan Province from May to October 2020 were enrolled. The general information questionnaire, the readiness for hospital discharge scale- (RHDS-) parent form, and the quality of discharge teaching scale- (QDTS-) parent form were used for data collection. Spearman correlation analysis and descriptive statistics were used to analyze the data. Results. The total score for hospital discharge readiness was high ( 8.05 ± 1.11 ). The total score of the quality of discharge guidelines was moderate ( 7.44 ± 1.44 ). Moreover, the discharge teaching quality was positively correlated with the parents’ readiness. Positive correlations were found between PRHDS and QDTS subscales, including content received and delivery, physical-emotional status, knowledge, and expected support. Conclusion. The quality of the discharge guidelines perceived by parents of premature infants was moderate, which may have reduced their readiness for hospital discharge. Relevance to Clinical Practice. This study furnishes basic information on the importance of readiness of discharge for the parents of premature infants. The teaching guides nurses to enhance the quality of discharge teaching and the readiness of parents for discharge from the hospital.

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Yanıkkerem, Emre, Nicole Esmeray, Aslı Karakuş, Sema Üstgörül, Özge Baydar, and Aslı Göker. "Factors affecting readiness for discharge and perceived social support after childbirth." Journal of Clinical Nursing 27, no. 13-14 (April 19, 2018): 2763–75. http://dx.doi.org/10.1111/jocn.14248.

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Presciutti, Alex, Jonathan Shaffer, Mary Newman, and Sarah Perman. "4226 Poor provider-patient communication, lack of readiness for discharge, and perceived illness threat are associated with quality of life after survival from cardiac arrest." Journal of Clinical and Translational Science 4, s1 (June 2020): 142. http://dx.doi.org/10.1017/cts.2020.419.

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OBJECTIVES/GOALS: Studies have shown that cardiac arrest survivors have poor quality of life (QoL) secondary to neurologic injury. We hypothesized that poor provider-patient communication, lack of readiness for discharge, and perceived illness threat would be associated with QoL in cardiac arrest survivors. METHODS/STUDY POPULATION: We distributed an online survey to the Sudden Cardiac Arrest Foundation listserv. Survivors completed the Questionnaire for the Quality of Provider-Patient Interactions (QQPPI), Readiness for Hospital Discharge Scale (RHDS), and the Brief Illness Perception Questionnaire (B-IPQ). When completing the QQPPI and RHDS, survivors were asked to think back to their hospitalization and discharge. QoL domains (physical, psychological, social) were measured via the WHO-QOL BREF. Three multiple regression models examined associations between QQPPI, RHDS, and B-IPQ scores with QoL domains, adjusted for age, sex, months since arrest, and understanding of arrest and post-arrest symptoms at discharge. RESULTS/ANTICIPATED RESULTS: A total of 163 survivors (mean age 50.1 years, 50.3% women) provided complete survey data. Greater perceived illness threat (β: −.45, p < .001) and lower readiness for discharge (β: .22, p = .01) were associated with worse physical QoL; greater perceived illness threat (β: −.45, p < .001) was associated with worse psychological QoL; and greater perceived illness threat (β: −.3, p < .001) and poor provider-patient communication (β: .35, p < .001) were associated with worse social QoL. Our models explained 48%, 43%, and 30% of the variance in physical, psychological, and social QoL, respectively (p < .001). DISCUSSION/SIGNIFICANCE OF IMPACT: In-hospital interactions and perceived illness threat have important ramifications for cardiac arrest survivors attempting to return to daily life. Discussions regarding cardiac arrest sequelae, expectations, and specific treatment options during hospitalization could impact future QoL.

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Weiss, Marianne E., Polly Ryan, and Lisa Lokken. "Validity and Reliability of the Perceived Readiness for Discharge After Birth Scale." Journal of Obstetric, Gynecologic & Neonatal Nursing 35, no. 1 (January 2006): 34–45. http://dx.doi.org/10.1111/j.1552-6909.2006.00020.x.

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Elmore, Catherine, Alycia Bristol, Lisa Barry, Eli Iacob, Erin Johnson, and Andrea Wallace. "PERCEPTIONS OF DISCHARGE READINESS AND ENGAGEMENT IN DISCHARGE PLANNING FOR SPOUSAL VERSUS NONSPOUSAL CAREGIVERS." Innovation in Aging 6, Supplement_1 (November 1, 2022): 228–29. http://dx.doi.org/10.1093/geroni/igac059.909.

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Abstract Informal caregivers are frequently excluded during hospital discharge planning, potentially impacting their ability to effectively care for older adults at home. Few studies have examined experiences of spousal versus non-spousal caregivers during hospital discharge planning. In a secondary analysis of a mixed-method study, we quantitatively examined how spousal relationships impact caregivers’ (n=266; 51.8% identified as a spouse or partner) scores of patient discharge readiness using the Readiness for Hospital Discharge Scale (RHDS-CG). We then conducted semi-structured interviews with a participant subset (n=23), and analyzed transcribed interviews using content analysis. First, comparing scores on the RHDS-CG, spouses/partners (88.4%) were more likely than non-spouses (75%) to report RHDS scores of 7+ corresponding with moderate to high readiness (X2 (1) = 8.070, p=.005). Among those interviewed, spouses/partners (65.2%) described their role as long-term, and shared strategies they had learned over time regarding how to seek involvement with healthcare professionals (HCPs). In contrast, non-spousal caregivers (34.8%) viewed their role as short term and struggled with how to communicate with HCPs, citing patient privacy rules and patient autonomy as perceived barriers. Overall, spousal caregivers had more experience with the healthcare system and felt better prepared to assume post-discharge care duties. Exploring the experiences of non-spousal caregivers, which make up more than one-third of our sample, is important since caregiving roles shift away from spouses to adult children and others as people age. Further consideration is necessary regarding how to support non-spousal caregivers in navigating the healthcare system.

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Nurhayati, Nurhayati, Praneed Songwathana, and Ratjai Vachprasit. "Surgical patients’ experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals." Journal of Clinical Nursing 28, no. 9-10 (February 6, 2019): 1728–36. http://dx.doi.org/10.1111/jocn.14764.

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Peyrovi, Hamid, Ziba Mosayebi, Fatemeh Mohammad-Doost, Minoo-Mitra Chehrzad, and Abbas Mehran. "The effect of empowerment program on “perceived readiness for discharge” of mothers of premature infants." Journal of Maternal-Fetal & Neonatal Medicine 29, no. 5 (March 17, 2015): 752–57. http://dx.doi.org/10.3109/14767058.2015.1017461.

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Chan, Joyce P. S. "The reintegration officers’ perspectives on offenders to be discharged from community supervision in Singapore." Safer Communities 20, no. 2 (July 6, 2021): 120–31. http://dx.doi.org/10.1108/sc-08-2020-0027.

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Purpose This paper aims to focus on the perspectives of correctional officers supervising young offenders on community supervision in Singapore. Design/methodology/approach The study adopted a qualitative research framework, where attention was devoted to understanding the perspectives of eight reintegration officers, and what they perceived to have helped young offenders successfully discharged from community supervision. Findings The five essential factors that emerged are compliance to supervision conditions, education and/or employment, ability to cope and efforts to change, support and environment. Each factor is defensible and had been substantiated by past research that incorporates evidence-based practice in correctional rehabilitation for offenders. Research limitations/implications Due to constraints imposed on the research timeline, the five factors identified do not take into account societal-level barriers such as stigma, discrimination and inequalities, which are important factors that can be further explored in subsequent studies. Originality/value In Singapore, there is no research study on the Reintegration Officers' perspectives on what they deemed as critical for offenders to be discharged from community supervision. Understanding these key factors may help to shape future research in determining supervisees’ readiness for discharge from community supervision in Singapore. This knowledge gained could further inform and bolster the correctional rehabilitation services provided by SPS and be further developed into a tool that can be used to systematically assess the readiness of offenders to be discharged from community supervision.

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Middleton, Sandy, Michael Appleberg, Seham Girgis, and Jeanette E. Ward. "Effective discharge policy: are we getting there?" Australian Health Review 28, no. 3 (2004): 255. http://dx.doi.org/10.1071/ah040255.

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Purpose: To determine patients? knowledge before admission about how many days they were likely to be hospitalised and, after discharge, to determine patients? perceptions of their ?readiness? to leave hospital following carotid endarterectomy. Usefulness of discharge communications to patients? GPs also was ascertained. Methods: Pre- and post-operative self-administered questionnaires to 133 patients and a followup telephone survey of GPs providing primary care to 118 of these patients. Results: Pre-operatively, the majority (84.2%) of patients recalled being told how many days they were likely to be hospitalised. Univariate analysis did not demonstrate any factors predicting positive recall. The majority (87.0%) of patients perceived themselves ?ready to go home? at discharge. Twenty-eight GPs (23.7%) had received both a discharge summary from the hospital and a personalised letter from the patient?s surgeon. GP?s rated the surgeons? letters as significantly more useful than discharge summaries (P = 0.01). Conclusions: Although hospitals are required by NSW Health?s Effective Discharge Policy to inform patients about their likely length of stay in hospital, not all patients recalled whether they were so informed pre-operatively. Barriers impeding realisation of the NSW Health policy remain.

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Vasli, Parvaneh, Sedighe Valipour, Fatemeh Estebsari, and Maliheh Nasiri. "Predictors of readiness for discharge in mothers of preterm infants: The role of stress, self-efficacy and perceived social support." Asian Pacific Journal of Reproduction 11, no. 6 (2022): 269. http://dx.doi.org/10.4103/2305-0500.356845.

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Fuller, Theresa E., Denise D. Pong, Nicholas Piniella, Michael Pardo, Nathaniel Bessa, Catherine Yoon, Robert B. Boxer, Jeffrey Lawrence Schnipper, and Anuj K. Dalal. "Interactive Digital Health Tools to Engage Patients and Caregivers in Discharge Preparation: Implementation Study." Journal of Medical Internet Research 22, no. 4 (April 28, 2020): e15573. http://dx.doi.org/10.2196/15573.

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Background Poor discharge preparation during hospitalization may lead to adverse events after discharge. Checklists and videos that systematically engage patients in preparing for discharge have the potential to improve safety, especially when integrated into clinician workflow via the electronic health record (EHR). Objective This study aims to evaluate the implementation of a suite of digital health tools integrated with the EHR to engage hospitalized patients, caregivers, and their care team in preparing for discharge. Methods We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to identify pertinent research questions related to implementation. We iteratively refined patient and clinician-facing intervention components using a participatory process involving end users and institutional stakeholders. The intervention was implemented at a large academic medical center from December 2017 to July 2018. Patients who agreed to participate were coached to watch a discharge video, complete a checklist assessing discharge readiness, and request postdischarge text messaging with a physician 24 to 48 hours before their expected discharge date, which was displayed via a patient portal and bedside display. Clinicians could view concerns reported by patients based on their checklist responses in real time via a safety dashboard integrated with the EHR and choose to open a secure messaging thread with the patient for up to 7 days after discharge. We used mixed methods to evaluate our implementation experience. Results Of 752 patient admissions, 510 (67.8%) patients or caregivers participated: 416 (55.3%) watched the video and completed the checklist, and 94 (12.5%) completed the checklist alone. On average, 4.24 concerns were reported per each of the 510 checklist submissions, most commonly about medications (664/2164, 30.7%) and follow-up (656/2164, 30.3%). Of the 510 completed checklists, a member of the care team accessed the safety dashboard to view 210 (41.2%) patient-reported concerns. For 422 patient admissions where postdischarge messaging was available, 141 (33.4%) patients requested this service; of these, a physician initiated secure messaging for 3 (2.1%) discharges. Most patient survey participants perceived that the intervention promoted self-management and communication with their care team. Patient interview participants endorsed gaps in communication with their care team and thought that the video and checklist would be useful closer toward discharge. Clinicians participating in focus groups perceived the value for patients but suggested that low awareness and variable workflow regarding the intervention, lack of technical optimization, and inconsistent clinician leadership limited the use of clinician-facing components. Conclusions A suite of EHR-integrated digital health tools to engage patients, caregivers, and clinicians in discharge preparation during hospitalization was feasible, acceptable, and valuable; however, important challenges were identified during implementation. We offer strategies to address implementation barriers and promote adoption of these tools. Trial Registration ClinicalTrials.gov NCT03116074; https://clinicaltrials.gov/ct2/show/NCT03116074.

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Taylor, Elliott, Lee Egland, and Stephen Wilson. "SPILL RESPONSE CAPABILITIES IN REMOTE WESTERN ALASKA." International Oil Spill Conference Proceedings 2001, no. 2 (March 1, 2001): 1411–16. http://dx.doi.org/10.7901/2169-3358-2001-2-1411.

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ABSTRACT The Alaska Petroleum Distributors and Transporters (APD&T) group formulated a proposal to the U.S. Coast Guard (USCG) and the Alaska Department of Environmental Conservation (ADEC) for a realistic and reasonable marine response capability throughout Alaska's waters. USCG requested the proposal in an effort to reach a mutually satisfactory alternate compliance solution to the planning standards enacted as part of the Oil Pollution Act of 1990 (OPA 90). A final agreement for oil spill prevention and discharge planning compliance was reached in June 1999, initiating a 5-year preparedness development implementation program. Economically and operationally realistic planning standards are at issue in coastal Alaska, where more than 30,000 miles of coastline have practically no road access. The APD&T proposal first assessed the exposure or perceived risk of oil transport operations in each of the nine coastal ADEC planning regions (subareas) in Alaska by studying the oil volumes transported along specific routes, frequency and locations of oil transfers, and environmental conditions. The assessed risk and level of response capability were then used as a basis by oversight agencies to identify the areas in which additional resources and logistical infrastructure were required. The key components of the Agreement for Final Compliance in Alaska, are as follows: oil barge operators will maintain a strict tow-wire maintenance program and utilize only twin-screw tugs; spill response equipment for response to average and maximum most probable discharges will be maintained onboard each barge; emergency lightering pumps, independent of oil offloading pumps, will pre-located to ensure their availability within 24 hours; a minimum shoreside response capacity, including boom, sweeps, vessels, personnel, and wildlife and beach kits, will be emplaced in each subarea to supplement the onboard equipment; a logistical infrastructure will be developed at a hub within each of seven subareas to support the planned response capabilities; and a training and exercise program, following National Preparedness for Response Exercise Program (NPREP guidelines, will be conducted in each subarea to ensure in-region readiness by personnel and equipment. This poster presentation discusses the risk study, strategies, and committed approach to implement a response capability throughout Western Alaska.

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Titler, Marita G., and Debra Matsen Pettit. "Discharge readiness assessment." Journal of Cardiovascular Nursing 9, no. 4 (July 1995): 64–74. http://dx.doi.org/10.1097/00005082-199507000-00007.

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Patel, Hemali, and Michelle Mourad. "Demystifying discharge: Assessing discharge readiness to predict day of discharge." Journal of Hospital Medicine 10, no. 12 (October 5, 2015): 832–33. http://dx.doi.org/10.1002/jhm.2445.

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Zhang, Jie, Shuyu Yao, Feifei Huang, Yan Zhang, Nanqi Huang, Huiming Xiao, Jingping Zhang, and Yu Lian. "Exploring the Role of Social Support between Discharge Teaching and Readiness for Discharge in Ocular Fundus Disease Patients: A Cross-Sectional Study." Journal of Ophthalmology 2021 (June 17, 2021): 1–9. http://dx.doi.org/10.1155/2021/5547351.

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Background. This study aims to evaluate the quality of discharge teaching and readiness for discharge of fundus disease patients treated with day surgery and understand the role of social support between them. Methods. This was a cross-sectional descriptive correlational survey. Through convenient sampling, fundus disease patients treated with day surgery from Zhongshan Ophthalmic Center, China, were recruited. Data were collected using demographic and disease-related information, quality of discharge teaching scale, readiness for hospital discharge scale, and social support scale. Results. 255 fundus disease patients treated with day surgery were recruited at last. The mean total score of readiness for discharge, quality of discharge teaching, and social support in patients with fundus disease were 157.91 (SD = 26.68), 122.97 (SD = 21.55), and 36.32 (SD = 7.60), respectively. Participants with stronger social support had better discharge teaching and then had higher readiness for discharge. Social support played a partial mediator role in the relationship between discharge teaching and readiness for discharge. The mediation effect ratio was 5.5%. Conclusions. The quality of discharge teaching and social support among fundus disease patients who underwent day surgery was relatively high, and readiness for discharge was good. Social support is essential for the quality of discharge teaching and the improvement of discharge readiness. Clinical nurses need to provide appropriate guidelines to help patients seek effective support and improve quality of discharge teaching to enhance the readiness for discharge of fundus disease patients treated with day surgery.

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Pusey-Reid, Eleonor. "Patient readiness for PACU discharge." Nursing Critical Care 13, no. 5 (September 2018): 31–34. http://dx.doi.org/10.1097/01.ccn.0000544399.76592.be.

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Wall, Misty L. "Lesbians’ Perceived Readiness to Parent." Affilia 28, no. 4 (September 25, 2013): 391–400. http://dx.doi.org/10.1177/0886109913504723.

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Ran, Mingfei, Praneed Songwathana, and Jintana Damkliang. "Discharge readiness and its associated factors among first-time mothers undergoing cesarean section in China." Belitung Nursing Journal 8, no. 6 (December 27, 2022): 497–504. http://dx.doi.org/10.33546/bnj.2341.

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Background: Helping first-time mothers who have just undergone cesarean section and transitioning from hospital to home with their infant is a complex process. Therefore, understanding what contributes to discharge readiness is necessary. Objective: This study aimed to determine discharge readiness level and its associated factors among first-time mothers who have undergone cesarean section. Methods: A descriptive cross-sectional study was conducted among 233 first-time mothers who had undergone cesarean sections selected using quota sampling from the two largest referral centers in China. Data were collected from March to June 2021 using a demographic characteristics form, Readiness for Hospital Discharge Scale-New Mother Form (RHDS-NMF), and Quality Discharge Teaching Scale-New Mother Form (QDTS-NMF). Descriptive and inferential statistics were used for data analysis. Results: The discharge readiness of the respondents was at a moderate level. Age (r = -0.129, p = 0.049) and complications after cesarean section (r = -0.136, p = 0.038) had a negative correlation with discharge readiness. In contrast, the subscales of QDTS-NMF, particularly the content (r = 0.519, p = 0.000) and delivery (r = 0.643, p = 0.000), had a positive correlation with discharge readiness. Conclusion: The findings enable nurses, midwives, and other healthcare professionals to understand discharge readiness and its related factors among first-time mothers undergoing cesarean section. It is also suggested that the quality of discharge teaching with a comprehensive assessment of first-time mothers preparing for discharge from the hospital and following the guideline to prevent post-cesarean section complications should be reinforced.

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Walter, Lora, and Meigan Robb. "Promoting Discharge Readiness Through Staff Education." Journal for Nurses in Professional Development 35, no. 3 (2019): 132–36. http://dx.doi.org/10.1097/nnd.0000000000000519.

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Machi, Anthony T., Jacklynn F. Sztain, Nicholas J. Kormylo, Sarah J. Madison, Wendy B. Abramson, Amanda M. Monahan, Bahareh Khatibi, et al. "Discharge Readiness after Tricompartment Knee Arthroplasty." Anesthesiology 123, no. 2 (August 1, 2015): 444–56. http://dx.doi.org/10.1097/aln.0000000000000741.

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Abstract Background: The authors conducted a randomized, controlled, parallel-arm, superiority study to test the hypothesis that a continuous adductor canal block decreases the time to attain four discharge criteria compared with a continuous femoral nerve block after tricompartment knee arthroplasty. Methods: Subjects undergoing tricompartment knee arthroplasty were randomized using computer-generated lists to either an adductor canal or femoral perineural catheter (3-day ropivacaine 0.2% infusion) in an unmasked manner. The primary outcome was the time to attain four criteria: (1) adequate analgesia; (2) intravenous opioids independence; (3) ability to stand, walk 3 m, return, and sit down; and (4) ambulate 30 m. Results: Subjects with an adductor canal catheter (n = 39) reached all four criteria in a median of 55 h (interquartile, 42 to 63 h) compared with 61 h (49 to 69 h) for those with a femoral catheter (n = 41; 95% CI, −13 to 1 h; P = 0.12). The percentage of subjects who reached the two mobilization criteria on postoperative days 1 and 2 were 72 and 95% for those with an adductor canal catheter (n = 39), but only 27 and 76% in subjects with a femoral catheter (n = 41; both P < 0.001). Differences in pain scores at rest and intravenous opioid requirements were minimal, but femoral infusion improved dynamic analgesia (P = 0.01 to 0.02). Conclusion: Compared with a continuous femoral nerve block, a continuous adductor canal block did not appreciably decrease the time to overall discharge readiness even though it did decrease the time until adequate mobilization, primarily because both groups experienced similar analgesia and intravenous opioid requirements that—in most cases—exceeded the time to mobilization.

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Machi, Anthony T., Jacklynn F. Sztain, Nicholas J. Kormylo, Sarah J. Madison, Wendy B. Abramson, Amanda M. Monahan, Bahareh Khatibi, et al. "Discharge Readiness After Tricompartment Knee Arthroplasty." Survey of Anesthesiology 60, no. 2 (April 2016): 84–85. http://dx.doi.org/10.1097/01.sa.0000480640.93547.73.

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Fleischman, Ellen. "Improving Women's Readiness for Discharge Postpartum." Journal of Obstetric, Gynecologic & Neonatal Nursing 44 (June 2015): S2. http://dx.doi.org/10.1111/1552-6909.12619.

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Harrison, James D., W. John Boscardin, Judith Maselli, and Andrew D. Auerbach. "Does Feedback to Physicians of a Patient-Reported Readiness for Discharge Checklist Improve Discharge?" Journal of Patient Experience 7, no. 6 (January 12, 2020): 1144–50. http://dx.doi.org/10.1177/2374373519895100.

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Limited data exist describing how hospital discharge readiness checklists might be incorporated into care. To evaluate how assessing patient readiness for discharge effects discharge outcomes. We assessed hospitalized adults’ readiness for discharge daily using a checklist. In the first feedback period, readiness data were given to patients, compared to the second feedback period, where data were given to patients and physicians. In the first feedback period, 163 patients completed 296 checklists, and in the second feedback period, 179 patients completed 371 checklists. In the first feedback period, 889 discharge barriers were identified, and 1154 in the second feedback period ( P = .27). We found no association between the mean number of discharge barriers by hospital day and whether data were provided to physicians ( P = .39). Eighty-nine physicians completed our survey, with 76 (85%) recalling receiving checklist data. Twenty-three (30%) of these thought the data helpful, and 45 (59%) stated it “never” or “rarely” highlighted anything new. Patients continued to report discharge barriers even when physicians received patient-reported data about key discharge transition domains.

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Huang, Ru-Yu, Ting-Ting Lee, Yi-Hsien Lin, Chieh-Yu Liu, Hsiu-Chun Wu, and Shu-He Huang. "Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients." International Journal of Environmental Research and Public Health 19, no. 13 (July 1, 2022): 8097. http://dx.doi.org/10.3390/ijerph19138097.

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Background: Many family caregivers of advanced cancer patients worry about being unable to provide in-home care and delay the discharge. Little is known about the influencing factors of discharge readiness. Methods: This study aimed to investigate the influencing factors of family caregivers’ readiness, used a cross-sectional survey, and enrolled 123 sets of advanced cancer patients and family caregivers using convenience sampling from four oncology wards in a medical centre in northern Taiwan. A self-developed five-point Likert questionnaire, the “Discharge Care Assessment Scale”, surveyed the family caregivers’ difficulties with providing in-home care. Results: The study showed that the discharge readiness of family caregivers affects whether patients can be discharged home. Moreover, the influencing factors of family caregivers’ discharge readiness were the patient’s physical activity performance status and expressed discharge willingness; the presence of someone to assist family caregivers with in-home care; and the difficulties of in-home care. The best prediction model accuracy was78.0%, and the Nagelkerke R2 was 0.52. Conclusion: Discharge planning should start at the point of admission data collection, with the influencing factors of family caregivers’ discharge readiness. It is essential to help patients increase the likelihood of being discharged home.

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Mobiliu, Suwarly, Paulus Pangalo, and Nurafni Suid. "Discharge Planning Terhadap Kesiapan Klien Menghadapi Pemulangan Dengan Ulkus Diabetikum." Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo 6, no. 2 (September 30, 2020): 96. http://dx.doi.org/10.52365/jnc.v6i2.390.

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Background: Discharge planning or discharge planning is a process of starting the client from getting health services followed by continuity of care both in the healing process and in improving health status until the patient feels ready to return to his environment.Objective: This study aims to determine the effect of discharge planning on the client's readiness to face discharge with diabetic ulcers in the operating room of Toto Kabila Hospital, Bone Bolango Regency.Method: The design in this research is pre-experiment with 20 people taking purposive samplingResults: The results showed that after discharge planning the client's readiness level increased as many as 15 people (75%) with a readiness level of 4, and as many as 5 people (25%) with a readiness level 3. Based on the SPSS analysis test using the Wilcoxon Signed Rank Test, it was obtained P value = 0.000 so p value < 0.05. Then the results obtained Ha or H1 is accepted.Conclusion: These results indicate that there is a significant effect of discharge planning on the client's readiness to face discharge with diabetic ulcers in the operating room of the Toto Kabila Hospital, Bone Bolango Regency.

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Hydzik, Paulina, Ewelina Kolarczyk, Wojciech Kustrzycki, Grzegorz Kubielas, Marta Kałużna-Oleksy, Remigiusz Szczepanowski, and Bartosz Uchmanowicz. "Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 13 (June 28, 2021): 6937. http://dx.doi.org/10.3390/ijerph18136937.

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Myocardial infarction (MI) is a common cause of cardiovascular deaths. Education of patients with myocardial infarctions essential to prevent further cardiovascular events and reduce the risk of mortality. The study aimed to evaluate the associations between patients’ readiness for hospital discharge after myocardial infarction, acceptance of illness, social, demographic, and clinical factors. The study used a cross-sectional design and included 102 patients, who were hospitalized for myocardial infarction after percutaneous coronary intervention (PCI). Two questionnaires were used: The Readiness for Hospital Discharge After Myocardial Infarction Scale (RHD-MIS) and Acceptance of Illness Scale (AIS). Low readiness characterized nearly half of patients (47.06%), 27.45% of patients showed an intermediate level of readiness, while 25.49% of patients had high readiness. Readiness for hospital discharge was higher among younger patients, respondents living in relationships, living with a family, with tertiary or secondary education, and professionally active. Acceptance of illness was higher among male patients, respondents living in relationships, and family, with secondary education and professionally active. The AIS score positively correlated with readiness for hospital discharge.

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Kathuria, Hasmeena, Divya Shankar, Vinson Cobb, Julia Newman, Katia Bulekova, Scott Werntz, and Belinda Borrelli. "Integrating Social Determinants of Health With Tobacco Treatment for Individuals With Opioid Use Disorder: Feasibility and Acceptability Study of Delivery Through Text Messaging." JMIR Formative Research 6, no. 9 (September 1, 2022): e36919. http://dx.doi.org/10.2196/36919.

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Background Individuals with opioid use disorder (OUD) have a high prevalence of smoking and frequently experience unmet social determinants of health (SDOH), which may be barriers to smoking cessation. Hospitalization is an opportunity to encourage smoking cessation. Unfortunately, many clinicians do not provide tobacco treatment to support the maintenance of cessation achieved during hospitalization. Interventions are required to support these high-risk individuals after hospital discharge. Objective This study aimed to test the feasibility and acceptability of a 28-day SMS text messaging program tailored to individuals with OUD, which provides smoking cessation support and addresses unmet SDOH needs. Methods From July to December 2019, we enrolled 25 individuals who were hospitalized with tobacco dependence and OUD at our large safety net hospital. The SMS text messaging program was initiated during hospitalization and continued for 28 days. Participants were enrolled in either the ready to quit within 30 days or the not ready to quit within 30 days program based on their readiness to quit. Automated SMS text messages were sent twice daily for 4 weeks. The topics included health and cost benefits of quitting, both general and opioid specific (16 messages); managing mood and stress (8 messages); motivation, coping strategies, and encouragement (18 messages); addressing medication misconceptions (5 messages); links to resources to address substance use (2 messages providing links to the Massachusetts Substance Use Helpline and Boston Medical Center resources), tobacco dependence (1 message providing a link to the Massachusetts Quitline), and unmet SDOH needs (6 messages assessing SDOH needs with links to resources if unmet SDOH needs were identified). Questionnaires and interviews were conducted at baseline and at 2 and 4 weeks after enrollment. Results The participants were 56% (14/25) female, 36% (9/25) African American, 92% (23/25) unemployed, and 96% (24/25) Medicaid insured. Approximately 84% (21/25) activated the program, and none of the participants unsubscribed. Approximately 57% (12/21) completed either the 2- or 4-week questionnaires. Program satisfaction was high (overall mean 6.7, SD 0.8, range 1-7). Many perceived that the SMS text messaging program provided social support, companionship, and motivation to stop smoking. Messages about the health benefits of quitting were well received, whereas messages on how quitting cigarettes may prevent relapse from other substances had mixed views, highlighting the importance of tailoring interventions to patient preferences. Conclusions SMS text messaging to promote smoking cessation and address SDOH needs may be an effective tool for improving quit rates and health outcomes in individuals with tobacco dependence and OUD. Our study adds to the growing body of evidence that SMS text messaging approaches are feasible and acceptable for providing tobacco treatment to all individuals who smoke, even among low-income populations who have OUD and are not ready to quit.

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Rahmawati, Ina Nurul, and Riri Maria. "Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery." International Journal of Nursing and Health Services (IJNHS) 2, no. 1 (April 2, 2019): 40–47. http://dx.doi.org/10.35654/ijnhs.v2i1.59.

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The condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness. Keywords: discharge teaching, discharge readiness, post hip surgery

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Weiss, Marianne E., and Linda B. Piacentine. "Psychometric Properties of the Readiness for Hospital Discharge Scale." Journal of Nursing Measurement 14, no. 3 (December 2006): 163–80. http://dx.doi.org/10.1891/jnm-v14i3a002.

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The purpose of the study was to assess the psychometrics properties of the Readiness for Hospital Discharge Scale (RHDS), a 23-item instrument that measures patients’ perception of readiness for discharge. Data were obtained from 356 respondents from two urban tertiary medical centers (adult and children’s) in the midwestern United States who were participants in a larger study of predictors and outcomes of readiness for hospital discharge. Confirmatory factor analysis, contrasted group comparisons, and predictive validity testing supported the 4-factor structure and construct validity of the instrument. Following deletion of two poorly performing items, Cronbach’s alpha for the revised 21item scale was 0.90. The RHDS can be a useful tool for measurement of readiness for discharge for clinical and research purposes.

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Cai, Wei, Xiaofen Zheng, Runping Wang, Huifen Zhu, Xinxin Xu, Xiaowen Shen, and Chunmei Zhang. "Factors of Parents-Reported Readiness for Hospital Discharge in Children with Acute Leukemia: A Cross-Sectional Study." Journal of Healthcare Engineering 2022 (April 22, 2022): 1–7. http://dx.doi.org/10.1155/2022/4082196.

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Aim. The aim of this study is to investigate the existing status and to explore the influencing factors of parents-reported readiness for hospital discharge in children with acute leukemia (AL) in China and to propose optimizing pathways and recommendations of discharge readiness for clinical reference. Methods. A cross-sectional survey was conducted for the 122 children with AL who were discharged from the Second Affiliated Hospital and Yuying Children’s Hospital, Wenzhou Medical University; their parents were investigated by using the modified Chinese version of Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS). Data were collected between September 2020 and May 2021.Univariate analysis and multivariate logistic regression analysis were performed to explore the influencing factors of readiness for hospital discharge. Results. The 122 children with AL included 52 females and 70 males with mean age 6.08 years. The total RHDS score was 7.7 ± 1.2, and 68.9% of the participants had high readiness for hospital discharge (RHDS score >7). The total QDTS score was 7.6 ± 2.0. Parent marital status (OR = 4.86, 95% CI: 1.31–18.05), education status (OR = 3.86, 95% CI: 1.18–12.55), family per capita monthly income (OR = 1.08, 95% CI: 1.01–2.99), and high QDTS (OR = 1.56, 95% CI: 1.11–2.68) were risk factors for high RHDS. Conclusions. Our data suggest parents of children with AL had high readiness for hospital discharge and had the ability to take care of their children after discharge. Parental marital status, education status, QDTS score, and family per capita monthly income were independently associated with high RHDS.

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Chung, Yunhyung, Stanley M. Gully, and Kathi J. Lovelace. "Predicting Readiness for Diversity Training." Journal of Personnel Psychology 16, no. 1 (January 2017): 25–35. http://dx.doi.org/10.1027/1866-5888/a000170.

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Abstract. Using data collected from 160 employed professionals in the US, we performed multivariate and univariate multiple regression analyses to examine the joint effect of perceived ethnic discrimination and ethnic dyadic dissimilarity on trainee readiness for diversity training (pre-training motivation to learn, self-efficacy, intention to use, and perceived utility). A significant interaction effect showed that individuals displayed stronger pre-training motivation to learn, intention to use, and perceived utility when they perceived discrimination based on ethnic background and when they were ethnically dissimilar to their supervisor. However, perceived ethnic discrimination was not associated with these three readiness variables when subordinate-supervisor ethnic backgrounds were the same. Implications for theory and practice are discussed.

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Arnéguy, Elodie, Marc Ohana, and Florence Stinglhamber. "Overall justice, perceived organizational support and readiness for change: the moderating role of perceived organizational competence." Journal of Organizational Change Management 33, no. 5 (April 27, 2020): 765–77. http://dx.doi.org/10.1108/jocm-12-2019-0373.

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PurposeThe purpose of this paper is to investigate the mechanisms and the conditions under which experiencing organizational justice fosters employees' readiness for change. First, this study tests the mediating role of perceived organizational support between overall justice and readiness for change. Second, it examines whether perceived organizational competence moderates this indirect positive effect.Design/methodology/approachData were collected from US employees (N = 230) facing organizational change. Confirmatory factor analyses were performed to test the measurement model. Moderated mediation analyses, based on Hayes' (2013) method, were used to examine the hypotheses.FindingsOverall, the findings support the hypotheses. Justice influences readiness for change through perceived organizational support only for employees who perceive their organization as highly competent.Originality/valueWhile a few studies have shown that justice fosters readiness for change, little attention has been paid to the mechanisms and conditions under which justice affects readiness for change. In addition, this research highlights in particular the importance of considering how employees assess the “can do” characteristic of their company in the context of organizational change.

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Kamau, Emma Betty, Cynthia Foronda, Victor Hugo Hernandez, and Brian Anthony Walters. "Reducing Length of Stay and Hospital Readmission for Orthopedic Patients: A Quality Improvement Project." Journal of Doctoral Nursing Practice 15, no. 1 (October 29, 2021): 39–45. http://dx.doi.org/10.1891/jdnp-d-20-00060.

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BackgroundTransitioning patients from the hospital to home after a total hip or knee arthroplasty is challenging. Severe pain, comorbidities and complex medication regimes have the potential to delay readiness for discharge, increase length of stay (LOS), and cause readmissions.ObjectiveThe goal of this practice improvement project was to improve patient readiness for discharge after total joint arthroplasty to reduce LOS, prevent emergency department (ED) visits, and prevent hospital readmissions.MethodsThis quality improvement project was guided by the Iowa Model and implemented a prepost program implementation evaluation design. Nurses incorporated the Registered Nurse Assessment of Readiness for Hospital Discharge Scale (RN-RHDS) to guide and evaluate discharge education efforts.ResultsThe focused education cohort demonstrated significantly decreased LOS and decreased readmissions compared to the cohort receiving standard education efforts. ED visits were not significantly different amongst cohorts.ConclusionThis practice improvement project demonstrates successful translation of research into practice.Implications for NursingThe use of focused education and the RN-RHDS tool is recommended for nursing to improve patient readiness for discharge and patient outcomes.

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Burnham, Natasha, Nancy Feeley, and Kathyrn Sherrard. "Parents’ Perceptions Regarding Readiness for Their Infant’s Discharge from the NICU." Neonatal Network 32, no. 5 (2013): 324–34. http://dx.doi.org/10.1891/0730-0832.32.5.324.

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Purpose: To identify what parents need to feel ready for the discharge of their infant from the neonatal intensive care unit (NICU).Design: Qualitative.Sample: 20 parents of infants admitted to a Canadian Level III NICU were interviewed (2011–2012) and asked to identify what they require to feel ready for discharge. Interview transcripts underwent qualitative content analysis to produce a descriptive summary of parents’ perceptions of their needs.Results: Parents indicated a need for information and hands-on experience to enhance their readiness for discharge. Observations of their infant and of the NICU environment impacted parents’ perceptions of their infant’s readiness for discharge, which influenced perceptions of their own readiness for discharge. Finally, parents require tailoring of information and experiences to meet the unique needs of their family.

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Galvin, Eileen Catherine, Teresa Wills, and Alice Coffey. "Readiness for hospital discharge: A concept analysis." Journal of Advanced Nursing 73, no. 11 (June 2, 2017): 2547–57. http://dx.doi.org/10.1111/jan.13324.

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DeStephano, Christopher C., Shilpa P. Gajarawala, Mariana Espinal, Michael G. Heckman, Emily R. Vargas, and Matthew A. Robertson. "Discharge Readiness after Robotic and Laparoscopic Hysterectomy." Journal of Minimally Invasive Gynecology 26, no. 5 (July 2019): 910–18. http://dx.doi.org/10.1016/j.jmig.2018.09.766.

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Rizky, Rendy, Ratna Pujiastuti, and Heri Setiawan. "Keterlibatan Karyawan Sebagai Variabel Pemediasi Pengaruh Persepsi Dukungan Organisasi Terhadap Kesiapan Untuk Berubah (Survei Pada Kantor Pos Pusat Purwokerto)." Majalah Imiah Manajemen dan Bisnis 19, no. 1 (May 30, 2022): 47–57. http://dx.doi.org/10.55303/mimb.v19i1.137.

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This study examines employee involvement in mediating the effect of perceived organizational support on organizational readiness to change. Testing using multiple linear regression analysis and Sobel test. The research shows that perceived organizational support has a significant effect on employee engagement. Perceived organizational support has a significant effect on organizational readiness to change. Employee involvement has a significant effect on organizational readiness to change. Employee involvement mediates the effect of perceived organizational support on readiness to change. Referring to these conclusions, it can be implied that as an effort to continuously improve organizational readiness for change, the Purwokerto Central Post Office management needs to implement appropriate policies related to perceptions of organizational support and employee involvement. The results of this study indicate that the role of employee involvement in encouraging organizational readiness to change is very important.

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Lerret, Stacee M. "Discharge Readiness: An Integrative Review Focusing on Discharge Following Pediatric Hospitalization." Journal for Specialists in Pediatric Nursing 14, no. 4 (October 2009): 245–55. http://dx.doi.org/10.1111/j.1744-6155.2009.00205.x.

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Rizky, Fadillah Putri Amalia, and Dinda Dwarawati. "Pengaruh Perceived Organizational Support terhadap Readiness for Change pada Guru." Bandung Conference Series: Psychology Science 3, no. 2 (August 3, 2023): 735–41. http://dx.doi.org/10.29313/bcsps.v3i2.7341.

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Abstract. Organizational change is something that cannot be avoided to achieve success in the competitive world of work, continuity and existence of the organization. An important factor in the success of an organization to make changes is individual readiness to change (readiness for change). Readiness for change is the extent to which individuals cognitively and emotionally have the desire to accept, embrace and adapt a change plan. Employee readiness to face change will have a positive orientation towards the organization when it has perceived organizational support. This study aims to see how much influence perceived organizational support has on readiness for change in 90 public high school teachers in Cianjur District. The measuring tool used is the Survey of Perceived Organizational Support (SPOS) which refers to the theory of Eisenberger et al. (1986) and the readiness for organizational change scale which refers to the theory of Holt et al., (2007). The sampling technique used is saturated sampling. The method used is causality quantitative method with simple linear regression analysis technique. The results of this study indicate that perceived organizational support has a significant effect on readiness for change by 77.1% Abstrak. Perubahan organisasi merupakan hal yang tidak dapat dihindari untuk mencapai keberhasilan dalam persaingan dunia kerja, kelangsungan serta eksistensi organisasi. Faktor penting dalam keberhasilan organisasi untuk melakukan perubahan yaitu kesiapan individu untuk berubah (readiness for change). Readiness for change adalah sejauh mana individu secara kognitif dan emosional memiliki keinginan untuk menerima, merangkul dan mengadaptasi rencana perubahan. Kesiapan karyawan menghadapi perubahan akan memiliki orientasi positif terhadap organisasi ketika memiliki perceived organizational support. Penelitian ini bertujuan untuk melihat seberapa besar pengaruh perceived organizational support terhadap readiness for change pada 90 guru SMA Negeri di Kecamatan Cianjur. Alat ukur yang digunakan yaitu Survey of Perceived Organizational Support (SPOS) yang mengacu pada teori Eisenberger et al. (1986) dan readiness for organizational change scale yang mengacu pada teori Holt et al., (2007). Teknik sampling yang digunakan adalah sampling jenuh. Metode yang digunakan yaitu metode kuantitatif kausalitas dengan teknik analisis regresi linier sederhana. Hasil penelitian ini menunjukkan bahwa perceived organizational support berpengaruh signifikan terhadap readiness for change sebesar 77.1%.

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Weiss, Marianne E., Kathleen J. Sawin, Karen Gralton, Norah Johnson, Carol Klingbeil, Stacee Lerret, Shelly Malin, Olga Yakusheva, and Rachel Schiffman. "Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children." Journal of Pediatric Nursing 34 (May 2017): 58–64. http://dx.doi.org/10.1016/j.pedn.2016.12.021.

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Huang, Lu, Yan Zhu, Yun Wu, Yingying Wang, Kaidi Song, Xiaoyu Zhu, Guiqi Song, Yaohua Wu, and Yongliang Zhang. "Implementation and Evaluation of Discharge Planning for Patients Undergoing Umbilical Cord Blood Transplantation." Blood 142, Supplement 1 (November 28, 2023): 7213. http://dx.doi.org/10.1182/blood-2023-179626.

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Purpose The purpose of this study was to implement discharge planning for patients undergoing umbilical cord blood transplantation (UCBT) and evaluate the effects on length of stay (LOS), hospital readmission, discharge readiness, self-efficacy, and quality of life (QoL). Methods Participants (n =72) were assigned to a control group (CG: received usual care) or an intervention group (IG: received discharge planning from admission to 100 days after UCBT). LOS and the rate of hospital readmission within 30 days after discharge were collected. Discharge readiness was measured by the Readiness for Hospital Discharge Scale, self-efficacy and QoL were assessed at 100 days after UCBT using General Self-Efficacy Scale and FACT-BMT version 4. Results Sixty-six patients completed the study, the IG group showed significantly better discharge readiness (p<0.05), improvement in self-efficacy (p<0.001). Except for social and emotional well-being, all the other dimensions and three total scores of FACT-BMT in the IG were higher than the controls (p<0.05). The LOS was less in the IG (50.12±8.80 vs. 53.28±11.28, p=0.207), the rate of hospital readmission within 30 days after discharge was lower (20.59% vs. 31.25%, p=0.376), however, the differences were not significant. Conclusion This study provided the evidences on the implementation of discharge planning for patients undergoing UCBT, and suggested that nurse-led discharge planning should be incorporated into usual care for successful hospital-to-home transitions.

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Sugandini, Dyah, Trestina Ekawati, Rahajeng Arundati, and Holimin Holimin. "Pengaruh E-Learning Readiness, Innovation, Performance Expectancy dan Perceived Usefulness terhadap Intention To Use E-Learning pada Perguruan Tinggi di Yogyakarta." Prosiding Seminar Nasional Sains Teknologi dan Inovasi Indonesia (SENASTINDO) 3 (December 21, 2021): 247–56. http://dx.doi.org/10.54706/senastindo.v3.2021.143.

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Penelitian ini bertujuan untuk menganalisis kembali intention to use e-learning yang dipengaruhi oleh e-learning readiness, innovation, performance expectancy dan perceived usefullness. perceived usefullness memediasi hubungan antara e-learning readiness dan innovation terhadap intention to use e-learning. Penelitian ini memiliki jumlah sampel sebanyak 31 perguruan tinggi di Yogyakarta. Partial Least Square digunakan untuk menguji hipotesis pada penelitian kuantitatif ini. Hasil uji menemukan bahwa intention to use e-learning secara positif dan signifikan dipengaruhi oleh e-learning readiness, innovation, performance expectancy dan perceived usefulness. Perceived usefulness secara positif dan signifikan memediasi hubungan antara antara e-learning readiness dan innovation terhadap intention to use e-learning.

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Moon, Jin Hee. "Structural Relationships among e-Learning Readiness, Presence and Learning Performance in University e-Learning." Institute of Educational Research Chonnam National University 45, no. 3 (November 30, 2023): 33–58. http://dx.doi.org/10.35510/jer.2023.45.3.33.

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For this study, a survey targeting 420 students from a 4-year university in Cheonbuk Province. The specific findings of this study are as follows. First, the research model devised to examine the structural relationships among e-Learning readiness, presence(teaching presence, cognitive presence) and learning performance(perceived achievement, learning satisfaction, intention to persist in learning) perceived by the university students was fit. This means there are significant structural relationships among e-Learning readiness, presence(teaching presence, cognitive presence) and learning performance(perceived achievement, learning satisfaction, intention to persist in learning). Second, when analyzing the direct effects of the variables, the significant direct effects were found between 1) e-Learning readiness and learning satisfaction, 2) e-Learning readiness and intention to persist in learning, 3) e-Learning readiness and presence(teaching presence, cognitive presence), 4) teaching presence and learning performance(perceived achievement, learning satisfaction, intention to persist in learning), 5) teaching presence and cognitive presence, and 6) cognitive presence and learning performance(perceived achievement, learning satisfaction, intention to persist in learning), except for the direct effects on e-Learning readiness and perceived achievement. Third, when analyzing the indirect effects of the variables, there were significant mediating effects of teaching presence in the relationship between 1) e-Learning readiness and learning performance(perceived achievement, learning satisfaction, intention to persist in learning), and of cognitive presence in the relationship between 2) e-Learning readiness and learning performance(perceived achievement, learning satisfaction, intention to persist in learning). Also, the double-mediating effects of teaching presence and cognitive presence were significant in the relationship between e-Learning readiness and learning performance(perceived achievement, learning satisfaction, intention to persist in learning). This study verified the causal relationships of individual variables, which are relevant to high learning performance in university e-Learning and suggested a methodology to enhance the level of learning performance. In conclusion, the study suggests the need for an instructional design to reinforce e-Learning readiness for enhancing learning performance and for a consideration of teaching presence and cognitive presence factors for an instructional design.

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Anggraeni, Winny, and Adjeng Mariana Febrianti. "Managing individual readiness for change." International Journal of Research in Business and Social Science (2147- 4478) 11, no. 2 (March 22, 2022): 127–35. http://dx.doi.org/10.20525/ijrbs.v11i2.1700.

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Organizations today are in a dynamic state and in need to constantly change. This study aims to determine the mediating role of mindfulness in the relationship between perceived organizational support and individual readiness for change. This research was conducted by distributing questionnaires to 175 employees who work in service companies determined by the purposive sampling technique. The existing data is then processed using Structural Equation Modeling with AMOS 3.0 software. The results show that perceived organizational support has a positive effect on individual readiness for change, and mindfulness mediates the direct effect of perceived organizational support on individual readiness for change. Implications and suggestions for future research are also given.

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Dangol, Rita. "Child safeguarding standards and perceived school readiness in Nepal." Theory and Practice in Child Development 2, no. 1 (June 30, 2022): 101–13. http://dx.doi.org/10.46303/tpicd.2022.12.

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Child safeguarding strategy and school readiness are crucial for creating a safe and sound learning environment in schools. In this context, this study intends to assess the influence of child safeguarding strategy on school readiness. So, the researcher carried the cross-sectional survey as the research design and adopted the self-administer questionnaire to collects data from 393 primary level school teachers from the Bagmati province of Nepal. After gathering data, the linear regression model was employed to analyze the data for obtaining results. This study obtained the significant relationship between child safeguarding strategy and school readiness. In the line with this result, school readiness is highly contributed by child safeguarding strategy in school settings. Overall, it is settled that ensuring child safeguarding strategies like policy, people, procedure, and accountability are essential for promoting school readiness. Thus, the child safeguarding strategy is necessary to establish a safe and sound environment for learning, which is also the motto of school readiness.

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Changsuphan, Supattra, Puangpaka Kongvattananon, and Chomchuen Somprasert. "Patient readiness for discharge after total hip replacement: an integrative review." Journal of Health Research 32, no. 2 (March 12, 2018): 164–71. http://dx.doi.org/10.1108/jhr-01-2018-016.

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Purpose The purpose of this paper is to reduce or eliminate pain while enabling full advantage and function of daily living activities after hospital discharge. Readiness for discharge depends largely on prior healthcare team preparations for both patients and their families. Design/methodology/approach This integrative review was conducted using the Whittemore and Knafl method, and synthesized published research concerning patients’ readiness for discharge, particularly those who had undergone total hip replacement (THR) surgery. Findings Results were categorized into five main themes as physiological experiences, psychological experiences, coping ability, needs from the healthcare team, and family support influential to the readiness of THR patients for discharge. Originality/value The preparation for discharge of THR patients should be fully engaged and addressed. Moreover, healthcare professionals should provide care for patients at both the pre- and post-operation phases as well as during the transitional phase from hospital to home.

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Annurrahman, Arif, Retno Koeswandari, and Wiwin Lismidiati. "Hubungan Pelaksanaan Discharge Planning dengan Tingkat Kecemasan dan Kesiapan Pulang pada Pasien Post Sectio Caesarea." Jurnal Keperawatan Klinis dan Komunitas 2, no. 2 (July 30, 2018): 59. http://dx.doi.org/10.22146/jkkk.44271.

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Background: Fear of of post caesarean section (CS) pain and complication can be the sources of fear and anxiety for the mother during the puerperium period. Moreover, the relatively short length of stay for post-CS mothers cannot cover the entire length of care until the mother is cured. Discharge planning can improve patients and their families confidence in performing proper treatment independently after home arrival.Objective: To identify the correlation between discharge planning, anxiety level, and readiness for discharge among post-CS patients in Yogyakarta hospital.Methods: This quantitative research was a descriptive correlational study with cross sectional design. Respondents of this research were both, post elective and emergency CS patients who were hospitalized in a postpartum ward in a hospital in Yogyakarta. Thirty patients participated in this study. Readiness for Hospital Discharge Scale (RHDS), Hamilton Anxiety Rating Scale (HARS), and discharge planning overview questionnaire were used as research instruments in this research. Data were analyzed by Spearman Rank non-parametric correlation test.Results: More than half (70%) of total respondents had low discharge planning quality. Furthermore, most of the respondents (90%) had normal anxiety, and half of total respondents (53,3%) had moderate readiness for discharge. The correlation test showed there was no correlation between discharge planning and anxiety level (r=-0,008; p value = 0,967). However, there was a statistically significant correlation between discharge planning and readiness for discharge (r=0,434; p value = 0,017).Conclusion: There was a statistically significant correlation between discharge planning and readiness for discharge. In contrast, there was not any correlation between discharge planning and anxiety level of post CS patients. ABSTRAKLatar Belakang: Selama periode nifas, rasa takut akan nyeri dan komplikasi post-SC dapat menjadi sumber ketakutan dan kecemasan bagi ibu. Lama rawat inap ibu post SC yang relatif singkat tidak mampu mencakup keseluruhan perawatan sampai ibu sembuh. Pemberian discharge planning dapat meningkatkan kepercayaan diri pasien dan keluarga dalam perawatan mandiri setelah pulang ke rumah.Tujuan penelitian: Mengetahui hubungan gambaran discharge planning pada pasien post SC dengan tingkat kecemasan dan kesiapan pulang pasien di salah satu rumah sakit di Yogyakarta.Metode: Jenis penelitian ini adalah deskriptif korelasional dengan rancangan cross sectional. Sampel penelitian adalah semua pasien post SC baik elektif maupun emergensi yang dirawat inap di ruang post partum di salah satu rumah sakit di Yogyakarta. Jumlah responden penelitian adalah 30 orang dengan teknik purposive sampling. Instrumen yang digunakan antara lain Readiness for Hospital Discharge Scale (RHDS), Hamilton Anxiety Rating Scale (HARS), dan kuesioner gambaran discharge planning. Data dianalisis menggunakan uji korelasi non-parametrik Spearman Rank. Hasil: Lebih dari setengah responden (70%) memiliki kualitas discharge planning kurang, mayoritas responden (90%) memiliki kecemasan normal, dan mayoritas responden (53,3%) memiliki kesiapan pulang sedang. Uji korelasi menunjukkan tidak ada hubungan antara discharge planning dengan tingkat kecemasan (r=-0,008; p=0,967), namun ada hubungan discharge planning dengan tingkat kesiapan pulang (r=0,434; p=0,017).Kesimpulan: Terdapat hubungan antara discharge planning dengan tingkat kesiapan pulang namun tidak terdapat hubungan antara discharge planning dengan tingkat kecemasan pasien post SC.

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