Discharge readiness: an integrative review focusing on discharge following pediatric hospitalization

J Spec Pediatr Nurs. 2009 Oct;14(4):245-55. doi: 10.1111/j.1744-6155.2009.00205.x.


Purpose: This review aims to identify factors associated with parental discharge readiness following pediatric hospitalization, with focus applicability to solid organ transplant patients.

Design and methods: Thirty-eight publications, including research and clinical practice papers, were identified using Cooper's methodology for conducting integrative research reviews (1982).

Results: Four concepts emerged influencing discharge readiness: support, identification of unique and individual needs, education, and communication and coordination. Synthesis of themes resulted in two overarching concepts: meaningful interactions and confidence building.

Practice implications: Nurses have a singular opportunity to enhance meaningful interactions and confidence building, ultimately promoting a successful transition home.

Publication types

  • Review

MeSH terms

  • Attitude to Health
  • Child
  • Child, Hospitalized*
  • Communication
  • Continuity of Patient Care / organization & administration
  • Humans
  • Models, Nursing
  • Models, Psychological
  • Needs Assessment
  • Nurse's Role
  • Nursing Assessment
  • Nursing Evaluation Research
  • Parents* / education
  • Parents* / psychology
  • Patient Discharge* / standards
  • Patient Education as Topic* / organization & administration
  • Pediatric Nursing / organization & administration
  • Research Design
  • Self Efficacy
  • Severity of Illness Index
  • Social Support