Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital

Health Serv Res. 2014 Feb;49(1):304-17. doi: 10.1111/1475-6773.12092. Epub 2013 Jul 16.


Objective: To validate patient and nurse short forms for discharge readiness assessment and their associations with 30-day readmissions and emergency department (ED) visits.

Data sources/study setting: A total of 254 adult medical-surgical patients and their discharging nurses from an Eastern US tertiary hospital between May and November, 2011.

Study design: Prospective longitudinal design, multinomial logistic regression analysis.

Data collection/extraction methods: Nurses and patients independently completed an eight-item Readiness for Hospital Discharge Scale on the day of discharge. Patient characteristics, readmissions, and ED visits were electronically abstracted.

Principal findings: Nurse assessment of low discharge readiness was associated with a six- to nine-fold increase in readmission risk. Patient self-assessment was not associated with readmission; neither was associated with ED visits.

Conclusions: Nurse discharge readiness assessment should be added to existing strategies for identifying readmission risk.

Keywords: Discharge readiness; emergency visits; readmissions.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Health Services Research
  • Humans
  • Length of Stay / statistics & numerical data
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Nurses*
  • Nursing Assessment*
  • Patient Discharge / statistics & numerical data*
  • Patient Readmission / statistics & numerical data
  • Patients*
  • Perception
  • Prospective Studies
  • Surveys and Questionnaires