Predictors of readiness for hospital discharge after birth: Building evidence for practice
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: = 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.
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Discharge education is an essential part of maternity care and is key to the successful developmental and physical transition of women to becoming a mother.
“Discharge education is an essential part of maternity care and is key to the successful developmental and physical transition of women to becoming a mother (Bernstein et al., 2013; Malagon-Maldonado et al., 2017).”
From Scoping Review of Postpartum Discharge Education Provided by Nurses (2022) · cites this paper as Malagon-Maldonado et al., 2017
Cites
Nursing Research Generating and Assessing Evidence for Nursing Practice
Timmins, F. (2013) · Nurse Education in Practice · doi:10.1016/j.nepr.2013.04.001 · Cited by 5,505 · see citing works
Early postnatal discharge from hospital for healthy mothers and term infants
Brown, S., Small, R., Argus, B., Davis, P. G., & Krastev, A. (2002) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002958 · Cited by 253 · see citing works
Theoretical nursing: Development and progress
zaki, K. (2007) · AJN American Journal of Nursing · Cited by 168 · see citing works
Smith, V. C., Hwang, S. S., Dukhovny, D., Young, S., & Pursley, D. M. (2013) · Journal of Perinatology · doi:10.1038/jp.2013.23 · Cited by 141 · see citing works
Bobay, K. L., Jerofke‐Owen, T. A., Weiss, M., & Yakusheva, O. (2010) · Geriatric Nursing · doi:10.1016/j.gerinurse.2010.03.005 · Cited by 108 · see citing works
Patients’ Perceptions of the Quality of Discharge Teaching and Readiness for Discharge
Knier, S., Stichler, J. F., Ferber, L., & Catterall, K. (2014) · Rehabilitation Nursing · doi:10.1002/rnj.164 · Cited by 98 · see citing works
Early Discharge of Infants and Risk of Readmission for Jaundice
Lain, S. J., Roberts, C. L., Bowen, J. R., et al. (2015) · PEDIATRICS · doi:10.1542/peds.2014-2388 · Cited by 84 · see citing works
Cesarean and Vaginal Birth in Canadian Women: A Comparison of Experiences
Chalmers, B., Kaczorowski, J., Darling, E., Heaman, M., Fell, D. B., O’Brien, B., Lee, L., & for the Maternity Experiences Study Group of the Canadian Perinatal Surveillance System (2010) · Birth · doi:10.1111/j.1523-536x.2009.00377.x · Cited by 76 · see citing works
Validity and Reliability of the Perceived Readiness for Discharge After Birth Scale
Weiss, M., Ryan, P. A., & Lokken, L. (2006) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2006.00020.x · Cited by 74 · see citing works
Davis, E. M., Babineau, D. C., Wang, X., Zyzanski, S. J., Abrams, B. F., Bodnar, L. M., & Horwitz, R. I. (2013) · Maternal and Child Health Journal · doi:10.1007/s10995-013-1272-3 · Cited by 69 · see citing works
Length of Stay after Vaginal Birth: Sociodemographic and Readiness‐for‐Discharge Factors
Weiss, M., Ryan, P. A., Lokken, L., & Nelson, M. (2004) · Birth · doi:10.1111/j.0730-7659.2004.00286.x · Cited by 69 · see citing works
Bowman, K. G. (2005) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1177/0884217505276054 · Cited by 52 · see citing works
Family size and perinatal circumstances, as mental health risk factors in a Scottish birth cohort
Riordan, D. V., Morris, C., Hattie, J., & Stark, C. R. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0405-5 · Cited by 46 · see citing works
DiFrisco, E., Goodman, K. E., Budin, W. C., et al. (2011) · The Journal of Perinatal Education · doi:10.1891/1058-1243.20.1.28 · Cited by 38 · see citing works
Enhanced recovery in gynaecology
Torbé, E., Crawford, R., Nordin, A. J., et al. (2013) · The Obstetrician & Gynaecologist · doi:10.1111/tog.12061 · Cited by 28 · see citing works
Melnyk, B. M. (2015) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12079 · Cited by 17 · see citing works
Menacker, F., MacDorman, M. F., & Declercq, E. R. (2009) · Maternal and Child Health Journal · doi:10.1007/s10995-009-0551-5 · Cited by 17 · see citing works
Walker, L. O., Cheng, H., & Brown, A. (2014) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/1552-6909.12467 · Cited by 13 · see citing works
Impact of grandmultiparity on perinatal outcomes in eastern region of Turkey
Özkan, Z. S., Atılgan, R., Goktolga, G., et al. (2013) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.3109/14767058.2013.784254 · Cited by 7 · see citing works
An Update on Research Issues in the Assessment of Birth Settings
Institute of Medicine and National Research Council (2013) · National Academies Press eBooks · doi:10.17226/18368 · Cited by 4 · see citing works
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Scoping Review of Postpartum Discharge Education Provided by Nurses
McCarter, D., Law, A. A., Cabullo, H., & Pinto, K. (2022) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2022.03.002 · Cited by 40 · see citing works
Hua, W., Wang, L., Li, C., Simoni, J. M., Yuwen, W., & Jiang, L. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.14676 · Cited by 27 · see citing works
- Authors
- Malagon‐Maldonado, G., Connelly, C. D., & Bush, R. A.
- Affiliations
- Sharp Mary Birch Hospital for Women & Newborns (US)
- University of San Diego (US)
- Corresponding author
- Malagon‐Maldonado, Gabriella
- Venue
- Worldviews on Evidence-Based Nursing
- Publisher
- Wiley
- Published
- 2017-02-22
- Volume
- 14
- Issue
- 2
- Pages
- 118-127
- ISSN
- 1545-102X (ISSN-L)
- 1741-6787
- OpenAlex
- W2589818177
- Cited by
- 47
- References
- 20
- Citations by year
- 2026: 7 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 13 · 2021: 6 · 2020: 4 · 2019: 3
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Worldviews on Evidence-Based Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of San Diego Hahn School of Nursing and Health Science (Dean's Scholar Award)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- hospital discharge readiness, postpartum women, discharge education, nursing education, patient education
- MeSH terms
- Adolescent, Adult, Attitude to Health, Bottle Feeding, Decision Support Techniques, Educational Status, Female, Humans, Infant, Newborn, Middle Aged, Mothers, Obstetric Nursing, Patient Discharge, Patient Education as Topic, Pregnancy, Prenatal Care, Surveys and Questionnaires, Socioeconomic Factors, Delivery, Obstetric, Patient Outcome Assessment
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