Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Patients’ Perceptions of the Quality of Discharge Teaching and Readiness for Discharge

Knier, Susan MBA/PM, OTR/L1; Stichler, Jaynelle F. DNSc, RN, NEA-BC, FACHE, FAAN2,3; Ferber, Laura MN, RN, CNRN, CRRN4; Catterall, Kathleen MA, CCC, SP5

Rehabilitation Nursing Journal: January 2015 - Volume 40 - Issue 1 - p 30–39
doi: 10.1002/rnj.164
Continuing Education

Purpose: This study evaluated the effectiveness of a change to an interprofessional discharge planning/teaching process with more patient and family engagement.

Design: A quantitative survey design was used to measure the effectiveness of the interprofessional discharge planning and teaching process in improving patient and provider outcomes.

Methods: The project used the Quality of Discharge Teaching (QDTS) and Readiness for Hospital Discharge Scale (RHDS) instruments to measure the patients' perceptions of readiness for discharge. Patient satisfaction rates were measured before and after the change.

Findings: The new interprofessional discharge planning/teaching process significantly improved patient satisfaction levels from pre- to postimplementation (p < .05). There were significant differences in both pre (n = 36) and post (n = 31) data for information needed as compared to information received (p < .05). Significant improvements were noted in total QDTS (p=.01) and the Expected Support subscale of the RHDS (p=.038).

Conclusions and Clinical Relevance: The findings of this study indicate the importance of an interprofessional approach to discharge teaching to improve patient satisfaction and the quality of teaching. Adult learning theory and patient-centered care using a patient-engagement model is recommended for inpatient rehabilitation and home settings after discharge.

1System Rehabilitation Services, Interprofessional Education & Development Lean/Six Sigma Project Management Sharp HealthCare, San Diego, California, USA

2Professional Development and Research Consultant, Sharp Metro Campus, San Diego, California, USA

3Professor Emerita San Diego State University, San Diego, California, USA

4Rehabilitation Clinical Nurse Specialist Regulatory Affairs Sharp Metro Campus, San Diego, California, USA

5Rehabilitation Manager Speech Therapy Psychology Social Work Case Management Recreation Therapy, Sharp HealthCare, San Diego, California, USA

Accepted 11 April 2014


Susan Knier, MBA/PM, OTR/L, LSS GB, System Senior Rehabilitation Specialist, Sharp HealthCare, 2999 Health Center Dr. San Diego, CA 92123.


© 2015 Association of Rehabilitation Nurses.
You currently do not have access to this article

To access this article:

Note: If your society membership provides full-access, you may need to login on your society website