Factors Related to Readiness for Hospital Discharge Among Hospitalized Elderly Patients in Tertiary Hospitals

  • Jittawadee Rhiantong Faculty of Nursing, Chiang Mai University
  • Sirirat Panuthai Faculty of Nursing, Chiang Mai University
Keywords: Readiness for hospital discharge, Quality of discharge teaching, hospitalized elderly patients in tertiary hospital


Elderly patients who are hospitalized need to have readiness for hospital discharge to allow patients to have safe rehabilitation at home and to reduce problems and complications that may occur. This correlational study aimed to examine factors related to readiness for hospital discharge among hospitalized elderly patients in tertiary hospitals. The participants were one hundred and thirteen patients who were admitted at medical and surgical units in two tertiary hospitals in Chiang Mai Province, and they were purposively selected. Three questionnaires were used for data collection: a Personal Information Form, the Quality of Discharge Teaching Scale, and the Readiness for Hospital Discharge Scale. Descriptive statistics were used and to determine demographic data. The correlation between variables were tested with the Pearson Product Moment test.

            The results revealed that most participants perceived a high level of readiness for hospital discharge (x̄ = 172.62, S.D. = 25.08) and a high quality of discharge teaching (amount of content received and nurses’ skill in teaching delivery) (x̄ = 142.88, S.D. = 35.46). There was a significantly positive relationship between readiness for hospital discharge and quality of discharge teaching (r = .577, p < .01) in hospitalized elderly patients.

Findings from this study may enable nurses to develop a model of discharge planning by considering discharge teaching (amount of content received and nurses’ skill in teaching delivery) to prepare elderly patients to be able to care for themselves at home.


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Anusasananun, B., Sucamwang, K., Udomkhamsuk, W., Sangwattanarat, W., & Tinnakorn Na Ayutthaya, K. (2015). Predicting factors of readiness for hospital discharge among surgical hospitalized patients in tertiary hospitals. Nursing Journal, 42, 24-34. (in Thai)

Bjorvatn, A. (2013). Hospital readmission among elderly patients. The European Journal of Health Economics, 14, 809–820.

Bobay, K., Jerofke, T. A., Weiss, M. E., & Yakusheva, O. (2010). Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge. Geriatric Nursing, 31(3), 178-187.

Brent, L., & Coffey, A. (2013). Patient’s perception of their readiness for discharge following hip fracture surgery. International Journal of Orthopaedic and Trauma Nursing, 17(4), 190-198.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum associates.

Koelling, T. M., Johnson, M. L., Cody, R. J., & Aaronson, K. D. (2005). Discharge education improves clinical outcomes in patients with chronic heart failure. Circulation, 111(2), 179-185.

Lausawatchaikul, P. (2001). Discharge planning for the elderly. Ramathibodi Nursing Journal, 7(1), 73-80. (in Thai)

Lilleheie, I., Debesay, J., Bye, A., & Bergland, A. (2019). Experiences of elderly patients

regarding participation in their hospital discharge: A qualitative metasummary. BMJ Open, 9, e025789. doi:10.1136/bmjopen-2018-025789

Maloney, L. R., & Weiss, M. E. (2008). Patients' Perceptions of hospital discharge informational content. Clinical Nursing Research, 17(3), 200-219.

Mamon, J., Steinwachs, D. M., Fahey, M., Bone, L. R., Oktay, J., & Klein, L. (1992). Impact of hospital discharge planning on meeting planning needs after returning home. Health Service Research, 27(2), 155-175.

Maresova, P., Javanmardi, E., Barakovic, S., Husic, J. B., Tomsone, S., Krejcar, O., & Kuca, K. (2019). Consequences of chronic diseases and other limitations associated with oldage – a scoping review. BMC Public Health, 19 (1), 1431. doi: 10.1186/s12889-019-7762-5

Meleis, A.I., Sawyer, L.M., Im, E.-O., Messias, D.K., & Schumacher, K. (2000). Experiencing transitions: An emerging middle-range theory. Advanced Nursing Science, 23(1), 12-28.

Meleis, A. I. (2010). Transitions from practice to evidence-based models of care. In A. I. Meleis (Ed.), Transitions theory: Middle range and situation specific theories in nursing research and practice (pp. 1-9). New York: Springer.

Miller, J. F., Piacentine, L., & Weiss, M. (2008). Coping difficulties after hospitalization. Clinical Nursing Research, 17(4), 1-19.

Panuthai, S. (2014). Factors affecting readiness for hospital discharge among older persons.

Nursing Journal, 41(4), 150-160. (in Thai)

Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott Williams & Wilkins, a Wolters Kluwer Health.

Poncharoen, P., Samartkit, N., & Keeratiyutawong, P. (2015). Factors related to discharge readiness in patients with congestive heart failure. Nursing Journal of The Ministry of Public Health, 25(2), 130-143. (in Thai)

Sanguino, G. Z., Previato, G. F., Silva, A. F., Meireles, V. C., Góes, H. L., & Baldissera, V. D. (2018). The nursing work in care of hospitalized elderly: Limits and particularities. Journal of Research: Fundamental Care Online, 10(1), 160-166.

Somsiri, V., & Susang, J. (2011). The effects of giving planned instruction on knowledge, perceived self-care abilities and self-care behavior in coronary heart disease patients receiving percutaneous coronary intervention at Songkhlanakarind Hospital. Princess of Naradhiwas University Journal, 3, 33-44. (in Thai)

Sriprasong, S., Hanucharurnkul, S., Panpukdee, O., Krittayaphong, R., Pongthavornkamol, K., & Vorapongsathorn, T. (2011). Personal factors related to perceived readiness for hospital discharge of patients with acute myocardial infarction. Thai Journal of Cardio-Thoracic Nursing, 22(2), 44-57. (in Thai)

Stephenson, M. (1990). Discharge criteria in day surgery. Journal of Advanced Nursing, 15, 601-613.

Suwan, P., Boonyong, S., Somana, P., Bourchum, U., Yotchai, B., Sunpakaew, N., & Bunyoo, N. (2016). Predicting factors of readiness for hospital discharge among hospitalized cancer patients receiving chemotherapy at Maharaj Nakorn Chiang Mai hospital.Chiang Mai Medical Journal, 55(1), 27-40. (in Thai)

Weiss, M. E., Piacentine, L. B., Lokken, L., Ancona, J., Archer, J., … & Vega-Stromberg, T. (2007). Perceived readiness for hospital discharge in adult medical-surgical patients. Clinical Nurse Specialist, 21(1), 31-42.

Weiss, M., Johnson, N. L., Malin, S., Jerofke, T., Lang, C., & Sherburne, E. (2008). Readiness for discharge in parents of hospitalized children. Journal of Pediatric Nursing, 23(4), 282-295.

Research Article