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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure

Published on: September 19, 2019

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Parent Readiness for Hospital Discharge Scale: Psychometrics and Association With Postdischarge Outcomes

Marianne E Weiss, Stacee M Lerret, Kathleen J Sawin

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |October 3, 2019
    PubMed

    Insights

    The Pediatric Readiness for Hospital Discharge Scale (PedRHDS) is a reliable tool for assessing parental readiness for child discharge. It helps predict post-discharge coping difficulties and hospital readmissions.

    Area of Science:

    • Pediatric healthcare
    • Nursing research
    • Health outcomes

    Background:

    • Parental readiness for discharge is crucial for successful pediatric healthcare transitions.
    • Assessing parental preparedness can mitigate post-discharge challenges and reduce readmissions.
    • Existing tools may require validation for specific populations, such as parents of hospitalized children.

    Purpose of the Study:

    • To validate the Readiness for Hospital Discharge Scale (RHDS) for parents of hospitalized children, creating the Pediatric Readiness for Hospital Discharge Scale (PedRHDS).
    • To establish the psychometric properties and reliability of the PedRHDS and its short forms.
    • To assess the association of the PedRHDS with post-discharge outcomes.

    Main Methods:

    • Psychometric testing and item reduction using principal component analysis on data from 417 parents across four studies.
    • Reliability estimation using Cronbach's alpha.
    • Predictive validity assessed through regression analysis, examining associations with post-discharge coping and readmission.

    Main Results:

    • A 23-item PedRHDS maintained its intended factor structure.
    • Reliability coefficients for the PedRHDS (23-item, 10-item, and 8-item forms) ranged from 0.73 to 0.85.
    • The PedRHDS demonstrated significant associations with reduced post-discharge coping difficulty (12%-16% variance) and lower odds of readmission (OR=0.71-0.80).

    Conclusions:

    • The PedRHDS and its short forms (PedRHDS-SF10, PedRHDS-SF8) are reliable and valid measures.
    • These scales can serve as valuable outcome metrics for hospital care quality.
    • The PedRHDS functions as an effective risk indicator for identifying children at risk of post-discharge coping issues and readmission.
    Abstract

    Keywords:
    Discharge readinesshospital dischargeparentpediatricpsychometrics

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