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Psychometric properties of the Turkish version of the Readiness for Hospital Discharge Scale-Parent Form (Ped-RHDS)
Meral Bayram1, Burcu Aykanat Girgin2
1Sancaktepe Şehit Dr. İlhan Varank Research and Training Hospital Sancaktepe, Istanbul, Turkey.
Insights
This study validated the Turkish Readiness for Hospital Discharge Scale-Parent Form (Ped-RHDS) for assessing parental readiness for pediatric hospital discharge. The validated scale aids in preventing readmissions by ensuring preparedness.
Area of Science:
- Pediatric healthcare
- Nursing research
- Health outcomes
Background:
- Objective evaluation of parental readiness for pediatric hospital discharge is crucial for preventing readmissions.
- This study focused on validating the Turkish version of the Readiness for Hospital Discharge Scale-Parent Form (Ped-RHDS).
Purpose of the Study:
- To examine the validity and reliability of the Turkish Ped-RHDS for assessing parental discharge readiness in pediatric patients in Turkey.
- To establish an objective measure for parental preparedness before child hospital discharge.
Main Methods:
- The study included 160 parents of children from pediatric surgery and pediatric departments.
- Analyses included Cronbach's alpha, exploratory and confirmatory factor analyses, item-total correlation, and criterion validity.
- The Turkish Ped-RHDS was assessed for its psychometric properties.
Main Results:
- The Turkish Ped-RHDS, comprising 26 items across 5 factors, explained 52.212% of the total variance.
- The scale demonstrated good reliability (Cronbach's alpha = 0.842) and validity.
- Factor loadings and fit indices supported the scale's structure, with weak correlation to post-discharge coping.
Conclusions:
- The Turkish Ped-RHDS is a valid and reliable tool for assessing parental readiness for pediatric hospital discharge.
- Healthcare professionals can utilize this scale to improve discharge planning and patient outcomes.
- Integration of the Turkish Ped-RHDS into standard practice is recommended for pediatric discharge assessments.
Background:
An objective evaluation of parents' perceived readiness for the discharge of their child from hospital may aid in the prevention of readmission and rehospitalization. This study examined the validity and reliability of the Turkish version of the Readiness for Hospital Discharge Scale-Parent Form (Ped-RHDS) for children in Turkey.
Methods:
The parents of 160 children planned for discharge from the pediatric surgery and pediatric departments were included. Cronbach's α, exploratory factor, confirmatory factor, item-total correlation, and criterion validity analyses of the Turkish Ped-RHDS were performed.
Results:
The Turkish Ped-RHDS has 26 items in 5 factors explaining 52.212% of the total scale variance. The scale had a Cronbach's alpha of 0.842. In exploratory and confirmatory factor analyses, item factor loadings were higher than 0.30 and comparative fit and goodness of fit indices were 0.96 and 0.93, respectively. In criterion-based validity, total Ped-RHDS score weakly correlated with scores on the Post-Discharge Coping Difficulty Scale (r = -0.164; p = 0.039). Item-item total score correlations for the Turkish Ped-RHDS were between 0.329 and 0.532.
Conclusion:
The Turkish Ped-RHDS is valid and reliable as a parent-reported instrument for the assessment of hospital discharge readiness in children and parents.
Practice Implications:
Healthcare professionals can use this assessment tool to measure parental and child discharge readiness before children are discharged from hospital. The Turkish Ped-RHDS should be integrated into discharge readiness assessment as standard practice in the discharge of pediatric patients.
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