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Discharge Readiness Among Primary Caregivers in Pediatric Medical-Surgical Units in Jeddah, Saudi Arabia

Maha A Alzahrani1,2, Manal F Alharbi3

  • 1Collage of Nursing, King Saud University, Riyadh 11451, Saudi Arabia.

Children (Basel, Switzerland)
|January 8, 2025
PubMed

Insights

Caregiver readiness for pediatric hospital discharge in Jeddah was moderate to high, influenced by teaching quality and patient age. Enhancing discharge education is key to improving preparedness and reducing complications.

Area of Science:

  • Pediatric Nursing
  • Healthcare Quality Improvement
  • Patient Discharge Management

Background:

  • Effective family preparation is vital for pediatric patients' post-hospital care, given their health vulnerabilities.
  • Home care demands significant attention for children transitioning from medical-surgical units.
  • Assessing caregiver preparedness is crucial for successful discharge and reducing readmissions.

Purpose of the Study:

  • To evaluate the discharge readiness of primary caregivers for pediatric patients in Jeddah, Saudi Arabia.
  • To identify factors influencing caregiver preparedness for pediatric hospital discharge.
  • To examine the relationship between discharge teaching quality and caregiver readiness.

Main Methods:

  • A quantitative, cross-sectional study involving 258 primary caregivers in Jeddah.
  • Utilized the Pediatric Readiness for Hospital Discharge Scale (Ped-RHDS) and Quality of Discharge Teaching Scale (QDTS), translated into Arabic.
  • Employed descriptive statistics, t-tests, and multiple regression analyses to identify predictors of readiness.

Main Results:

  • Caregivers reported moderate to high readiness, with strong personal and child strength scores.
  • Knowledge scores averaged 7.49 (SD = 3.27), indicating room for improvement.
  • Discharge teaching quality was significantly higher at King Abdulaziz University Hospital compared to the Ministry of Health hospital (p = 0.006).
  • Caregiver age, child age, and discharge teaching quality significantly predicted readiness (p < 0.05).

Conclusions:

  • Discharge readiness is crucial, with discharge education playing a pivotal role in enhancing caregiver preparedness.
  • Tailoring support to specific caregiver needs, particularly for younger children or extended hospital stays, can optimize readiness.
  • Improving discharge education strategies can lead to better patient outcomes and fewer post-discharge complications.

Keywords:
Saudi Arabiacaregiverschilddischarge readinesshospitalshumanspatient dischargeregression analysis

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