Correlation between quality of discharge teaching, readiness for hospital discharge and health outcomes of hysterectomy patients: A structural equation model analysis.
Meijun Guan, Xianqiong Feng
PMID 36802197WHAT IT FOUND
Hysterectomy patients who rated discharge teaching better also felt more ready to leave hospital and reported better self-care ability one month later.
Readiness linked teaching to self-care, but the study did not test whether improving teaching improves outcomes.
Key findings
01Discharge teaching quality, discharge readiness and postdischarge health outcome scores were moderately to strongly positively correlated.
02Discharge readiness was linked to the association between discharge teaching and postdischarge health outcomes (indirect effect 0.34).
03Patients scored lowest on what they actually obtained from teaching, disease knowledge, and responsibility for self-care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at one hospital in mainland China, so the patients may not represent other settings. It measured associations at discharge and one month later; it cannot show that better discharge teaching caused better readiness or better outcomes. The health outcome score focused on self-care agency, while complication items were recorded but excluded from scoring. Follow-up was short, and 29 patients were lost to follow-up. The statistical model required repeated modification and path simplification, and some paths were not significant at first.
Declared interests
No funding was received, and the authors declare no conflicts of interest.
The easy way to misread this
Do not conclude that better discharge teaching causes better outcomes. This was a cross-sectional survey of self-reported scores, so it shows associations and cannot prove that changing teaching improves readiness or outcomes.