PTSurveyThe South African journal of physiotherapy2018

Perceived readiness for hospital discharge: Patients with spinal cord injury versus physiotherapists.

Marliza Du Plessis, Cassandra R McGaffin, Thamsanqa Molepo and 3 others

PMID 30167501

WHAT IT FOUND

Overall discharge readiness was similar between patients and physiotherapists.

Patients rated coping and expected home support higher, while physiotherapists rated patients as more stressed and rated knowledge items differently.

Key findings

01General discharge readiness and total RHDS scores were similar between patients and physiotherapists.

02Patients reported higher coping ability and expected home support than physiotherapists did.

03Physiotherapists perceived higher stress levels than patients did, and the groups differed on knowledge about restrictions and follow-up.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study used a convenience sample of 50 patients, so the perceptions may not represent all patients with spinal cord injury. It was limited to hospitals in the Tshwane Metropolitan area, so findings may not apply elsewhere. Physiotherapist demographics and work experience were not collected, so differences cannot be linked to experience or expertise. The study did not follow patients after discharge, so it cannot show whether these perception differences predicted readmission, coping or secondary health conditions. The study compared perceptions only, and it did not measure actual post-discharge function or support. Patients were assessed within seven days of discharge, so readiness was captured at a single late time point.

The easy way to misread this

Do not read the similar overall scores as agreement about discharge readiness. Patients and physiotherapists differed on coping, expected support, stress and knowledge, and the study did not follow patients after discharge, so it cannot show which perception was more accurate.

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