Reliability and validity of the Chinese version of the Readiness for Hospital Discharge Scale-Parent Form in parents of preterm infants.
Yongfeng Chen, Jinbing Bai
PMID 31406725WHAT IT FOUND
Among 150 Chinese parents of preterm infants, a 22-item discharge-readiness questionnaire gave consistent answers, and higher-rated discharge teaching was linked to greater readiness.
Key findings
01The final Chinese parent readiness scale contained 22 items.
02The retained subscales were knowledge, physical-emotional status, expected support, and pain status.
03Parents who reported better discharge teaching also reported higher readiness.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample came from two tertiary hospitals in one Chinese city and was recruited by convenience, so it may not represent parents elsewhere. Most participants were fathers (73.3%), because many mothers were still in postpartum confinement and did not attend discharge day, so results may not reflect mothers' readiness. The authors did not evaluate content validity, so they did not show that the items cover all important aspects of discharge readiness for Chinese parents. The factor structure differed from the original scale: coping ability was not retained, and pain status emerged as a separate factor. The study measured associations at discharge, not whether using the scale changes discharge teaching, parental confidence, infant safety, or readmission. Eighteen of 168 recruited parents did not complete the study because of infant health issues or time conflicts.
Declared interests
The study received no specific grant from public, commercial, or not-for-profit funding agencies, and the authors declared no conflicts of interest.
The easy way to misread this
Do not read this as proof that the shortened scale improves discharge care. It was tested in 150 parents, mostly fathers, in two Chinese hospitals, and content validity and post-discharge outcomes were not assessed.