The Predictive Effect of the Level of Psychological Resilience on the Level of Readiness for Discharge in Patients Undergoing Orthopaedic Surgery.
Emine Selda Gündüz, Melike Durmaz, Bahattin Kerem Aydin
PMID 39497633WHAT IT FOUND
After orthopaedic surgery, patients with higher psychological resilience scores also reported higher discharge readiness.
Living alone, having prosthesis, fracture or amputation surgery, and missing discharge training were linked to lower readiness. This was not a test of whether resilience causes readiness.
Key findings
01Patients' psychological resilience scores showed a moderate positive correlation with their discharge readiness scores (r = 0.675, p < 0.01).
02In regression analysis, being male, living alone, having prosthesis, fracture or amputation surgery, not receiving discharge training, not feeling ready for discharge, and lower resilience scores were predictors of discharge readiness.
03Participants had the lowest readiness scores in personal status and perceived coping ability.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling and included only patients from one Turkish hospital, so the results may not apply to other settings or populations. Data were collected only 1 day before discharge from patients who could understand questionnaires, and people with mental health problems or communication difficulties were excluded, so it does not show what happens for those patients. Because resilience and readiness were measured at the same time, the study cannot show that resilience causes readiness or that improving resilience will improve readiness. The reported variance explained is inconsistent: the results sentence says 88.7% with adjusted R2 = 0.773, while the Discussion says 77.3%; do not treat this as a precise prediction.
The easy way to misread this
Do not conclude that increasing resilience will make patients ready for discharge. This survey measured resilience and readiness at the same time before discharge, and it tested no intervention. It shows a link, not cause.