On Patient Readiness for Hospital Discharge

an update on recent Evidence


  • Na Li School of Nursing and Rehabilitation, Shandong University, China
  • Manjie GUO
  • Simeng YOU
  • HongJi




readiness for hospital discharge, evidence and trend, nursing


Background: With the development of the "person-centered" model of nursing care, for a better understanding of patient self-reported Readiness for Hospital Discharge (RHD) the theme is being studied extensively by researchers and professionals around the world.

Methods: Using search terms such as "readiness for hospital discharge", (RHD) we systematically searched the PubMed database for relevant articles on patients with RHD from 2019 to the present. Screening was performed strictly according to the inclusion and exclusion criteria, and finally, the relevant literature was read and summarized.

Results: A total of 8 articles met the criteria published between 2019 and 2022. The probability of being unprepared for discharge varied by disease type. Factors influencing patient RHD included demographic characteristics, psychological status, disease-related information, and hospital setting factors.

Conclusions: Studies of RHD patients have been extensively developed in recent years. There is evidence to sustain that some patients leave the hospital unprepared, and in conditions that would require further attention of clinical staff. The issue may not be receiving the best required attention in what should be a priority of healthcare management and concern with impacts on the patients’ quality of life.

Contribution to Evidence-Based Care: The article contributes to an update on how to identify patients with low RHD in the context of busy nursing workloads and make clear interventions, thus improving the efficiency of nursing care. In addition, according to the factors affecting patients' RHD, scientific discharge plans were constructed and used clinically to promote the application of nursing research results in nursing practice. Finally, the article sustains taht evidence-based nursing care can ensure better quality ofcare and contribute to the improvement of impacts on patients' quality of life.


Antunes, V. (2022). On Nursing Research and Evidence-Based Practice: Topics for researchers and practitioners. International Healthcare Review (online), 1(1). https://doi.org/10.56226/ihr.v1i1.12 DOI: https://doi.org/10.56226/ihr.v1i1.12

Baksi, A., Arda Sürücü, H., Turhan Damar, H., & Sungur, M. (2021). Examining the Relationship between Older Adults' Readiness for Discharge after Surgery and Satisfaction with Nursing Care and the Associated Factors. Clin Nurs Res, 30(8), 1251-1262. doi:10.1177/10547738211011768 DOI: https://doi.org/10.1177/10547738211011768

Fenwick, A. M. (1979). An interdisciplinary tool for assessing patients' readiness for discharge in the rehabilitation setting. J Adv Nurs, 4(1), 9-21. doi:10.1111/j.1365-2648.1979.tb02984.x DOI: https://doi.org/10.1111/j.1365-2648.1979.tb02984.x

Hydzik, P., Kolarczyk, E., Kustrzycki, W., Kubielas, G., Kałużna-Oleksy, M., Szczepanowski, R., & Uchmanowicz, B. (2021). Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study. Int J Environ Res Public Health, 18(13). doi:10.3390/ijerph18136937 DOI: https://doi.org/10.3390/ijerph18136937

Jacennik, B. (2022). On Digital Health Research Priorities: From Telemedicine to Telehealth. International Healthcare Review (online), 1(1). https://doi.org/10.56226/ihr.v1i1.13 DOI: https://doi.org/10.56226/ihr.v1i1.13

Mabire, C., Bachnick, S., Ausserhofer, D., & Simon, M. (2019). Patient readiness for hospital discharge and its relationship to discharge preparation and structural factors: A cross-sectional study. Int J Nurs Stud, 90, 13-20. doi:10.1016/j.ijnurstu.2018.09.016 DOI: https://doi.org/10.1016/j.ijnurstu.2018.09.016

Qian, J., Qian, M., Ren, Y., Ye, L., Qian, F., Jin, L., . . . Xu, H. (2021). Readiness for hospital discharge and influencing factors: a cross-sectional study on patients discharged with tubes from the department of hepatobiliary surgery. BMC Surg, 21(1), 121. doi:10.1186/s12893-021-01119-0 DOI: https://doi.org/10.1186/s12893-021-01119-0

Rotvig, C., Christensen, A. V., Rasmussen, T. B., Borregaard, B., Thrysoee, L., Juel, K., . . . Berg, S. K. (2021). Unreadiness for hospital discharge predicts readmission among cardiac patients: results from the national DenHeart survey. Eur J Cardiovasc Nurs, 20(7), 667-675. doi:10.1093/eurjcn/zvab017 DOI: https://doi.org/10.1093/eurjcn/zvab017

Wang, M., Wang, Y., Meng, N., & Li, X. (2021). The factors of patient-reported readiness for hospital discharge in patients with depression: A cross-sectional study. J Psychiatr Ment Health Nurs, 28(3), 409-421. doi:10.1111/jpm.12693 DOI: https://doi.org/10.1111/jpm.12693

Xiong, L., Liu, Y., Chen, Q., Tian, Y., & Yang, M. (2021). Readiness for Hospital Discharge of Adult Patients with Major Depressive Disorder in China: A Cross-Sectional Study. Patient Prefer Adherence, 15, 1681-1692. doi:10.2147/ppa.S319447 DOI: https://doi.org/10.2147/PPA.S319447

Zhang, A., Feng, X., & Qiu, C. (2021). Discharge teaching, readiness for hospital discharge and post-discharge outcomes in cataract patients: A structural equation model analysis. J Nurs Manag, 29(3), 543-552. doi:10.1111/jonm.13169 DOI: https://doi.org/10.1111/jonm.13169

Zhang, X., Tang, C., Xiao, X., Sun, M., & Wang, H. (2021). Readiness for Hospital Discharge and Its Correlates Among People Living With HIV in Hunan, China: A Cross-sectional Study. J Assoc Nurses AIDS Care, 32(5), 619-628. doi:10.1097/jnc.0000000000000278 DOI: https://doi.org/10.1097/JNC.0000000000000278

Zhao, H., Feng, X., Yu, R., Gu, D., & Zhang, X. (2020). Factors influencing readiness for hospital discharge among patients undergoing laryngectomy. Int J Nurs Pract, 26(5), e12875. doi:10.1111/ijn.12875 DOI: https://doi.org/10.1111/ijn.12875

patient discharge


10-08-2022 — Updated on 10-08-2022

How to Cite

Li, N., GUO, M., YOU, S., & JI, H. (2022). On Patient Readiness for Hospital Discharge: an update on recent Evidence. International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.30



Special Collection: Nursing

Most read articles by the same author(s)