Hospital Discharge Scales -- Research Publications

Yakusheva, O., Weiss, M.E., & Buerhaus, P. (In press). Individual nurse productivity in preparing patients for discharge is associated with patient likelihood of 30-day return to hospital. Medical Care,

Weiss, M.E., Yakusheva, O., Bobay, K.B., Costa, L., Hughes, R.G., Nuccio, S., Hamilton, M., Bahr, S., Siclovan, D., Bang J.   (2019). Effect of a discharge readiness assessment on return to hospital in adult medical-surgical patients: The READI randomized clinical trial. JAMA Network Open, 2(1):e187387. doi:10.1001/jamanetworkopen.2018.7387.

Opper, K., Beiler, J. & Weiss, M.E. (2019). Effects of implementing a health team communication redesign on hospital readmissions within 30 days.  Worldviews on Evidence Based Nursing, 16(2), 121-130.

Beiler, J., Opper, K., & Weiss, M. (2019). Integrating research and quality improvement using TeamSTEPPS®: A health team communication project to improve hospital discharge. Clinical Nurse Specialist, 33(1), 22-32.

Bahr, S. & Weiss, M.E. (2019).  Clarifying model for continuity of care: A concept analysis. International Journal of Nursing Practice, 25, e12704.

Bobay, K.L., Weiss, M.E., Oswald, D., & Yakusheva, O. (2018). Validation of the Registered Nurse Readiness for Hospital Discharge Scale (RN-RHDS). Nursing Research, 67(4), 305-313. DOI: 10.1097/NNR.0000000000000293.

Candela. L., Piacentine, L., Bobay, K., & Weiss, M.E. (2018). Teaching students to teach patients: A theory-guided approach. Journal of Nursing Education and Practice, 8(11). 92-101. DOI: 10.5430/jnep.v8n11p92   URL:

Siqueira, T.H., Vila, V.S.C., & Weiss, M.E. (2018) Adaptação transcultural do instrumento Readiness For Hospital Discharge Scale – Adult Form. Revista Brasileira Enfermagem (Rev Bras Enferm) [Internet]. 2018;71(3):983-991. DOI:

Also published in English translation:  

Siqueira, T.H., Vila, V.S.C., & Weiss, M.E. (2018) Cross-cultural adaptation of the instrument Readiness For Hospital Discharge Scale - Adult Form Revista Brasileira Enfermagem (Rev Bras Enferm) [Internet]. 2018;71(3):983-991. DOI:

Sawin, K., Weiss, M.E., Johnson, N., Gralton, K., Malin, S., Klingbeil, C., Lerret, S. M., Thompson, J., Zimmanck. K., Kaul, M., & Schiffman, R (2017). Development of a self-management theory-guided discharge intervention for parents of hospitalized children. Journal of Nursing Scholarship, 49(2), 202-213. DOI: 10.1111/jnu.12284.

Weiss, M.E., Sawin, K., Gralton, K., Johnson, N., Klingbeil, C., Lerret, S.M., Malin, M., Yakusheva, O., & Schiffman, R. (2017).  Discharge teaching, readiness for discharge, and post-discharge outcomes in parents of hospitalized children. Journal of Pediatric Nursing, 34, 58-64.

Bahr, S.J., Siclovan, D., Opper, K., Beiler, J., Bobay, K.L., & Weiss, M.E. (2017). Interprofessional health team communication about hospital discharge: An implementation science evaluation study. Journal of Nursing Care Quality, 32(4), 285-292. doi:10:1097/NCQ.0000000000000238.

Holland, D.E., Vanderboom, C.E., Delgado, A.M., Weiss, M.E., Monsen, K.A. (2016). Describing pediatric hospital discharge planning care processes using the Omaha System.  Applied Nursing Research, 30,24-28.           

Mabire, C., Coffey, A., & Weiss, M. (2015). Readiness for Hospital Discharge Scale for Older People: development and psychometric testing from three countries. Journal of Advanced Nursing, 71(11), 2686–2696.

Weiss, M.E, Bobay, K.L., Bahr, S., Costa, L., Hughes, R., & Holland, D.E. (2015). A model for hospital discharge preparation: from case management to care transition. Journal of Nursing Administration, 45(12), 606-614.

Bobay, K.L., Bahr, S., Weiss, M.E., Hughes, R., Costa, L.  (2015). Models of discharge care in Magnet hospitals. Journal of Nursing Administration, 45(10):485-491.

Lerret, S. M., Weiss, M. E., Stendahl, G., Chapman, S., Menendez, J., Williams, L., Nadler, M., Neighbors, K., Amsden, K., Cao, Y., Nugent, M., Alonso, E., & Simpson, P. (2015). Pediatric Solid Organ Transplant Recipients: Transition to Home and Chronic Illness Care.  Pediatric Transplantation, 19 (1), 118-129.  

Lerret, S. M., Weiss, M. E., Stendahl, G., Chapman, S., Neighbors, K., Amsden, K., Lokar, J., Voit, A., Menendez, J., & Alonso, E. (2014).  Transition from Hospital to Home Following Pediatric Sold Organ Transplant: Qualitative Findings of the Parent Experience.”  Pediatric Transplantation, 18, 527-537.

Weiss, M.E., Costa, L., Yakusheva, O., & Bobay. K. (2014). Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital. Health Services Research, 49(1), 304-317. DOI:10.1111/1475-6773.12092.

Weiss, M., Yakusheva, O., & Bobay, K. (2011). Quality and cost analysis of nurse staffing, discharge preparation, and post-discharge utilization. Health Services Research, 46(5), 1473-1494. DOI: 10.1111/j.1475-6773.2011.01267.x

Nosbusch, J.M., Weiss, M.E., & Bobay, K.L.  (2011). An integrated review of the literature on challenges confronting the acute care staff nurse in discharge planning. Journal of Clinical Nursing, 20(5-6), 754-774. 

Bobay, K., Yakusheva, O., & Weiss, M.  (2011). Outcomes and cost analysis of the impact of unit-level nurse staffing on post-discharge utilization. Nursing Economics, 29(2), 69-78, 87.

Lerret, S. & Weiss, M.E. (2011). How ready are they? Parents of pediatric solid organ      transplant recipients and the transition from hospital to home following transplant. Pediatric Transplantation,15,606–616 DOI: 10.1111/j.1399-3046.2011.01536.x.

Weiss, M.E., Yakusheva, O, & Bobay, K.L.  (2010). Nurse and patient perceptions of discharge readiness in relation to post-discharge utilization. Medical Care, 48(5), 482-486.

Bobay, K., Jerofke, T, Weiss, M., & Yakusheva, O. (2010). Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge. Geriatric Nursing, 31(3), 178-187.

Weiss, M.E. & Lokken, L. (2009). Predictors and outcomes of postpartum mothers’ perceptions of readiness for discharge after birth. JOGNN, 38, 406-417.       

Weiss, M., Fawcett, J. & Aber, C. (2009).  Adaptation, postpartum concerns, and learning needs in the first two weeks after caesarean birth. Journal of Clinical Nursing,18(21), 2938–2948.

Weiss, M., Johnson, N., Malin, S., Jerofke, T., Lang, C ., & Sherburne, E. (2008). Readiness for discharge in parents of hospitalized children. Journal of Pediatric Nursing, 23(4), 282-295.

Maloney, L.R. & Weiss, M.E.  (2008). Patients’ perception of hospital discharge informational needs.  Clinical Nursing Research, 17. 200-219.

Miller, J.M., Piacentine, L.B., & Weiss, M. (2008). Coping difficulties after hospitalization.             Clinical Nursing Research, 17(4), 278-296.

Weiss, M.E., Piacentine, L.B., Lokken, L., Ancona, J., Archer, J., Gresser, S., Holmes, S.B., Toman, S., Toy, A., & Vega-Stromberg, T. (2007). Perceived readiness for hospital discharge in adult medical-surgical patients. Clinical Nurse Specialist, 21, 31-42.

Weiss, M.E. & Piacentine, L.B.  (2006). Psychometric properties of the Readiness for Hospital Discharge Scale.  Journal of Nursing Measurement, 14(3), 163-180.