Readiness for Hospital Discharge Scale (RHDS)

The READINESS FOR HOSPITAL DISCHARGE SCALE (RHDS) measures patient readiness to return home from the hospital following acute care hospitalization. It is administered on the day of discharge, normally within 4 hours prior to discharge.

There are forms of the RHDS for three patient populations: adult medical-surgical patients, parents of hospitalized children, postpartum mothers.

The RHDS forms are available as patient self-report tools that are completed by the patient and as nurse assessment tools to be completed by the discharging nurse. Long forms of the scales range from 21-29 items. The short forms contain 8 items. (A physician form, similar to the RN assessment form is also available for adult medical-surgical patients).

The RHDS measures 4 domains of discharge readiness: Personal status ( how the patient feels on the day of discharge); Knowledge (the patients knowledge about care of self at home after discharge); Perceived Coping Ability (how the patient will be able to cope at home after discharge); Expected Support (how much help the patient will have if/when needed at home after discharge. The short forms were created by selecting the 2 items from each subscale with the highest item-to subscale adjusted correlations.  

Patient self-report scores on the RHDS are moderately correlated with quality of discharge teaching and are associated with post-discharge coping difficulty and readmission/ED use post-discharge. Nurse assessment of discharge readiness using the RHDS is a stronger predictor of readmission than patient self-report. Validity is supported by factor analysis and predictive validity with post-discharge coping difficulty and post-discharge utilization.

RHDS Scoring information: Scores are calculated by adding item scores and dividing by the number of items, thus calculating the RHDS score as the mean of item scores. The possible range of scores is 0 to 10 using this method. This approach applies to total scale and subscale scores.

There are slight differences in items between scales for different populations. Patient and nurse forms are parallel forms with the same items worded for the respondent. Use the same scoring method for patient and nurse forms.

Some older versions of the scale that were previously used and translated have a single dichotomous item as item 1. This item is not counted and was deleted from the versions currently available and the scales were renumbered to delete the former item 1.

RHDS scales:

  • PT-RHDS (Adult Medical-Surgical patient): 21 items in 4subscales:
    • Personal status = items 1 to 6 (6 items); (item 2 should be reverse scored)
    • Knowledge = 7 to 14 (8 items)
    • Coping Ability = 15 to 17 (3 items)
    • Expected Support = 18 to 21 (4 items)
  • PT-RHDS (Adult Medical Surgical patient) short form: 8 items (2 per subscale above)
  • RN-RHDS long and short forms are the nurse version
  • MD-RHDS is the short form physician version of the PT-RHDS for Adult medical surgical patients.
  • FamRHDS (for Family Caregivers of Adult medical Surgical patients) – 21 items in 4 subscales – see RHDS for Adult Medical Surgical Patients for items by subscale.
  • PedRHDS (Parents of Hospitalized Children): 29 items in 5subscales:
    • Parent Personal status = 1a,2a,3a,4a,5a,6a, 6b,7a (8 items); (items 2a, 5a, 6b should be reverse scored)
    • Child Personal status = 1b,2b,3b,4b,7b (5 items): (item 2b should be reverse scored)
    • Knowledge = 8 to 16 (9 items)
    • Coping Ability = 17-19 (3 items)
    • Expected Support = 20-23 (4 items)
  • PedRHDS (Parents of Hospitalized Children) short form: 8 items (1 item from Personal Status subscales and 2 items from the other subscales)
  • PedRN-RHDS long and short forms are the nurse versions of the Ped-RHDS for parents of hospitalized children.
  • ObRHDS (Postpartum Mothers): 22 items in 4subscales:
    • Personal status = 1-8 (8 items); (item 2 and 5 should be reverse scored)
    • Knowledge = 9 to 15 (7 items)
    • Coping Ability = 17-19 (3 items)
    • Expected Support = 20-23 (4 items)
  • ObRHDS (Postpartum Mothers) short form: 8 items (2 items per subscale)

English Language forms are directly below. Permission to use the scales for research or clinical practice is granted by the author (Dr. Weiss). Modification of the scales is NOT permitted. (See Permission to Use statement in the General Information section on the Hospital Discharge Scales Page. Links to approved translations are provided – please contact the translator for permission to use the translation.  

RHDS forms for adult medical surgical

PT-RHDS long form - English (Patient self-report)

PT-RHDS short form – English (Patient self-report)

FAM-RHDS long form- English (Family Caregiver of Adult Patient)

RN-RHDS long form – English (Nurse assessment)

RN-RHDS short form – English (Nurse assessment)

MD-RHDS short form – English (Physician assessment)

PedRHDS forms for parents of hospitalized children (including NICU)

PedRHDS long form - English (Patient self-report)

PedRHDS short form – English (Patient self-report)

PedRN-RHDS long form – English (Nurse assessment)

PedRN-RHDS short form – English (Nurse assessment)

ObRHDS forms for postpartum mothers

ObRHDS long form - English (Patient self-report)

ObRHDS short form – English (Patient self-report)

ObRN-RHDS long form – English (Nurse assessment)

ObRN-RHDS short form – English (Nurse assessment)

Approved translations

Permission is granted to use the scales. no modifications are permitted. Please contact the translator to inform him/her that you plan to use. Cite Dr. Marianne Weiss as author of the scale and also cite the translator in any publications.

Some scales have different items numbers depending on which revision of the English version was used for the translation. Note that in some of the translated RHDS forms, there is a dichotomous yes/no item “Are you ready to go home today?” as the first item. This item is not calculated in the scale score. If the dichotomous item is present, item numbers listed in the subscale scores above will shift +1.

 

**Awaiting permission                  ##Translation/study in progress   

READINESS FOR HOSPITAL DISCHARGE SCALE

Language

Scale

Responsible for Translation
(^^ see citations below in reference list)

Translator email

Available on website

RHDS ADULT: ALSO CALLED PATIENT (PT) RHDS

Arabic

RHDS- Adult SF

Marianne Weiss^^

Marianne.Weiss@marquette.edu

x

Chinese

RHDS - Adult

Yu-Hua Lin^^

lin2368@isu.edu.tw

x

French

RHDS- Adult

Cedric Mabire, PhD^^

Cedric.Mabire@chuv.ch

cedric.mabire@unil.ch

x

Portuguese/Brazil

RHDS- Adult

Vanessa da Silva Carvalho Vila, RN, PhD

vscvila@uol.com.br

 

x

Spanish

RHDS – Adult long form

Marianne Weiss^^

Marianne.Weiss@marquette.edu

 

x

Spanish

RHDS – Adult Short form

Marianne Weiss^^

Marianne.Weiss@marquette.edu

 

x

Turkish

RHDS- Adult SF

Dr. Sidika Kaya^^

sdkaya4@gmail.com;

x

Turkish

RN-RHDS- Adult SF

Manar Aslan ^^ modified from Kaya version of RHDS

manaraslan@hotmail.com

x

**German

RHDS adult

Dr. Michael Kleinknecht

Michael.Kleinknecht@usz.ch

 

Thai

RHDS-Adult

Sarinrut Sriprasong^^

sarinrut.sri@mahidol.edu

 x

Japanese

RHDS Adult

Mizuko Sekino (Hashimoto)

mhasimoto-tky@umin.ac.jp       semizuki@fmu.ac.jp

 x

Korean

RHDS adult military

Seun Yonng Joe

anjADOZE@yuhs.ac oe116@gmail.com

 x

Korean

QDTS Adult

Jeoung Hee, Kim

jeounghee@amc.seoul.kr

x

## Korean

RHDS- Adult

Jung Hye Jeong

ADOZE@yuhs.ac

 

Korean

RHDS Adult

Jeoung Hee, Kim

jeounghee@amc.seoul.kr

x

Korean

RHDS -Adult Family Caregiver

Dr. Heui-kyeong Kwon

kheek21@snu.ac.kr; kheek21@gmail.com

 x

Urdu (Pakistan)

RHDS - Adult

Ambreen Gowani

ambreen.gowani@aku.edu

 x

Urdu (Pakistan)

RHDS – Adult Family caregiver

Farah Wasaya modified from version by Gowani

 farah.wasaya2@scholar.aku.edu

 x

Bahasa (Indonesia)

RHDS Adult

 Azizah Khoiriyati

azizah.khoiriyati-2018@fkp.unair.ac.id

 x

## Farsi (Iran)

RHDS Adult

RNRHDS Adult

 Dr. Fateme Jafaraghaee

 jafaraghaee@gums.ac.ir 

 

##Bahasa Melayu (Malaysia)

RHDS adult

Rashidah Mohd Yusoff

2020223054@student.uitm.edu.my

rashidah.yusoff90@gmail.com

 

 PedRHDS: ALSO CALLED RHDS FOR PARENTS OF HOSPITALIZED CHILDREN FORM

Bahasa (Indonesia)

RHDS Parent

Suni Hariati

Suni.hariati84@mail.ugm.c.id

x

French

RHDS - Parent

Dr. Anne-Sylvie Ramelet ^^

anne-sylvie.ramelet@chuv.ch

x

Spanish

RHDS Parent

Jenni Baird- Children’s Hospital of Los Angeles

 jebaird@chla.usc.edu

 

x

Japanese

RHDS -Parent

Kazuyo Uehara

k-uehara@me.au-hikari.ne.jp

k-uehara@okinawa-nurs.ac.jp

x

Norwegian

Ped-RHDS

Elin Hjorth-Johansen

ehjorth@ous-hf.no

x

Iran - Farsi

RHDS Parent NICU

Dr. Naiire Salmani ^^

n.salmani@sbmu.ac.ir

x

Turkish

PedRHDS

Dr. Burcu Aykanat

aykanat_87@hotmail.com

x

Thai

PedRHDS

Patcharaporn Kaewwimol

champ_rans@hotmail.com

x

OB-RHDS: ALSO CALLED RHDS POSTPARTUM/NEW MOTHER FORM

Chinese

OB-RHDS postpartum/ new mother form

Xing Chen

 328590826@qq.com

 

x

Spanish

OB-RHDS postpartum/ new mother form

Gabriella Malagon Maldonado

Gabriella.Malagon-maldonado@sharp.com

 

x

Turkish

OB-RHDS postpartum/new mother

Belgin Akin ^^

belak1@hotmail.com

x

##Dagbani (Tamale, Ghana)

OB-RHDS postpartum/new mother

Joyce Adams

Yadams@nd.edu

 

Polish

 

 

OB-RHDS postpartum/New mother

 

 

Dr. Malgorzata Nagorska

 

ma.nagorska@gmail.com

 x

 

References related to instrument development:

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

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., 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.

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.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.

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

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.

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.

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.

Akın, B., & Şahingeri, M. (2010). Validity and reliability of Turkish version of readiness for hospital discharge scale–new mother form (RHD-NMF). Journal of Anatolia Nursing and Health Sciences, 13(1), 7–14. (in Turkish)

Aldughmi, O., Bobay, K.L., Bekhet, A.K., Sedgewick, G., & Weiss, M.E. (in press) Cross-cultural adaptation and psychometric evaluation of the Arabic version of the Patient-Readiness for Hospital Discharge Scale. Journal of Nursing Measurement.

Aslan, M. (2020). Turkish Validity and Reliability of Readiness for Hospital Discharge Scale- Adult- Nurse Assessment Short Form. Journal of Health and Nursing Management, 7(2),  202-214; https://dx.doi.org/10.5222/SHYD.2020.32486

Chen, Y., & Bai, J. (2017). Reliability and validity of the Chinese version of the Readiness for Hospital Discharge Scale-Parent Form in parents of preterm infants. International journal of nursing sciences4(2), 88–93. https://doi.org/10.1016/j.ijnss.2017.01.009

Hariati, S., McKenna, L., Lusmilasari, L., Reisenhofer, S., Sutomo, R., Febriani, A., & Arsyad, D. S. (2020). Translation, Adaptation and Psychometric Validation of the Indonesian Version of the Readiness for Hospital Discharge Scale for Parents of Low Birth Weight Infants. Journal of pediatric nursing54, e97–e104. https://doi.org/10.1016/j.pedn.2020.05.010

Kaya S, Sain Guven G, Teleş M, et al. Validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form. J Nurs Manag. 2018;26:295–301. https://doi.org/10.1111/jonm.12547

Lin YH, Kao CC, Huang AM, Chi MT. Chou FH [Psychometric testing of the chinese version of the readiness for hospital discharge scale]. Hu Li Za Zhi. 2014;61:56–65.

Mabire, C., Lecerf, T., Büla, C., Morin, D., Blanc, G., & Goulet, C. (2015). Translation and psychometric evaluation of a French version of the Readiness for Hospital Discharge Scale. Journal of Clinical Nursing, 24(19–20), 2983–2992

Malagon-Maldonado, G., Hiner, J.B., & Lanciers, M. (2015). Broadening the horizons on predictors of discharge teaching, discharge readiness, and postdischarge outcomes. JOGNN, 44 (Supplement 1), S58. https://doi.org/10.1111/1552-6909.12628

Rio L, Tenthorey C, Ramelet AS. Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study. Aust Crit Care. 2021 Jan;34(1):9-14. doi: 10.1016/j.aucc.2020.07.001.

Salmani, N., Marvast, M.Z., Kahdouei,, S., & Weiss, M.E. (2020). Adaptation of the parent readiness for hospital discharge scale with Iranian mothers of preterm infants discharged from the NICU. Journal of Clinical Nursing, 29(23-24), 4544-4553. Doi:10.1111/jocn.15479

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: http://dx.doi.org/10.1590/0034-7167-2017-0241

Sriprasong, S., Hanucharurnkul, S., Panpukdee, O., Krittayaphong, R., Pongthavornkamol, K., &Vorapongsathorn, T. (2009). Functional Status Model: An Empirical Test among Discharged Acute Myocardial Infarction Patients. Pacific Rim International Journal of Nursing Research, 13(4), 268-284.

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Zhao, H., Feng, X., Yu, R., Gu, D., & Ji, X. (2016). Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. Journal of Nursing Research, 24(4), 321–328