Evaluating the effects of organisational environment on patient‐perceived hospital discharge readiness among patients with acute myocardial infarction during public health emergencies: an observational study
Loading...
Files
Accepted Version
Supporting Information 2
Supporting Information 1
Date
2025-07-25
Authors
Wen, Yuehui
Xu, Li
Lee, Geraldine
Liu, Mengyun
Wang, Xiyi
Journal Title
Journal ISSN
Volume Title
Publisher
John Wiley & Sons, Inc.
Published Version
Abstract
Aims: To evaluate the effects of the organisational environment on hospital discharge readiness during public health emergencies.
Design: An observational study.
Methods: A regression-discontinuity design approach was employed to assess the impact of the organisational environmenton hospital discharge readiness. Adult patients diagnosed with acute myocardial infarction and discharged from the CardiacCritical Care Unit of a tertiary hospital in Shanghai, China, were recruited. Spearman correlation analysis was conducted toexamine the associations between multiple factors at individual and organisational levels and hospital discharge readiness acrossthree stages of pandemic policy changes.
Results: A total of 411 patients were included in the analysis. The regression-discontinuity analysis revealed a significant discon-tinuity at the cut-off, indicating that policy-driven changes in the organisational environment during public health emergencieswere associated with a 21.61% reduction in hospital discharge readiness. Additionally, family functioning and the quality ofnursing discharge education were significantly associated with discharge readiness across all three pandemic stages.
Conclusions: These findings demonstrate that patient-perceived hospital discharge readiness is significantly influenced bychanges in the organisational environment during public health emergencies. Future research should focus on developing tar-geted discharge preparation programmes that allow for organisational adaptation in response to emergencies, such as pandemicsor natural disasters.
Implications for Patient Care
Organisational responses to public health emergencies need to prioritise enhancing discharge preparedness. This includes bolstering family involvement and ensuring that nurses are adequately trained to provide effective discharge education, especially when healthcare resources are strained.
Impact
The findings underscore the importance of adaptable and resilient discharge planning and transitional care, particularly in public health emergencies. Fostering an organisational environment that supports seamless discharge processes can significantly improve patient readiness for post-hospital care.
Reporting Methods
Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement.
Description
Keywords
Acute myocardial infarction , COVID-19 , Hospital discharge , Organisational factors , Public health emergencies , Regression-discontinuity design , Transitional car
Citation
Wen, Y., Xu, L., Lee, G., Liu, M. and Wang, X. (2025) 'Evaluating the effects of organisational environment on patient‐perceived hospital discharge readiness among patients with acute myocardial infarction during public health emergencies: an observational study', Journal of Advanced Nursing, jan.70100 (14pp). https://doi.org/10.1111/jan.70100
Link to publisher’s version
Collections
Copyright
© 2025, John Wiley & Sons Ltd. This is the accepted version of the following item: Wen, Y., Xu, L., Lee, G., Liu, M. and Wang, X. (2025) 'Evaluating the effects of organisational environment on patient‐perceived hospital discharge readiness among patients with acute myocardial infarction during public health emergencies: an observational study', Journal of Advanced Nursing, which has been published in final form at: https://doi.org/10.1111/jan.70100 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.