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

Wen, Yuehui; Xu, Li; Lee, Geraldine; Liu, Mengyun; Wang, Xiyi

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

dc.check.date	2026-07-25
dc.check.info	Access to this article is restricted until 12 months after publication by request of the publisher
dc.contributor.author	Wen, Yuehui	en
dc.contributor.author	Xu, Li	en
dc.contributor.author	Lee, Geraldine	en
dc.contributor.author	Liu, Mengyun	en
dc.contributor.author	Wang, Xiyi	en
dc.contributor.funder	National Natural Science Foundation of China	en
dc.contributor.funder	Shanghai Jiao Tong University	en
dc.contributor.funder	Shanghai High-level Local Universities	en
dc.contributor.funder	Shanghai Science and Technology Foundation Soft Science Research Project	en
dc.date.accessioned	2025-09-12T14:41:02Z
dc.date.available	2025-09-12T14:41:02Z
dc.date.issued	2025-07-25	en
dc.description.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.	en
dc.description.sponsorship	National Natural Science Foundation of China (Grant no. 72304183); Shanghai Jiao Tong University (School of Medicine, Grant no. SJTUHLXK2024); Shanghai High-level Local Universities (Grant no. HLDC23-03); Shanghai Science and Technology Foundation Soft Science Research Project (Grant no. 25692114800)	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	jan.70100	en
dc.identifier.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	en
dc.identifier.doi	10.1111/jan.70100	en
dc.identifier.eissn	1365-2648	en
dc.identifier.endpage	14	en
dc.identifier.issn	0309-2402	en
dc.identifier.journaltitle	Journal of Advanced Nursing	en
dc.identifier.startpage	1	en
dc.identifier.uri	https://hdl.handle.net/10468/17870
dc.language.iso	en	en
dc.publisher	John Wiley & Sons, Inc.	en
dc.rights	© 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.	en
dc.subject	Acute myocardial infarction	en
dc.subject	COVID-19	en
dc.subject	Hospital discharge	en
dc.subject	Organisational factors	en
dc.subject	Public health emergencies	en
dc.subject	Regression-discontinuity design	en
dc.subject	Transitional car	en
dc.title	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	en
dc.type	Article (peer-reviewed)	en