BEGIN:VCALENDAR VERSION:2.0 X-WR-CALNAME:EventsCalendar PRODID:-//hacksw/handcal//NONSGML v1.0//EN CALSCALE:GREGORIAN BEGIN:VTIMEZONE TZID:America/New_York LAST-MODIFIED:20240422T053451Z TZURL:https://www.tzurl.org/zoneinfo-outlook/America/New_York X-LIC-LOCATION:America/New_York BEGIN:DAYLIGHT TZNAME:EDT TZOFFSETFROM:-0500 TZOFFSETTO:-0400 DTSTART:19700308T020000 RRULE:FREQ=YEARLY;BYMONTH=3;BYDAY=2SU END:DAYLIGHT BEGIN:STANDARD TZNAME:EST TZOFFSETFROM:-0400 TZOFFSETTO:-0500 DTSTART:19701101T020000 RRULE:FREQ=YEARLY;BYMONTH=11;BYDAY=1SU END:STANDARD END:VTIMEZONE BEGIN:VEVENT CATEGORIES:College of Nursing and Health Sciences,Thesis/Dissertations DESCRIPTION:Title: The Exploration of Patient Readiness to Discharge in Adu lts Undergoing Colonic Ostomy Creation Student: Michelle Martinis, MSN, RN , AGACNP-BC, CWCN-AP Committee: Faculty Mentor: Mark Adelung, PhD, RN, CPH Committee Member: Ouida Dowd, PhD, RN, ACNS-BC, CCRN Clinical Site Mentor : Elizabeth Henderson, PhD, RN Abstract: Background: Patients undergoing s urgical ostomy creation are experiencing adaptation challenges in psychoso cial aspects, self-care management, coping abilities, and health knowledge . This rapid adjustment can cause discharge readiness deficits, leading to increased complication rates and higher readmission rates. Purpose: The p urpose of this Doctor of Nursing Practice (DNP) quality improvement projec t was to evaluate readiness for discharge among patients with a new ostomy within 24 hours of transitioning home at a moderate-sized community hospi tal in southeastern Massachusetts. Methods: A mixed-methods design was use d. Adult patients undergoing new ostomy creation completed the 21-item Rea diness for Hospital Discharge Scale (RHDS) and a brief five-question open- ended interview within 24 hours of discharge. Quantitative data were analy zed using descriptive statistics, Cronbach’s alpha reliability testing, and a one-sample t-test comparing RHDS scores to published benchmark value s. Qualitative interview responses were analyzed using Braun and Clarke’ s thematic analysis. Results: Ten participants completed the RHDS survey, and seven participated in interviews. The overall RHDS mean score was 4.02 (SD = 0.92), significantly lower than published benchmark scores (p\nEven t page: https://www.umassd.edu/events/cms/college-of-nursing-and-health-sc iences-dnp-defense---michelle-martinis-msnrnagacnp-bc-cwcn-ap.php X-ALT-DESC;FMTTYPE=text/html:

Title: The Exploration of Patie nt Readiness to Discharge in Adults Undergoing Colonic Ostomy Creation

Student: Michelle Martinis\, MSN\, RN\, AGACNP-BC\, CWCN-AP

C ommittee:

Faculty Mentor: Mark Adelung\, PhD\, RN\, CPH

Co mmittee Member: Ouida Dowd\, PhD\, RN\, ACNS-BC\, CCRN

Clinical Si te Mentor: Elizabeth Henderson\, PhD\, RN

Abstract:

Backgr ound: Patients undergoing surgical ostomy creation are experiencing adapta tion challenges in psychosocial aspects\, self-care management\, coping ab ilities\, and health knowledge. This rapid adjustment can cause discharge readiness deficits\, leading to increased complication rates and higher re admission rates.

Purpose: The purpose of this Doctor of Nursing Pr actice (DNP) quality improvement project was to evaluate readiness for dis charge among patients with a new ostomy within 24 hours of transitioning h ome at a moderate-sized community hospital in southeastern Massachusetts.< /p>\n

Methods: A mixed-methods design was used. Adult patients undergoin g new ostomy creation completed the 21-item Readiness for Hospital Dischar ge Scale (RHDS) and a brief five-question open-ended interview within 24 h ours of discharge. Quantitative data were analyzed using descriptive stati stics\, Cronbach’s alpha reliability testing\, and a one-sample t-test c omparing RHDS scores to published benchmark values. Qualitative interview responses were analyzed using Braun and Clarke’s thematic analysis.

\ n

Results: Ten participants completed the RHDS survey\, and seven partic ipated in interviews. The overall RHDS mean score was 4.02 (SD = 0.92)\, s ignificantly lower than published benchmark scores (p<.001). The knowledge domain demonstrated the lowest scores\, followed by psychosocial readines s\, while expected support scored the highest. Qualitative findings suppor ted these results\, identifying themes related to education gaps\, anxiety regarding ostomy self-management\, and the need for structured discharge teaching.

Conclusion: These findings suggested that patients wit h new ostomies may be discharged before achieving optimal readiness for se lf-care. Implementing standardized discharge readiness assessments and enh anced ostomy education may improve patient preparedness and reduce postope rative complications and readmissions.

Event page: https://www.umassd.edu/ events/cms/college-of-nursing-and-health-sciences-dnp-defense---michelle-m artinis-msnrnagacnp-bc-cwcn-ap.php

DTSTAMP:20260409T164853 DTSTART;TZID=America/New_York:20260422T140000 DTEND;TZID=America/New_York:20260422T150000 LOCATION:ZOOM SUMMARY;LANGUAGE=en-us:College of Nursing and Health Sciences DNP Defense - Michelle Martinis, MSN,RN,AGACNP-BC, CWCN-AP UID:4ede66e4fbdb1546741a8b5233b054b4@www.umassd.edu END:VEVENT END:VCALENDAR