Cross-cultural adaptation of the instrument Readiness for Hospital Discharge Scale - Adult Form

RESEARCH Cross-cultural adaptation of the instrument Readiness for Hospital Discharge Scale - Adult Form Adaptação transcultural do instrumento Readiness for Hospital Discharge Scale - Adult Form Adaptación transcultural del instrumento Readiness for Hospital Discharge Scale - Adult Form Talita Honorato SiqueiraI, Vanessa da Silva Carvalho VilaI, Marianne Elizabeth WeissII Pontifícia Universidade Católica de Goiás. Goiânia, Goiás, Brazil. Marquette University, College of Nursing. Milwaukee, Wisconsin, United States of America. I II How to cite this article: Siqueira TH, Vila VSC, Weiss ME. Cross-cultural adaptation of the instrument Readiness for Hospital Discharge Scale - Adult Form. Rev Bras Enferm [Internet]. 2018;71(3):983-91. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0241 Submission: 04-06-2017 Approval: 08-09-2017 ABSTRACT Objective: to perform the cross-cultural adaptation of the Readiness for Hospital Discharge Scale – (RHDS) Adult Form for use in Brazil. Method: a methodological study was conducted in 2015, in Brazil’s federal capital, following the eight stages scientifically established. Results: analysis proved the maintenance of semantic, idiomatic, cultural, and conceptual equivalences and kept both the face and content validity of the original version. The judging committee and the pre-test participants declared they understood the RHDS items and answer scale. Conclusion: the instrument is culturally adapted for Brazil and can be used as one of the stages for planning hospital discharge. Descriptors: Nursing Methodology Research; Transitional Care; Continuity of Patient Care; Patient-Centered Care; Patient Discharge. RESUMO Objetivo: realizar a adaptação transcultural do Readiness for Hospital Discharge Scale - (RHDS) Adult Form para uso no Brasil. Método: estudo metodológico desenvolvido em 2015, na capital federal do Brasil, seguindo os oito estágios preconizados cientificamente. Resultados: a análise evidenciou a conservação das equivalências semântica, idiomática, cultural e conceitual e manteve a validade de face e de conteúdo da versão original. Tanto o comitê de juízes quanto os participantes do pré-teste reportaram compreender os itens e a escala de respostas do RHDS. Conclusão: o instrumento está adaptado culturalmente para o Brasil e poderá ser utilizado como uma das etapas do planejamento da alta hospitalar. Descritores: Pesquisa Metodológica em Enfermagem; Cuidado Transicional; Continuidade da Assistência ao Paciente; Assistência Centrada no Paciente; Alta do Paciente. RESUMEN Objetivo: Realizar la adaptación transcultural de la Readiness for Hospital Discharge Scale (RHDS) – Adult Form para utilizarlo en Brasil. Método: Estudio metodológico desarrollado en 2015, en la capital federal de Brasil, siguiendo las ocho etapas recomendadas científicamente. Resultados: El análisis evidenció preservación de equivalencias semántica, idiomática, cultural y conceptual. Se mantuvo validez de apariencia y contenido de versión original. Tanto el comité de expertos como los participantes de la prueba piloto informaron comprensión de ítems y escala de respuestas de RHDS. Conclusión: El instrumento está adaptado culturalmente para Brasil, pudiéndoselo utilizar como una etapa de la planificación del alta hospitalaria. Descriptores: Investigación Metodológica en Enfermería; Cuidado de Transición; Continuidad de la Atención al Paciente; Atención Dirigida al Paciente; Alta del Paciente. CORRESPONDING AUTHOR Talita Honorato Siqueira http://dx.doi.org/10.1590/0034-7167-2017-0241 E-mail: Rev Bras Enferm [Internet]. 2018;71(3):983-91. 983 Cross-cultural adaptation of the instrument Readiness for Hospital Discharge Scale - Adult Form Siqueira TH, Vila VSC, Weiss ME. INTRODUCTION Hospital discharge is not a single event, characterized only by the termination of hospitalization. It is a complex process that occurs throughout the hospital stay and involves the coordination of care between the multidisciplinary team, patients, patients’ families, and community caregivers(1-4). The transition of care after hospital discharge requires intervention initiated early on, whose goal is to ensure a safe and effective transition, emphasizing the coordination and continuity of care, particularly among high-risk populations such as the elderly, people with chronic multi-morbidities, and individuals who need long-term, complex care(4-6). Studies point out that for this population, hospital discharge may be responsible for half of the readmissions, which can be prevented. In general, there are gaps in the coordination of care, low compliance after discharge, and inadequate information given upon discharge(5). Researchers who dedicate themselves to understanding transitional care have assessed the effectiveness of a series of health interventions that can favor adequate information sharing among the healthcare team, patients and their family members engaged in the process of discharge and help reduce the number of readmissions(4-5,7-9). Among these interventions, adequate preparation for hospital discharge has shown promising results, for instance, reducing medication error rates, avoidable hospital readmissions and costs, and increasing patients’ and their family members’ satisfaction with the process of hospital discharge(2-3,5-6,10). Preparation for discharge is defined as a complex and multidimensional construct that requires a multiprofessional assessment for decision making(2,11-12). Assessing patients’ readiness for hospital discharge has been identified as an essential component of this planning process and may be a predicting factor for readmission risk(8,11-14). Studies that evaluated this construct showed that patients who reported low readiness for discharge posed a greater risk of complications at home, post-discharge coping difficulties, and readmissions(8,11,15). From patients’ perspectives, the perception of readiness for discharge often differs from the evaluation by their formal and informal caregivers(1-4). Therefore, assessing the readiness for this moment has been described as an effective intervention to guide the planning and help to prevent complications, in addition to fostering patients’ and their family members’ empowerment and engagement in self-managing this care transition phase(4,6,16). The instrument Readiness for Hospital Discharge Scale (RHDS) is the only one available and disseminated in the academic environment to assess readiness for hospital discharge from the patients’ perspective, with the potential to establish an evaluation of interventions prior to hospital discharge(1-3,5,12,14,17-18). This instrument was developed by American researchers(12) and has been adopted in different contexts. It has been translated and validated in psychometric terms for use in countries such as the United States(12-14,17), Switzerland,(18-19) and China(20). It has proven to be a reliable instrument and, throughout the analysis process, it underwent (...truncated)