Does Health Self Determinism and Self Efficacy Improve a Discharge Planning Screen for Persons with Heart Failure?
Diane E Holland, PhD(c), RN, Principal Investigator1, Kathleen E Krichbaum, PhD, RN, Associate Professor1, and Sharon Tucker, DNSc, RN, CNS2. (1) School of Nursing, University of Minnesota, Minneapolis, MN, Eisenberg SL-41, 201 West Center Street, Rochester, MN 55902, (2) Division of Nursing Research, Mayo Clinic, Rochester, Minnesota Background: A screen was validated as predictive of the use of hospital specialized discharge planning services (HSDPS) in studies of hospitalized adults, but explained only 30% of the variance. Patient inability or reluctance to self-initiate plans to meet continuing healthcare needs was identified in the review of false negative screen scores. Health self-determinism and self-efficacy were believed to be variables that may capture this inability or reluctance, and therefore improve the screen performance. Objective: Examine whether the addition of health self-determinism and heart failure self-efficacy improve the performance of the screen in a populati
