{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T06:17:49Z","timestamp":1787811469595,"version":"build-2784847793"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100014358","name":"Second Affiliated Hospital of Soochow University","doi-asserted-by":"publisher","award":["SDFEYHL2252"],"award-info":[{"award-number":["SDFEYHL2252"]}],"id":[{"id":"10.13039\/501100014358","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>To conduct the initial development and validation of a Chinese readiness for hospital discharge instrument for patients after initial invasive percutaneous transhepatic biliary drainage (PTBD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Readiness for Hospital Discharge Scale (RHDS) is a generic measure and may not fully capture PTBD\u2010specific readiness, particularly catheter\u2010related self\u2010management (e.g., tube securement, bile output monitoring, skin care and early recognition of catheter\u2010related complications) in Chinese\u2010speaking populations. A PTBD\u2010specific instrument may support more targeted discharge preparation and follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A methodological study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The instrument was developed using a five\u2010stage process. An initial pool of 33 items was generated from the literature review and existing instruments. After two rounds of expert consultation, two items were deleted, six items were added and several items were revised or merged, resulting in a 35\u2010item pool. Item analysis and exploratory factor analysis were then conducted to reduce items and examine preliminary construct validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 224 patients completed the instrument and were included for further analysis. Item analysis led to the deletion of one item, resulting in a 34\u2010item instrument. Exploratory factor analysis revealed that 22 items remained in four factors (personal status, knowledge, coping ability and expected support), which accounted for 77.84% of the variance. The Cronbach's \u03b1 coefficient of the instrument was 0.962, and the split\u2010half reliability was 0.912.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Chinese version of the readiness for hospital discharge instrument after invasive PTBD consists of 22 items across four subscales and provides preliminary evidence of content validity, preliminary construct validity, internal consistency and split\u2010half reliability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This instrument may help healthcare professionals assess discharge readiness before discharge among patients with PTBD catheters and identify areas requiring targeted discharge preparation, catheter\u2010related education and follow\u2010up support. Scholars in Chinese\u2010speaking regions may find this culturally compatible instrument useful when conducting studies related to readiness for hospital discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Two hundred twenty\u2010four participants provided their perspectives on readiness for hospital discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70640","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:00:42Z","timestamp":1785906042000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Validation of a Chinese Version of the Readiness for Hospital Discharge Instrument After Initial Invasive Percutaneous Transhepatic Biliary Drainage: A Methodological Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1131-5736","authenticated-orcid":false,"given":"Jing","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Intensive Care Unit The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianqin","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyun","family":"Zhao","sequence":"additional","affiliation":[{"name":"Interventional Department The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0122-8141","authenticated-orcid":false,"given":"Xiangfeng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing The Second Affiliated Hospital of Soochow University  Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1129"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00149"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.5603\/MRJ.2017.0004"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2023.07.012"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020237"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748\u20103743.2012.00316.x"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"e_1_2_14_9_1","volume-title":"Scale Development: Theory and Applications","author":"DeVellis R. 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