Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing

First Advisor

Louette Lutjens

Second Advisor

Jean Nagelkerk

Third Advisor

Eleanor French


This study used a descriptive design to evaluate discharge planning by examining the clients' perception of preparedness for discharge home following total hip or knee replacement surgery. The conceptual framework was based upon the Betty Neuman Systems Model.; This study used Lawton's (1991) "Discharge Preparation Questionairre" to ascertain the clients' perceptions of preparedness in 10 discharge categories. Perceived preparation was measured using a 5 point summated rating scale. The study site was a 42-bed orthopedic unit in a 119 bed acute care hospital in Southeast Michigan. The convenience sample, of 46 adult clients, were interviewed by phone 3 days following discharge for total hip or knee replacement surgery.; Overall, the findings indicated a positive perception of discharge planning. Subjects felt most prepared in the categories of diet, equipment and doctor's appointment. More preparation was desired in the areas of financial and illness concerns. There was no significant difference in the level of preparedness between clients who underwent total hip and knee replacement surgery.


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