Table 5.

Resident Report of Frequent Barriers to Optimal Discharge Education^a

Barrier	Residents Reporting Item as a Frequent Barrier, %a
Low parent health literacyb	49.7
Not enough timeb	41.5
Languageb	29.7
Hospital pressure to discharge before a certain timec	24.8
Parent not available to participateb	22.5
Too many problems to discussc	17.2
Unclear who should be responsible for the counselingd	17.3
Poorly designed discharge plan templatee	16.5
Poor communication with consulting physiciansc	15
Poorly designed electronic medical recordc	14.6
Lack of provider educationc	14.6
Lack of a standardized discharge processe	14
Parent does not want to participateb	9.5
Provider does not understand patient's medical problemd	5.8
Cultural barriere	4.8
Environmental reasons (e.g., space, noise)c	3.2
Poor communication with nursesc	3.2
Poor communication among members of the medical teamc	2.2

^aLikert scale responses dichotomized to frequent (always, usually, often) and infrequent (sometimes, seldom, never) for resident response to “How often have you had trouble providing optimal discharge education to parents because of…” barriers described.

^bn = 316.

^cn = 314.

^dn = 312.

^en = 315.