Kirsten J. Parker, Caleb Ferguson, Julee McDonagh, Richard Lindley, Louise D. Hickman
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Qualitative exploration into end-user experiences of this transition can help to identify gaps in care and inform the development of targeted, person-centred interventions.</p>\n </section>\n \n <section>\n \n <h3> Aim</h3>\n \n <p>To explore the experiences of hospitalised older adults and their carers when they transition from hospital to home.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Participants were purposively sampled during their contact with the rehabilitation and aged care service of a metropolitan hospital. Patients who had transitioned or were in the process of transitioning from hospital to home and informal carers to such patients were eligible. Verbatim transcripts were uploaded into NVivo and analysed using thematic analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 19 separate interviews were conducted, 12 patient and 7 carer interviews. The patients' mean age was 79 years (range 70–88 years), and carers' mean age was 74 years (range 58–85 years). Qualitative analysis developed three main themes during the transition from hospital to home, including (1) Impacting identity and the journey home: independence, frailty and functional ability; (2) Navigating inpatient care, communication and a harmonised transition; and (3) Pillars of support and the reality of social isolation.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Complex challenges were highlighted for hospitalised older adults and their carers during transitions from hospital to home, reinforcing the urgent need for holistic, patient-centred care. This study highlighted the compounding need to tailor discharge processes to individuals and calls for health services to embed patient-centred discharge communication into service provision. These are essential steps towards enhancing the quality and safety of transitional care.</p>\n </section>\n </div>","PeriodicalId":55070,"journal":{"name":"Health Expectations","volume":"28 4","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/hex.70343","citationCount":"0","resultStr":"{\"title\":\"TRANSFER-I: Hospitalised Older Adults and Their Carers' Perspectives of the Transition Home: A Qualitative Study\",\"authors\":\"Kirsten J. Parker, Caleb Ferguson, Julee McDonagh, Richard Lindley, Louise D. Hickman\",\"doi\":\"10.1111/hex.70343\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Transitioning from hospital to home is a critical and fragmented process for acutely ill older adults and their carers. Despite widespread recognition of its importance, persistent gaps leave older adults vulnerable, highlighting the urgent need for safer transitions in care. Qualitative exploration into end-user experiences of this transition can help to identify gaps in care and inform the development of targeted, person-centred interventions.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>To explore the experiences of hospitalised older adults and their carers when they transition from hospital to home.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Participants were purposively sampled during their contact with the rehabilitation and aged care service of a metropolitan hospital. Patients who had transitioned or were in the process of transitioning from hospital to home and informal carers to such patients were eligible. Verbatim transcripts were uploaded into NVivo and analysed using thematic analysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 19 separate interviews were conducted, 12 patient and 7 carer interviews. The patients' mean age was 79 years (range 70–88 years), and carers' mean age was 74 years (range 58–85 years). Qualitative analysis developed three main themes during the transition from hospital to home, including (1) Impacting identity and the journey home: independence, frailty and functional ability; (2) Navigating inpatient care, communication and a harmonised transition; and (3) Pillars of support and the reality of social isolation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Complex challenges were highlighted for hospitalised older adults and their carers during transitions from hospital to home, reinforcing the urgent need for holistic, patient-centred care. This study highlighted the compounding need to tailor discharge processes to individuals and calls for health services to embed patient-centred discharge communication into service provision. 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TRANSFER-I: Hospitalised Older Adults and Their Carers' Perspectives of the Transition Home: A Qualitative Study
Background
Transitioning from hospital to home is a critical and fragmented process for acutely ill older adults and their carers. Despite widespread recognition of its importance, persistent gaps leave older adults vulnerable, highlighting the urgent need for safer transitions in care. Qualitative exploration into end-user experiences of this transition can help to identify gaps in care and inform the development of targeted, person-centred interventions.
Aim
To explore the experiences of hospitalised older adults and their carers when they transition from hospital to home.
Methods
Participants were purposively sampled during their contact with the rehabilitation and aged care service of a metropolitan hospital. Patients who had transitioned or were in the process of transitioning from hospital to home and informal carers to such patients were eligible. Verbatim transcripts were uploaded into NVivo and analysed using thematic analysis.
Results
A total of 19 separate interviews were conducted, 12 patient and 7 carer interviews. The patients' mean age was 79 years (range 70–88 years), and carers' mean age was 74 years (range 58–85 years). Qualitative analysis developed three main themes during the transition from hospital to home, including (1) Impacting identity and the journey home: independence, frailty and functional ability; (2) Navigating inpatient care, communication and a harmonised transition; and (3) Pillars of support and the reality of social isolation.
Conclusion
Complex challenges were highlighted for hospitalised older adults and their carers during transitions from hospital to home, reinforcing the urgent need for holistic, patient-centred care. This study highlighted the compounding need to tailor discharge processes to individuals and calls for health services to embed patient-centred discharge communication into service provision. These are essential steps towards enhancing the quality and safety of transitional care.
期刊介绍：
Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including:
• Person-centred care and quality improvement
• Patients'' participation in decisions about disease prevention and management
• Public perceptions of health services
• Citizen involvement in health care policy making and priority-setting
• Methods for monitoring and evaluating participation
• Empowerment and consumerism
• Patients'' role in safety and quality
• Patient and public role in health services research
• Co-production (researchers working with patients and the public) of research, health care and policy
Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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