Experiences From Older Patients Regarding Their Transition From the Acute Hospital to Their Home: A Phenomenological Study
References
- European Commission. The 2021 ageing report: economic and budgetary projections for the EU member states (2019–2070). The European Commission; 2021.
- Fabbri E, Zoli M, Gonzalez-Freire M, Salive ME, Studenski SA, Ferrucci L. Aging and multimorbidity: new tasks, priorities, and frontiers for integrated gerontological and clinical research. J Am Med Dir Assoc. 2015;16(8):640–647. DOI: 10.1016/j.jamda.2015.03.013
- Anderson G, Horvath J. Chronic Conditions: Making the Case for Ongoing Care. Partnership for Solutions, Johns Hopkins University; 2002. Available from:
https://www.partnershipforsolutions.org/DMS/files/chronicbook2004.pdf - Hirschman K, Shaid E, McCauley K, Pauly M, Naylor M. Continuity of care: the transitional care model. Online J Issues Nurs. 2015;20(3):1. DOI: 10.3912/OJIN.Vol20No03Man01
- Gjestsen MT, Brønnick K, Testad I. Characteristics and predictors for hospitalizations of home-dwelling elder persons receiving community care: a cohort study from Norway. BMC Geriatr. 2018;18(1):203. DOI: 10.1186/s12877-018-0887-z
- World Health Organization. Transitions of care. Geneva: World Health Organization; 2016. Available from:
https://iris.who.int/bitstream/handle/10665/252272/9789241511599-eng.pdf - Coleman EA, Boult C. Improving the quality of transitional care for persons with complex care needs. J Am Geriatr Soc. 2003;51(4):556–557. DOI: 10.1046/j.1532-5415.2003.51186.x
- Naylor MD, Kurtzman ET, Pauly MV. Transitions of elders between long-term care and hospitals. Policy Polit Nurs Pract. 2009;10(3):187–194. DOI: 10.1177/1527154409355710
- Forster AJ, Murff HJ, Peterson JF, Gandhi TK, Bates DW. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003;138(3):161–167. DOI: 10.7326/0003-4819-138-3-200302040-00007
- Craven E, Conroy S. Hospital readmissions in frail elder people. Rev Clin Gerontol. 2015;25(2):107–116. DOI: 10.1017/S0959259815000064
- Auerbach AD, Kripalani S, Vasilevskis EE, Sehgal N, Lindenauer PK, Metlay JP, et al. Preventability and causes of readmissions in a National Cohort of general medicine patients. JAMA Intern Med. 2016;176(4):484–493: 10.1001/jamainternmed.2015.7863
- Blunt I, Bardsley M, Grove A, Clarke A. Classifying emergency 30-day readmissions in England using routine hospital data 2004–2010: what is the scope for reduction? Emerg Med J. 2015;32(1):44–50. DOI: 10.1136/emermed-2013-202531
- Van Walraven C, Bennett C, Jennings A, Austin PC, Forster AJ. Proportion of hospital readmissions deemed avoidable: A systematic review. CMAJ. 2011;183(7):E391–402. DOI: 10.1503/cmaj.101860
- Krumholz HM. Post-hospital syndrome—an acquired, transient condition of generalized risk. New England journal of medicine. 2013;368:100–102. DOI: 10.1056/NEJMp1212324
- Hardicre NK, Birks Y, Murray J, Sheard L, Hughes L, Heyhoe J, et al. Partners at Care Transitions (PACT)—exploring elder peoples’ experiences of transitioning from hospital to home in the UK: protocol for an observation and interview study. BMJ Open. 2017;7(11):
e018054 : 10.1136/bmjopen-2017-018054 - Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home—a qualitative descriptive study. Patient Prefer Adherence. 2019;13:617–626. DOI: 10.2147/PPA.S201054
- Kraun L, De Vliegher K, Vandamme M, Holtzheimer E, Ellen M, van Achterberg T. Older peoples’ and informal caregivers’ experiences, views, and needs in transitional care decision-making: a systematic review. Int J Nurs Stud. 2022;134:104303. DOI: 10.1016/j.ijnurstu.2022.104303
- Groenvynck L, de Boer B, Hamers JP, van Achterberg T, van Rossum E, Verbeek H. Toward a partnership in the transition from home to a nursing home: the TRANSCIT model. J Am Med Dir Assoc. 2021;22(2):351–356. DOI: 10.1016/j.jamda.2020.09.041
- Nilsen ER, Hollister B, Söderhamn U, Dale B. What matters to elder adults? Exploring person-centred care during and after transitions between hospital and home. J Clin Nurs. 2022;31(5–6):569–581. DOI: 10.1111/jocn.15914
- Gabrielsson-Järhult F, Nilsen P. On the threshold: older people’s concerns about needs after discharge from hospital. Scandinavian journal of caring sciences. 2016 Mar;30(1):135–144. DOI: 10.1111/scs.12231
- Lilleheie I, Debesay J, Bye A, Bergland A. Experiences of elderly patients regarding participation in their hospital discharge: A qualitative metasummary. BMJ Open. 2019;9(11):
e025789 . DOI: 10.1136/bmjopen-2018-025789 - Fuster Guillen DE. Qualitative research: Hermeneutical phenomenological method. J Educ Psychol. 2019;7(1):217–229. DOI: 10.20511/pyr2019.v7n1.267
- Jones B, James P, Vijayasiri G, Li Y, Bozaan D, Okammor N, et al. Patient perspectives on care transitions from hospital to home. JAMA Netw Open. 2022 May 2;5(5):
e2210774 : 10.1001/jamanetworkopen.2022.10774 - Bhandari N, Epane J, Reeves J, Cochran C, Shen J. Post-discharge transitional care program and patient compliance with follow-up activities. J Patient Exp. 2022 Mar 14;9:23743735221086756. DOI: 10.1177/23743735221086756
- Foust JB, Vuckovic N, Henriquez E. Hospital to home health care transition: Patient, caregiver, and clinician perspectives. West J Nurs Res. 2012;34(2):194–212. DOI: 10.1177/0193945911400448
- Foss C, Hofoss D. Elderly persons’ experiences of participation in hospital discharge process. Patient Educ Couns. 2011;85(1):68–73. DOI: 10.1016/j.pec.2010.08.025
- Dierckx de Casterlé B, Gastmans C, Bryon E, Denier Y. QUAGOL: A guide for qualitative data analysis. Int J Nurs Stud. 2012;49(3):360–371. DOI: 10.1016/j.ijnurstu.2011.09.012
- Dierckx de Casterlé B, De Vliegher K, Gastmans C, Mertens E. Complex qualitative data analysis: lessons learned from the experiences with the qualitative analysis guide of Leuven. Qual Health Res. 2021;31(6):1083–1093. DOI: 10.1177/1049732320966981
- Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–357. DOI: 10.1093/intqhc/mzm042
- Brooks L, Stolee P, Elliott J, Heckman G. Transitional care experiences of patients with hip fracture across different health care settings. Int J Integr Care. 2021;21(2):8. DOI: 10.5334/ijic.4720
- Allen J, Hutchinson AM, Brown R, Livingston PM. User experience and care for elder people transitioning from hospital to home: Patients’ and carers’ perspectives. Health Expect. 2018;21(2):518–527. DOI: 10.1111/hex.12646
- Kraun L, van Achterberg T, Vlaeyen E, Fret B, Briké SM, Ellen M, et al. Transitional care decision-making through the eyes of elder people and informal caregivers: An in-depth interview-based study. Health Expect. 2023;26(3):1266–1275: 10.1111/hex.13743
- Kadi S, Kalavrezou N, Leichsenring K, Pot M.
Caring Societies: The Future of Long-Term Care . European Centre for Social Welfare Policy and Research; 2024. - Norberg H, Håkansson Lindqvist M, Gustafsson M. Older individuals’ experiences of medication management and care after discharge from hospital: An interview study. Patient Prefer Adherence. 2023;17:781–792. DOI: 10.2147/PPA.S400039
- Schumacher JR, Lutz BJ, Hall AG, Harman JS, Turner K, Brumback BA, et al. Impact of an emergency department-to-home transitional care intervention on health service use in Medicare beneficiaries: A mixed methods study. Med Care. 2021;59(1):29–37: 10.1097/MLR.0000000000001452
- Shannon R, Baxter R, Hardicre N, Mills T, Murray J, Lawton R, et al. A qualitative formative evaluation of a patient-facing intervention to improve care transitions for elder people moving from hospital to home. Health Expect. 2022;25(6):2796–2806: 10.1111/hex.13560
- Hassan M, Iqbal A, Brambilla G, Almas F, Pathiyil DV, Janardhanan Kakkra J. The challenges and value of using video-assisted education tools and digital information systems for post-discharge care in elderly patients: a scoping review. Cureus. 2025 Jun 18;17(6):
e86319 . DOI: 10.7759/cureus.86319 - Nelson JM, Carrington JM. Transitioning the elder adult in the ambulatory care setting. AORN J. 2011;94(4):348–61. DOI: 10.1016/j.aorn.2011.04.025
- Akram O. Getting extreme poverty narrated: Methodological challenges of interviewing older persons. Int J Qual Methods. 2021;20:16094069211016716. DOI: 10.1177/16094069211016716
- Thomson R, Martin JL, Sharples S.
The challenges of interviewing older people in their own homes: Reflections and suggestions from the field . In: Fieldwork for Healthcare: Case Studies Investigating Human Factors in Computing Systems. Cham: Springer International Publishing; 2014. p. 75–80. DOI: 10.1007/978-3-031-01596-0_10
DOI: https://doi.org/10.5334/ijic.9119 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jan 20, 2025
Accepted on: Apr 3, 2026
Published on: Apr 20, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2026 Şirin Özkan, Elias De Coninck, Merel Leithaus, Geert Goderis, Hilde Verbeek, Mieke Deschodt, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.