Experiences From Older Patients Regarding Their Transition From the Acute Hospital to Their Home: A Phenomenological Study

Introduction: Improving care transitions through better coordination and understanding patient experiences is essential for enhancing care outcomes. This study aims to explore the perceptions of older patients about their transition from hospital to home.

Methods: A phenomenological design was used to explore the experiences of older adults aged 65 and older with at least one chronic condition. Participants (n = 16) were recruited from a geriatric department in Flanders, Belgium. Semi-structured interviews were conducted between 2020 and 2022, transcribed, and analyzed using thematic analysis in NVivo.

Results: Three key themes emerged from the study: (1) adaptation to a new reality, where participants described difficulties in adjusting to new routines and navigating emotional and psychosocial changes; (2) emotional and self-management support, emphasizing the importance of assistance in maintaining independence and self-sufficiency while expressing concerns about becoming a burden to others; and (3) perceived quality of care, where participants expressed overall satisfaction with the care received but highlighted the need for clearer communication and more comprehensive information during the transition process.

Conclusion: Older patients emphasize the need for independence and clear communication, calling for coordinated care that integrates their physical, emotional, and quality-of-care needs.