Findings | Included studies | Frequency effect % |
---|---|---|
Theme 1: Experiencing an Insecure and Unsafe Transition | ||
Lack of information about health situation, treatment and/or care | 69% | |
Experience of rushed discharge | 62% | |
Confusion about medication | 62% | |
Lack of involvement in own treatment and care | 54% | |
Not being involved in decisions about own life | 54% | |
Not understanding information | 46% | |
Several providers coordinating care led to discontinuity of care | 46% | |
Errors in treatment | 46% | |
Discharge information not explained well | 38% | |
Lack of information about when to go home | 38% | |
Lack of communication between the different service providers | 38% | |
Conflicting opinions between healthcare providers | 31% | |
Lack of medical reconciliation | 23% | |
Experience of well-prepared and timely discharge | 23% | |
Theme 2: Settling into a New Situation at Home | ||
Dependent on additional help from others | 100% | |
Losing independence | 77% | |
Finding the transition back home a challenge | 62% | |
Home not being prepared | 54% | |
Problems performing daily activities | 54% | |
Not receiving care according to needs | 54% | |
Wanting to maintain and regain independence | 46% | |
Not feeling ready to go home | 38% | |
Feeling confident to go home | 38% | |
Not being able to participate in meaningful activities | 38% | |
Feeling lonely and isolated | 38% | |
Lack of specialised equipment | 38% | |
Changing healthcare personnel disturbed effort to get back to daily routines | 15% | |
Feeling depressed | 15% | |
Experiencing no meaning in life | 15% | |
Wanting to die | 15% | |
Theme 3: What Would I do Without My Informal Caregiver? | ||
Dependent on informal caregivers for medication and healthcare | 62% | |
Dependent on family and friends to manage daily activities at home | 62% | |
Being aware of the effort put in by informal caregivers | 38% | |
Importance of strong, positive relationships with family and friends | 38% | |
Dependent on informal caregivers to understand information | 31% | |
Illness putting a strain on relationship with family and friends | 23% | |
Feeling like a burden | 23% | |
Theme 4: Experience of a Paternalistic Model | ||
Healthcare personnel perceived as distant and stressed | 62% | |
Not being seen or heard | 46% | |
Reluctant to ask | 38% | |
Healthcare personnel perceived as authoritarian | 31% | |
Doctor knows best | 31% |