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Table 3 Findings, including main themes and thematic statements, with calculated frequency effect % (rounded to nearest whole number)

From: Older persons’ experiences of adapting to daily life at home after hospital discharge: a qualitative metasummary

Findings

Included studies

Frequency effect %

Theme 1: Experiencing an Insecure and Unsafe Transition

Lack of information about health situation, treatment and/or care

[11, 13, 14, 30, 37, 38, 40,41,42]

69%

Experience of rushed discharge

[14, 15, 37, 38, 40,41,42,43]

62%

Confusion about medication

[5, 14, 15, 30, 38, 40,41,42]

62%

Lack of involvement in own treatment and care

[11, 13, 14, 37, 40,41,42]

54%

Not being involved in decisions about own life

[11, 13, 14, 37, 40,41,42]

54%

Not understanding information

[14, 37, 38, 40,41,42]

46%

Several providers coordinating care led to discontinuity of care

[13,14,15, 37, 38, 40]

46%

Errors in treatment

[13, 14, 30, 38, 40, 41]

46%

Discharge information not explained well

[14, 38, 40,41,42]

38%

Lack of information about when to go home

[11, 14, 15, 42, 43]

38%

Lack of communication between the different service providers

[13, 14, 30, 38, 40]

38%

Conflicting opinions between healthcare providers

[13, 14, 38, 40]

31%

Lack of medical reconciliation

[14, 38, 40]

23%

Experience of well-prepared and timely discharge

[30, 42, 43]

23%

Theme 2: Settling into a New Situation at Home

Dependent on additional help from others

[5, 11, 13,14,15, 30, 37,38,39,40,41,42,43]

100%

Losing independence

[11, 13, 15, 30, 38,39,40,41,42,43]

77%

Finding the transition back home a challenge

[5, 13, 15, 30, 38,39,40, 43]

62%

Home not being prepared

[5, 13, 15, 30, 38,39,40, 42]

54%

Problems performing daily activities

[5, 11, 15, 30, 38, 39, 43]

54%

Not receiving care according to needs

[5, 15, 30, 38,39,40, 43]

54%

Wanting to maintain and regain independence

[11, 15, 37,38,39, 43]

46%

Not feeling ready to go home

[11, 37, 40, 42, 43]

38%

Feeling confident to go home

[11, 37, 39, 42, 43]

38%

Not being able to participate in meaningful activities

[5, 15, 30, 39, 43]

38%

Feeling lonely and isolated

[5, 15, 30, 39, 43]

38%

Lack of specialised equipment

[5, 13, 30, 38, 39]

38%

Changing healthcare personnel disturbed effort to get back to daily routines

[15, 30]

15%

Feeling depressed

[15, 30]

15%

Experiencing no meaning in life

[15, 30]

15%

Wanting to die

[15, 30]

15%

Theme 3: What Would I do Without My Informal Caregiver?

Dependent on informal caregivers for medication and healthcare

[5, 14, 15, 37, 38, 40,41,42]

62%

Dependent on family and friends to manage daily activities at home

[5, 11, 15, 30, 37,38,39, 43]

62%

Being aware of the effort put in by informal caregivers

[5, 11, 30, 39, 40]

38%

Importance of strong, positive relationships with family and friends

[5, 11, 15, 30, 39]

38%

Dependent on informal caregivers to understand information

[14, 37, 41, 42]

31%

Illness putting a strain on relationship with family and friends

[11, 30, 39]

23%

Feeling like a burden

[11, 30, 39]

23%

Theme 4: Experience of a Paternalistic Model

Healthcare personnel perceived as distant and stressed

[11, 13, 14, 30, 37, 38, 41, 42]

62%

Not being seen or heard

[11, 13, 14, 40,41,42]

46%

Reluctant to ask

[14, 37, 40,41,42]

38%

Healthcare personnel perceived as authoritarian

[11, 41,42,43]

31%

Doctor knows best

[14, 40,41,42]

31%