title: User Experience and Care Integration in Transitional Care for Older People From Hospital to Home: A Meta-Synthesis.
abstract: This meta-synthesis aimed to improve understanding of user experience of older people, carers, and health providers; and care integration in the care of older people transitioning from hospital to home. Following our systematic search, we identified and synthesized 20 studies, and constructed a comprehensive framework. We derived four themes: (1) 'Who is taking care of what? Trying to work together"; (2) 'Falling short of the mark'; (3) 'A proper discharge'; and (4) 'You adjust somehow.' The themes that emerged from the studies reflected users' experience of discharge and transitional care as a social process of 'negotiation and navigation of independence (older people/carers), or dependence (health providers).' Users engaged in negotiation and navigation through the interrogative strategies of questioning, discussion, information provision, information seeking, assessment, and translation. The derived themes reflected care integration that facilitated, or a lack of care integration that constrained, users' experiences of negotiation and navigation of independence/dependence.
authors.affiliation: Deakin University, Burwood, Victoria, Australia jacqui.allen@deakin.edu.au.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Allen
authors.affiliation: Deakin University, Burwood, Victoria, Australia.|Monash Health, Clayton, Victoria, Australia.
authors.forename: Alison M
authors.initials: AM
authors.lastname: Hutchinson
authors.affiliation: Deakin University, Burwood, Victoria, Australia.
authors.forename: Rhonda
authors.initials: R
authors.lastname: Brown
authors.affiliation: Deakin University, Burwood, Victoria, Australia.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Livingston
mesh_terms: D017028:Caregivers / Q000523:psychology*; D054626:Consumer Health Information; D006801:Humans; D057226:Information Seeking Behavior; D017008:Negotiating; D010351:Patient Discharge; D036301:Qualitative Research; D012107:Research Design; D000069341:Transitional Care / Q000458:organization & administration*
keywords: aged care; meta-synthesis; patient discharge; patient experience; qualitative review; transitional care; user experience