Evidence map›Paper›PMID 30975144›Full record

SynthesisBMC health services research2019

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

Christine Hillestad Hestevik, Marianne Molin, Jonas Debesay, Astrid Bergland, Asta Bye

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
  8. Article
  9. Beyond Taste and Nutrition Food Dimensions Addressed in Dietetic Consultations With Malnourished Home-Dwelling Older Adults: A Qualitative Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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  11. Understanding the Role of Patients and Carers in a Virtual Hospital Through Journey Mapping: Multi-Method Triangulation Analysis.Health expectations : an international journal of public participation in health care and health policy · 2026
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christine Hillestad HestevikDepartment of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway. chhest@oslomet.no.ORCID http://orcid.org/0000-0002-5850-4223
Marianne MolinDepartment of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Jonas DebesayDepartment of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Astrid BerglandDepartment of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Asta ByeDepartment of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway.

Funding

Norges Forskningsråd 256644/H10
6 · The paper itself

Abstract

backgroundResearchers have shown that hospitalisation can decrease older persons' ability to manage life at home after hospital discharge. Inadequate practices of discharge can be associated with adverse outcomes and an increased risk of readmission. This review systematically summarises qualitative findings portraying older persons' experiences adapting to daily life at home after hospital discharge.

methodsA metasummary of qualitative findings using Sandelowski and Barroso's method. Data from 13 studies are included, following specific selection criteria, and categorised into four main themes.

resultsFour main themes emerged from the material: (1) Experiencing an insecure and unsafe transition, (2) settling into a new situation at home, (3) what would I do without my informal caregiver? and (4) experience of a paternalistic medical model.

conclusionsThe results emphasise the importance of assessment and planning, information and education, preparation of the home environment, the involvement of the older person and caregivers and supporting self-management in the discharge and follow-up care processes at home. Better communication between older persons, hospital providers and home care providers is needed to improve the coordination of care and facilitate recovery at home. The organisational structure may need to be redefined and reorganised to secure continuity of care and the wellbeing of older persons in transitional care situations.

Indexed as

Adaptation, PsychologicalAttitude to HealthActivities of Daily LivingAgedAged, 80 and overCaregiversCommunicationContinuity of Patient CareFemaleHome Care ServicesHospitalizationHospitalsHumansMalePatient DischargePatient ParticipationCommunicationInformal caregiverMetasummaryOlder peoplePatient involvementQualitative researchTransition

Identifiers

PMID30975144
PMCPMC6460679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.