# The Experiences and Expectations of Older Adults and Close Family in Nursing Home and Emergency Department Transitions: A Qualitative Study

## TL;DR

This study explores the experiences and needs of older adults and their families during transitions between nursing homes and emergency departments.

## Contribution

The study identifies key themes and barriers in transitional care from the perspectives of nursing home residents and their families.

## Key findings

- Three main themes emerged: changes in life situations, transfer quality, and staff interactions.
- Proper medical care is seen as essential but insufficient without addressing life changes.
- Healthcare professionals' support is crucial for managing transitions effectively.

## Abstract

To identify the experiences, expectations, and preferred transitional care expressed by nursing home residents and close family, thus mapping perceived barriers and facilitators to improve this identification process.

In this study, a qualitative design was employed.

Individual, semistructured interviews were conducted.

Interviews of 12 participants (3 residents and 9 close family) were conducted. The data were analyzed using thematic analysis to identify underlying themes.

The following three themes were identified: (1) changes in life situations, (2) dimensions of transfer quality, and (3) interactions with staff.

Nursing home residents and close family emphasize that proper medical care is necessary. However, this is insufficient without addressing multiple ongoing life changes of individuals transitioning between nursing homes and emergency departments. Yet, this effort to manage life changes is significantly insufficient without the support of healthcare professionals.