More planning and slower discharge: a qualitative study of the facilitators of and barriers to a smooth discharge for stroke patients

Background: It is likely that one-third of people that experience a stroke will be dependent on others for their care after discharge from hospital. Aims: This study aims to explore the perspectives of a range of stakeholders about the challenges impacting on a smooth transition from hospital to home following a stroke. Methods: A qualitative study was conducted, which involved people living with stroke (n=3), family carers (n=3) and senior nurses (n=5) from one health trust in the UK. Face-to-face interviews, telephone interviews and open response questionnaires were used for data collection. An inductive approach informed data analysis. Findings: The three main themes that emerged from the data analysis were 1) communication and information, 2) support mechanisms, and 3) organisational issues. The findings indicate a gap between what the service is presently delivering and what patients and carers require for a smooth care transition from hospital to home. Conclusions: The author recommends timely, coordinated discharge planning that actively involves the patient and family carer, the implementation of day leave and weekend leave, and the involvement of the family carer in providing some aspects of care for their relative in the hospital environment.