Abstract：
UNASSIGNED: Multiple studies have explored the needs and experiences of patients, family members, and healthcare professionals regarding hospital-to-home transitions. Our study aimed to identify, critically appraise, and summarize these studies in a qualitative meta-synthesis.
UNASSIGNED: Medline, CINAHL and Embase were systematically searched to identify eligible articles from inception to June 2024. Qualitative studies were included and critically appraised using the Critical Appraisal Skills Program. Insufficient-quality papers were excluded. We performed a meta-synthesis following (1) open coding by two independent researchers and (2) discussing codes during reflexivity meetings.
UNASSIGNED: Ninety-eight studies were appraised, of which 53 were included. We reached thematic saturation, four themes were constructed: (1) care coordination and continuity, (2) communication, (3) patient and family involvement, and (4) individualized support and information exchange. For patients and families, tailored information and support are prerequisites for a seamless transition and an optimal recovery trajectory after hospital discharge. It is imperative that healthcare professionals communicate effectively within and across care settings to ensure multidisciplinary collaboration and care continuity.
UNASSIGNED: This study identifies essential elements of optimal transitional care. These findings could be supportive to researchers and healthcare professionals when (re)designing transitional care interventions to ensure care continuity after hospital discharge.
Patients and their families need to receive tailored information and support, which are prerequisites for a seamless transition from hospital to homeProfessionals must communicate effectively within and across hospital and primary care settingsProfessional roles should be clarified to ensure effective collaboration and continued high-quality care after hospital discharge.Integrated allied health pathways addressing coordination and communication are needed to ensure seamless transitions.
UNASSIGNED: Medline, CINAHL and Embase were systematically searched to identify eligible articles from inception to June 2024. Qualitative studies were included and critically appraised using the Critical Appraisal Skills Program. Insufficient-quality papers were excluded. We performed a meta-synthesis following (1) open coding by two independent researchers and (2) discussing codes during reflexivity meetings.
UNASSIGNED: Ninety-eight studies were appraised, of which 53 were included. We reached thematic saturation, four themes were constructed: (1) care coordination and continuity, (2) communication, (3) patient and family involvement, and (4) individualized support and information exchange. For patients and families, tailored information and support are prerequisites for a seamless transition and an optimal recovery trajectory after hospital discharge. It is imperative that healthcare professionals communicate effectively within and across care settings to ensure multidisciplinary collaboration and care continuity.
UNASSIGNED: This study identifies essential elements of optimal transitional care. These findings could be supportive to researchers and healthcare professionals when (re)designing transitional care interventions to ensure care continuity after hospital discharge.
Patients and their families need to receive tailored information and support, which are prerequisites for a seamless transition from hospital to homeProfessionals must communicate effectively within and across hospital and primary care settingsProfessional roles should be clarified to ensure effective collaboration and continued high-quality care after hospital discharge.Integrated allied health pathways addressing coordination and communication are needed to ensure seamless transitions.
摘要：
■多项研究探索了患者的需求和经历，家庭成员,和医疗保健专业人员关于医院到家庭的过渡。我们的研究旨在确定，批判性评价，并在定性的荟萃综合中总结这些研究。
■Medline，从开始到2024年6月，对CINAHL和Embase进行了系统搜索，以确定合格的文章。纳入了定性研究，并使用关键评估技能计划进行了严格评估。不包括质量不足的论文。在（1）由两名独立研究人员进行开放编码和（2）在反身会议期间讨论代码之后，我们进行了元合成。
■对98项研究进行了评估，其中包括53个。我们达到了主题饱和，构建了四个主题：(1)护理协调和连续性，(2)沟通,（3）患者和家庭参与，(4)个性化支持和信息交流。对于患者和家属来说，定制的信息和支持是出院后无缝过渡和最佳恢复轨迹的先决条件。医疗保健专业人员必须在护理环境内和跨护理环境进行有效沟通，以确保多学科协作和护理连续性。
■这项研究确定了最佳过渡护理的基本要素。当（重新）设计过渡性护理干预措施以确保出院后的护理连续性时，这些发现可能会支持研究人员和医疗保健专业人员。
患者及其家属需要获得量身定制的信息和支持，从医院到家庭的无缝过渡的先决条件专业人员必须在医院和初级保健设置内部和之间进行有效的沟通。应澄清专业角色，以确保出院后的有效协作和持续的高质量护理。需要解决协调和沟通的综合联合卫生途径，以确保无缝过渡。
■Medline，从开始到2024年6月，对CINAHL和Embase进行了系统搜索，以确定合格的文章。纳入了定性研究，并使用关键评估技能计划进行了严格评估。不包括质量不足的论文。在（1）由两名独立研究人员进行开放编码和（2）在反身会议期间讨论代码之后，我们进行了元合成。
■对98项研究进行了评估，其中包括53个。我们达到了主题饱和，构建了四个主题：(1)护理协调和连续性，(2)沟通,（3）患者和家庭参与，(4)个性化支持和信息交流。对于患者和家属来说，定制的信息和支持是出院后无缝过渡和最佳恢复轨迹的先决条件。医疗保健专业人员必须在护理环境内和跨护理环境进行有效沟通，以确保多学科协作和护理连续性。
■这项研究确定了最佳过渡护理的基本要素。当（重新）设计过渡性护理干预措施以确保出院后的护理连续性时，这些发现可能会支持研究人员和医疗保健专业人员。
患者及其家属需要获得量身定制的信息和支持，从医院到家庭的无缝过渡的先决条件专业人员必须在医院和初级保健设置内部和之间进行有效的沟通。应澄清专业角色，以确保出院后的有效协作和持续的高质量护理。需要解决协调和沟通的综合联合卫生途径，以确保无缝过渡。
