A qualitative exploration of the experiences of the hospital discharge process, via the transforming care agenda

Background: Transforming Care was first introduced in 2012 to reduce the number of people with learning disabilities residing in hospital. Research has shown the process of supporting an individual to move out of hospital can be challenging and lengthy for all stakeholders involved.

Aim: The current review aimed to systematically review qualitative literature to explore the experiences of being part of the discharge process from hospital to a community-based setting, via Transforming Care.

Design: A systematic search was completed on five databases and relevant papers were used.

Findings: Thirteen papers met the inclusion criteria. The papers were synthesised using thematic analysis, which produced four over-arching themes: Navigating within the system; Working within restrictions; Preparing to move; and Life after discharge.

Clinical Implications: It was important for everyone involved in the discharge to communicate effectively to ensure the process was not delayed. It would be beneficial to have further training to understand the Transforming Care principles. Finally, providing further support in the hospital setting to explain the discharge process to the individual may help reduce anxiety levels.