The Experience of Transition from Hospital to Community Care of Patients with Advanced Cancer: A Qualitative Narrative Review of Patients’, Families’ and Healthcare Professionals’ Perspectives
Abstract
:1. Background
2. Methods
2.1. Search Strategy
2.2. Study Selection
2.3. Data Extraction
2.4. Data Synthesis and Analysis
3. Results
3.1. Planning and Managing Transitions
3.1.1. Unprepared and Unsupported Transitions
3.1.2. Delayed Discharges at the End of Life
3.1.3. Uncertainty About Responsibilities
3.1.4. Facilitating Quality Transitions
3.2. Communication Between Actors Involved in the Process of Transition
3.2.1. Gaps in Interprofessional Communication
3.2.2. Avoiding Difficult Conversations with Patient and Family
3.2.3. Lack of Time to Communicate Effectively with Patient and Family
3.2.4. Patients and Caregivers Feeling Ignored
3.2.5. Enhancing Communication Skills
3.3. Constraints on Health Systems
3.3.1. Lack of an Integrated Health System
3.3.2. Limited Capacity of Services or Staff in the Community
3.3.3. Patients’ Perspective on Continuity of Care
3.3.4. Role of GP in the Circle of Care
3.4. Family, as Unit of Care
3.4.1. Family—Essential Support in Care
3.4.2. Concerns of Patients and Families
3.4.3. Routine Disruption
3.5. Needs of Patients and Families in the Process of Transition to Community Care
3.5.1. Clear Information and Communication
3.5.2. Access to Home Care Services
3.5.3. Practical Needs
3.5.4. Patient and Family Education
3.6. Emotions and Feelings of Actors Involved in the Transition
3.6.1. Uncertainty and Anxiety
3.6.2. Loss of Identity, Control, and Medical Support
3.6.3. Coping
4. Discussion
4.1. Limitations
4.2. Implications
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Database | Concepts | ||
---|---|---|---|
Transition | Community | Palliative Care | |
PubMed | Transition Article title | Community Title/abstract | Palliative Title/abstract |
Science Direct | Transition | Community | Palliative Care |
Scopus | Transition Title | Community Title, abstract, key word | Palliative Title, abstract, key word |
Inclusion Criteria | Exclusion Criteria |
---|---|
Contain a qualitative or mixed-method study Approach the experiences and the perspectives of patients, families and healthcare professionals on the transition between care settings Provides information on barriers and facilitators to transition between care settings Full-text article Published in English Published between January 2010–January 2023 | Approach transitions in goals of care or care management Approach transitions from other care settings than from hospital to community care Non-original articles, literature reviews |
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Hurducas, F.; Csesznek, C.; Mosoiu, D. The Experience of Transition from Hospital to Community Care of Patients with Advanced Cancer: A Qualitative Narrative Review of Patients’, Families’ and Healthcare Professionals’ Perspectives. Soc. Sci. 2025, 14, 287. https://doi.org/10.3390/socsci14050287
Hurducas F, Csesznek C, Mosoiu D. The Experience of Transition from Hospital to Community Care of Patients with Advanced Cancer: A Qualitative Narrative Review of Patients’, Families’ and Healthcare Professionals’ Perspectives. Social Sciences. 2025; 14(5):287. https://doi.org/10.3390/socsci14050287
Chicago/Turabian StyleHurducas, Flavia, Codrina Csesznek, and Daniela Mosoiu. 2025. "The Experience of Transition from Hospital to Community Care of Patients with Advanced Cancer: A Qualitative Narrative Review of Patients’, Families’ and Healthcare Professionals’ Perspectives" Social Sciences 14, no. 5: 287. https://doi.org/10.3390/socsci14050287
APA StyleHurducas, F., Csesznek, C., & Mosoiu, D. (2025). The Experience of Transition from Hospital to Community Care of Patients with Advanced Cancer: A Qualitative Narrative Review of Patients’, Families’ and Healthcare Professionals’ Perspectives. Social Sciences, 14(5), 287. https://doi.org/10.3390/socsci14050287