Insights into the home transition: A qualitative study on stroke survivors' experiential journey

Background: Strokes are a significant contributor to disability and mortality globally, affecting millions of people annually. The transitional phase from hospital to home presents various challenges for stroke survivors, affecting their physical, psychological, and social well-being. Objective: To evaluate the lived experiences of stroke survivors during their return home, understanding their needs, challenges, and the resources required for a smooth transition. Methods: A qualitative phenomenological approach was used, combining descriptive and interpretative methodologies. Nineteen stroke survivors were recruited in Tuscany, Italy, from July 1 to August 31, 2023 and interviewed within 30 days of hospital discharge. Interviews were conducted, focusing on experiences during discharge, difficulties encountered upon returning home, support needed, and preparation for returning home. Data analysis involved rigorous transcription, independent immersion in the data by researchers, and thematic extraction. Results: Four main themes emerged from the analysis: 1) The Homeward Odyssey; 2) A New Dawn: perspectives on Rehabilitation Continuity; 3) Isolated at Home: the solitary journey of stroke survivors; 4) The Shades of Life. Conclusions: The study offers valuable information on the experiences of stroke survivors during the transition from hospital to home, who face multiple challenges, including physical impairment, psychological distress, and social isolation. The findings highlight the importance of comprehensive transitional care and support services to address the complex needs of stroke survivors, including specialized care, rehabilitation continuity, and psychosocial support. Nurses play a crucial role in assessing and addressing the needs of stroke survivors, highlighting the importance of practical support skills and access to expert staff. More research and interventions are needed to improve the quality of care and support for stroke survivors during the transition period.