Improving the patient experience of transition from hospital to home after stroke: a service evaluation

The period when a patient returns home from hospital after a stroke can be a challenging time. There is often a need for patients to be discharged quickly; therefore, a poor discharge experience for patients and their carers is consistently reported. Individuals can feel anxious and unsupported during this period. The aim was to conduct a service evaluation and improvement project in a regional stroke service to explore the experiences of patients being discharged home from the Acute Stroke Unit with support from the Early Supported Discharge Service. Specific elements of a previously validated questionnaire were completed by nine participants. The service evaluation built on previous research and expanded the data by including patients with communication or cognitive difficulties. Patients generally had a positive experience of discharge home from hospital. Most patients received the information they needed and felt involved in discharge decisions. However, one-third of patients experienced a delay related to waiting for medication. The need for psychological support was identified. A collaborative approach involving patients and professionals is suggested to create changes in stroke services. Patients should be offered psychological support and medication delays should be addressed. Any subsequent study would be improved by recruiting a larger number of participants, particularly from more diverse ethnic groups, and offering the option of online or hard copy questionnaire distribution.