Table 1 Summary of themes describing the barriers and facilitators to transitional care

Lack of knowledge about the causes of dyspnea and its management (family caregivers)

Ability to understand Malayu language (family caregivers)

Inadequate discharge preparation (family caregivers and nurses)

Presence of health professionals of the same gender (family caregivers)

Miscommunication due to a language barrier (family caregivers)

Presence of culturally competent health professionals (family caregivers)

Discontinuity of care delivered after discharge (family caregivers and nurses)

Impact of the COVID-19 pandemic (family caregivers and nurses)