BackgroundThe objective of this study was to better understand the experiences of family members in the nursing home to hospital transfer decision making process.Semi-structured interviews were conducted with 20 family members who had recently been involved in a nursing home to hospital transfer decision.ResultsFamily members perceived themselves to play an advocacy role in their resident’s care and interview themes clustered within three over-arching categories: Family perception of the nursing home’s capacity to provide medical care: Resident and family choices; and issues at ‘hand-off’ and the hospital. Multiple sub-themes were also identified.ConclusionsFindings from this study contribute to knowledge surrounding the nursing home transfer decision by illuminating the experiences of family members in the transfer decision process.