Introduction: Recent advancements in technology, particularly the use of touch screen tablets, may provide an opportunity to enhance engagement and social connection for hospitalised older adults. To maximise their effectiveness, it is essential to incorporate patient perspectives into the design and implementation of tablet-based interventions. Accordingly, this study aimed to explore hospitalised older adults’ perspectives on the utility and acceptability of touchscreen tablets in improving patient experiences and outcomes within a sub-acute care setting. Methods: Following installation of wall-mounted, age-friendly, touchscreen tablets at each bedside on a Geriatric Evaluation and Management (GEM) ‘Smart Ward’, we conducted semi-structured interviews with hospitalised older adults (65+ years) and their carers. Interviews focussed on the perceived utility and acceptability of the touchscreen tablets. Data collection and analysis followed the qualitative description method, and Framework analysis, respectively. Results: 12 older adults and two carers participated in the study. Five themes were identified: i) The need for stimulation during prolonged hospitalisation; ii) Prior technology experience influencing engagement; iii) The influence of design and physical accessibility on use; iv) The need for more personalised and meaningful content; and v) Supporting connection and emotional wellbeing. Implications: The study’s findings offer valuable insights for improving how touchscreen tablets are implemented and used in sub-acute hospital settings. In particular, they highlight the importance of integrating tablet access into staff workflows and tailoring content to meet patient needs. Ultimately, these improvements aim to enhance engagement and health outcomes for hospitalised older adults.