Understanding patient and relative/carer experience of hip fracture in acute care: A qualitative study protocol

Saletti‐Cuesta, Lorena; Tutton, Elizabeth; Langstaff, Debbie; Willett, Keith

doi:10.1016/j.ijotn.2016.09.002

Cited by 4 publications

(4 citation statements)

References 34 publications

(48 reference statements)

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“…Interpretation involved reading, listening and reflecting on elements that were of concern to participants while being aware of the researchers’ own positionality, for example role and experience. A full discussion of the methods for this study is provided in the protocol 17. The methods used were interviews and participant observation.…”

Section: Methodsmentioning

confidence: 99%

Patient and informal carer experience of hip fracture: a qualitative study using interviews and observation in acute orthopaedic trauma

et al. 2021

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ObjectivesThe time taken for older people to recover from hip fracture can be extensive. The aim of this study was to gain an understanding of patient and informal carer experience of recovery in the early stage, while in acute care.DesignA phenomenological (lived experience) approach was used to guide the design of the study. Interviews and observation took place between March 2016 and December 2016 in acute care.SettingTrauma wards in a National Health Service Foundation Trust in the South West of England.ParticipantsA purposive sample of 25 patients were interviewed and observation taking 52 hours was undertaken with 13 patients and 12 staff. 11 patients had memory loss, 2 patients chose to take part in an interview and observation. The age range was 63–91 years (median 83), 10 were men. A purposive sample of 25 informal carers were also interviewed, the age range was 42–95 years (mean 64), 11 were men.ResultsThe results identified how participants moved forward together after injury by sharing the journey. This was conveyed through three themes: (1) sustaining relationships while experiencing strong emotions and actively helping, (2) becoming aware of uncertainty about the future and working through possible outcomes, (3) being changed, visibly looking different, not being able to walk, and enduring indignity and pain.ConclusionThis study identified the experience of patients and informal carers as they shared the journey during a challenging life transition. Strategies that support well-being and enable successful negotiation of the emotional and practical challenges of acute care may help with longer term recovery. Research should focus on developing interventions that promote well-being during this transition to help provide the foundation for patients and carers to live fulfilled lives.

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Section: Methodsmentioning

confidence: 99%

Patient and informal carer experience of hip fracture: a qualitative study using interviews and observation in acute orthopaedic trauma

et al. 2021

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“…The latter could have both positive and negative impacts on caregiving. First, a positive attitude toward acquired chores and changes in daily routine can have a benign impact on recovery and rehabilitation, lessening the impact of socioeconomic vulnerabilities 23,24 . On the other hand, an overestimation of the caregivers' capacities and an associated underestimation of the magnitude of the incoming burden could be a risk factor for adverse outcomes 23,25 .…”

Section: Discussionmentioning

confidence: 99%

Psychosocial vulnerability of Mexican informal caregivers in fall-related hip fractures

Barragán-Rodríguez¹,

Gardea-Reséndez²,

Kawas-Valle³

et al. 2020

RMU

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“…Many studies have highlighted the importance of the interaction between physicians and caregivers before and after surgery for HF [72,73]. In the pre-operative phase, communication may be needed to obtain additional information on pre-fracture functional and cognitive status, on living conditions, and to estimate the risk of future recurrent falls, all of which are factors that should be taken into account with regard to the choice of treatment intervention, rehabilitation programme and discharge strategy [74,75].…”

Section: Interaction With Caregiversmentioning

confidence: 99%

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

Vincentis

Behr²,

Bellelli

et al. 2021

Aging Clin Exp Res

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Background Health outcomes of older subjects with hip fracture (HF) may be negatively influenced by multiple comorbidities and frailty. An integrated multidisciplinary approach (i.e. the orthogeriatric model) is, therefore, highly recommended, but its implementation in clinical practice suffers from the lack of shared management protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues. Aim To develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF. Methods A 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra-and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence. Results A total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics). Conclusion These recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.

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Understanding patient and relative/carer experience of hip fracture in acute care: A qualitative study protocol

Cited by 4 publications

References 34 publications

Patient and informal carer experience of hip fracture: a qualitative study using interviews and observation in acute orthopaedic trauma

Patient and informal carer experience of hip fracture: a qualitative study using interviews and observation in acute orthopaedic trauma

Psychosocial vulnerability of Mexican informal caregivers in fall-related hip fractures

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

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