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

Autores
Tutton, Elizabeth; Saletti, Lorena; Lanstaff, Debbie; Wright, Julie; Grant, Richard; Willett, Keith
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objectives The 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. Design A 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. Setting Trauma wards in a National Health Service Foundation Trust in the South West of England. Participants A 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. Results The 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. Conclusion This 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.
Fil: Tutton, Elizabeth. University of Oxford; Reino Unido
Fil: Saletti, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
Fil: Lanstaff, Debbie. University of Oxford; Reino Unido
Fil: Wright, Julie. University of Oxford; Reino Unido
Fil: Grant, Richard. University of Oxford; Reino Unido
Fil: Willett, Keith. University of Oxford; Reino Unido
Materia
HIP
ORTHOPAEDIC & TRAUMA SURGERY
QUALITY IN HEALTHCARE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/172415
Acceder
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network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic traumaTutton, ElizabethSaletti, LorenaLanstaff, DebbieWright, JulieGrant, RichardWillett, KeithHIPORTHOPAEDIC & TRAUMA SURGERYQUALITY IN HEALTHCAREhttps://purl.org/becyt/ford/5.9https://purl.org/becyt/ford/5Objectives The 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. Design A 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. Setting Trauma wards in a National Health Service Foundation Trust in the South West of England. Participants A 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. Results The 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. Conclusion This 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.Fil: Tutton, Elizabeth. University of Oxford; Reino UnidoFil: Saletti, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; ArgentinaFil: Lanstaff, Debbie. University of Oxford; Reino UnidoFil: Wright, Julie. University of Oxford; Reino UnidoFil: Grant, Richard. University of Oxford; Reino UnidoFil: Willett, Keith. University of Oxford; Reino UnidoBMJ Publishing Group2021-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/172415Tutton, Elizabeth; Saletti, Lorena; Lanstaff, Debbie; Wright, Julie; Grant, Richard; et al.; Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma; BMJ Publishing Group; BMJ Open; 11; 2; 2-2021; 1-82044-6055CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2020-042040info:eu-repo/semantics/altIdentifier/url/https://bmjopen.bmj.com/content/11/2/e042040info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-22T12:11:17Zoai:ri.conicet.gov.ar:11336/172415instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-22 12:11:18.081CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
title Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
spellingShingle Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
Tutton, Elizabeth
HIP
ORTHOPAEDIC & TRAUMA SURGERY
QUALITY IN HEALTHCARE
title_short Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
title_full Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
title_fullStr Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
title_full_unstemmed Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
title_sort Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma
dc.creator.none.fl_str_mv Tutton, Elizabeth
Saletti, Lorena
Lanstaff, Debbie
Wright, Julie
Grant, Richard
Willett, Keith
author Tutton, Elizabeth
author_facet Tutton, Elizabeth
Saletti, Lorena
Lanstaff, Debbie
Wright, Julie
Grant, Richard
Willett, Keith
author_role author
author2 Saletti, Lorena
Lanstaff, Debbie
Wright, Julie
Grant, Richard
Willett, Keith
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv HIP
ORTHOPAEDIC & TRAUMA SURGERY
QUALITY IN HEALTHCARE
topic HIP
ORTHOPAEDIC & TRAUMA SURGERY
QUALITY IN HEALTHCARE
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.9
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Objectives The 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. Design A 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. Setting Trauma wards in a National Health Service Foundation Trust in the South West of England. Participants A 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. Results The 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. Conclusion This 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.
Fil: Tutton, Elizabeth. University of Oxford; Reino Unido
Fil: Saletti, Lorena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad. Universidad Nacional de Córdoba. Centro de Investigaciones y Estudios sobre Cultura y Sociedad; Argentina
Fil: Lanstaff, Debbie. University of Oxford; Reino Unido
Fil: Wright, Julie. University of Oxford; Reino Unido
Fil: Grant, Richard. University of Oxford; Reino Unido
Fil: Willett, Keith. University of Oxford; Reino Unido
description Objectives The 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. Design A 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. Setting Trauma wards in a National Health Service Foundation Trust in the South West of England. Participants A 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. Results The 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. Conclusion This 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-02
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/172415
Tutton, Elizabeth; Saletti, Lorena; Lanstaff, Debbie; Wright, Julie; Grant, Richard; et al.; Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma; BMJ Publishing Group; BMJ Open; 11; 2; 2-2021; 1-8
2044-6055
CONICET Digital
CONICET
url http://hdl.handle.net/11336/172415
identifier_str_mv Tutton, Elizabeth; Saletti, Lorena; Lanstaff, Debbie; Wright, Julie; Grant, Richard; et al.; Patient and informal carer experience of hip fracture: A qualitative study using interviews and observation in acute orthopaedic trauma; BMJ Publishing Group; BMJ Open; 11; 2; 2-2021; 1-8
2044-6055
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1136/bmjopen-2020-042040
info:eu-repo/semantics/altIdentifier/url/https://bmjopen.bmj.com/content/11/2/e042040
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
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eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.982451

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