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The experiences of pre- and in-hospital care in patients with hip fractures : A study based on Critical incidents

Ivarsson, Bodil LU ; Hommel, Ami LU ; Sandberg, Magnus LU orcid ; Sjöstrand, Desirée LU and Johansson, Anders LU (2018) In International Journal of Orthopaedic and Trauma Nursing 30. p.8-13
Abstract

Background: Hip fractures are described to have a significant impact on patients' well-being and different fast-track concepts could result in a reduction of the patient's psychological and emotional reactions before pre- and intrahospital care. Aims and objectives: This study aimed to elucidate perceived situations of significance experienced by patients with hip fracture during the prehospital- and in-hospital care. Design: The study used a qualitative approach using a critical incident technique (CIT), 14 patients with hip fractures were included. Methods: All informants had undergone surgery for a hip fracture, were able to communicate in Swedish and had no cognitive impairment. Results: The main area Oscillating between being... (More)

Background: Hip fractures are described to have a significant impact on patients' well-being and different fast-track concepts could result in a reduction of the patient's psychological and emotional reactions before pre- and intrahospital care. Aims and objectives: This study aimed to elucidate perceived situations of significance experienced by patients with hip fracture during the prehospital- and in-hospital care. Design: The study used a qualitative approach using a critical incident technique (CIT), 14 patients with hip fractures were included. Methods: All informants had undergone surgery for a hip fracture, were able to communicate in Swedish and had no cognitive impairment. Results: The main area Oscillating between being satisfied and to endure a new demanding situation emerged from five categories: Pain and pain management, Feeling fear and satisfaction in perioperative care, Experiencing continuity in care, Considering information and Felling confirmed. Conclusion: Experiences of prehospital care shows a positive impact though the patients experienced this part of the pathway professionally. However, the patients described critical incidents according to their experiences of pain seems to have significant damagingly impact on the patients' well-being. The patient also describe a sense of uncertainty in their individual involvement of care.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Orthopaedic and Trauma Nursing
volume
30
pages
8 - 13
publisher
Elsevier
external identifiers
  • pmid:29929886
  • scopus:85048893678
ISSN
1878-1241
DOI
10.1016/j.ijotn.2018.05.003
language
English
LU publication?
yes
id
fe2f132f-beb7-4a52-8591-70c96ec6c592
date added to LUP
2018-07-04 15:41:41
date last changed
2021-10-10 04:40:16
@article{fe2f132f-beb7-4a52-8591-70c96ec6c592,
  abstract     = {<p>Background: Hip fractures are described to have a significant impact on patients' well-being and different fast-track concepts could result in a reduction of the patient's psychological and emotional reactions before pre- and intrahospital care. Aims and objectives: This study aimed to elucidate perceived situations of significance experienced by patients with hip fracture during the prehospital- and in-hospital care. Design: The study used a qualitative approach using a critical incident technique (CIT), 14 patients with hip fractures were included. Methods: All informants had undergone surgery for a hip fracture, were able to communicate in Swedish and had no cognitive impairment. Results: The main area Oscillating between being satisfied and to endure a new demanding situation emerged from five categories: Pain and pain management, Feeling fear and satisfaction in perioperative care, Experiencing continuity in care, Considering information and Felling confirmed. Conclusion: Experiences of prehospital care shows a positive impact though the patients experienced this part of the pathway professionally. However, the patients described critical incidents according to their experiences of pain seems to have significant damagingly impact on the patients' well-being. The patient also describe a sense of uncertainty in their individual involvement of care.</p>},
  author       = {Ivarsson, Bodil and Hommel, Ami and Sandberg, Magnus and Sjöstrand, Desirée and Johansson, Anders},
  issn         = {1878-1241},
  language     = {eng},
  pages        = {8--13},
  publisher    = {Elsevier},
  series       = {International Journal of Orthopaedic and Trauma Nursing},
  title        = {The experiences of pre- and in-hospital care in patients with hip fractures : A study based on Critical incidents},
  url          = {http://dx.doi.org/10.1016/j.ijotn.2018.05.003},
  doi          = {10.1016/j.ijotn.2018.05.003},
  volume       = {30},
  year         = {2018},
}