Indicators of injury recovery identified by patients, family members and clinicians

Aitken, Leanne M., Chaboyer, Wendy, Jeffrey, Carol, Martin, Bronte, Whitty, Jennifer A., Schuetz, Michael and Richmond, Therese S. (2016) Indicators of injury recovery identified by patients, family members and clinicians. Injury, 47 12: 2655-2663. doi:10.1016/j.injury.2016.10.006

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Author Aitken, Leanne M.
Chaboyer, Wendy
Jeffrey, Carol
Martin, Bronte
Whitty, Jennifer A.
Schuetz, Michael
Richmond, Therese S.
Title Indicators of injury recovery identified by patients, family members and clinicians
Journal name Injury   Check publisher's open access policy
ISSN 1879-0267
0020-1383
Publication date 2016-12-01
Sub-type Article (original research)
DOI 10.1016/j.injury.2016.10.006
Open Access Status File (Author Post-print)
Volume 47
Issue 12
Start page 2655
End page 2663
Total pages 9
Place of publication London, United Kingdom
Publisher Elsevier
Collection year 2017
Language eng
Formatted abstract
Introduction: A focus on what is important to patients has been recognized as an essential pillar in care to ensure safe patient care that focuses on outcomes identified as important by patients. Despite this, asking trauma patients and their families what they consider should be the priorities of care and recovery has been neglected.

Methods: Adult trauma patients admitted to two centers in Australia for ≥24 h for the treatment of physical injury, and family members of injured patients and clinicians caring for injured patients were invited to participate. Individual interviews were conducted with the patient and family members prior to hospital discharge, and again one and three months post discharge. Individual interviews or focus groups were conducted with clinicians at one point in time. Content analysis of all transcripts was undertaken to determine the indicators of successful recovery over time.

Results: Participants in the three stakeholder groups were enrolled (patients − 33; family members—22; clinicians—40). Indicators of recovery focused on five main categories including returning to work, resuming family roles, achieving independence, recapturing normality and achieving comfort. Other categories that were less frequently identified included maintaining one's household, restoring emotional stability, cosmetic considerations and appearance, realignment of life goals, psychological recovery and development of self. Indicators of recovery after physical injury were similar across the three stakeholder groups, although with greater detail identified by patients. In addition, indicators evolved over time with increasing recognition of the importance of the overall impact of the injury in general and on activities of daily living and an unfolding appreciation that life could not be taken for granted.

Conclusions: Description of the indicators of recovery after traumatic injury that matter to patients, family members and clinicians enable an understanding of similarities and differences. Further testing in a broader cohort of participants is essential to identify patient reported outcome measures that might be used in trauma care and associated research.
Keyword Health priorities
Outcome assessment
Patient reported outcomes
Patient-centred care
Recovery
Trauma
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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