“If only had I known”: a qualitative study investigating a treatment of patients with a hip fracture with short time stay in hospital

Jensen, Charlotte M., Smith, Anthony C., Overgaard, Soren, Kock Wiil, Uffe and Clemensen, Jane (2017) “If only had I known”: a qualitative study investigating a treatment of patients with a hip fracture with short time stay in hospital. International Journal of Qualitative Studies on Health and Well-Being, 12 1: 1307061.1-1307061.9. doi:10.1080/17482631.2017.1307061


Author Jensen, Charlotte M.
Smith, Anthony C.
Overgaard, Soren
Kock Wiil, Uffe
Clemensen, Jane
Title “If only had I known”: a qualitative study investigating a treatment of patients with a hip fracture with short time stay in hospital
Journal name International Journal of Qualitative Studies on Health and Well-Being   Check publisher's open access policy
ISSN 1748-2631
1748-2623
Publication date 2017-04-03
Year available 2017
Sub-type Article (original research)
DOI 10.1080/17482631.2017.1307061
Open Access Status DOI
Volume 12
Issue 1
Start page 1307061.1
End page 1307061.9
Total pages 9
Place of publication Jaerfaella, Sweden
Publisher Co-Action Publishing
Language eng
Subject 2910 Issues, ethics and legal aspects
2909 Gerontology
2908 Fundamentals and skills
2719 Health Policy
Abstract Hip fractures are amongst the leading causes of admission to an orthopaedic ward. Systematized pathways with reduced admission time have become increasingly common as an essential tool for quality development and to improve efficiency in the hospital setting.  The aim of this study was to clarify if the patients feel empowered and able to perform self-care after short time stay in hospital (STSH) due to a hip fracture. The study used descriptive phenomenology to describe experiences of the pathway. Field studies were conducted in hospitals and in the patients' homes.  Interviews were performed with 10 patients recruited from two wards at a Danish University hospital, 4 family members and 15 health professionals from three hospitals.  The open attitude of reflective lifeworld research guided the analysis. The findings revealed that patients felt unprepared and insecure about their future, but also had a strong desire to be in charge of their own lives.  Of all the patients interviewed, none had any recollection of the information given to them by health professionals during their hospital admission. This study demonstrates that empowerment of patients with hip fractures is not adequately achieved in the pathway with STSH.
Formatted abstract
Hip fractures are amongst the leading causes of admission to an orthopaedic ward. Systematized pathways with reduced admission time have become increasingly common as an essential tool for quality development and to improve efficiency in the hospital setting. The aim of this study was to clarify if the patients feel empowered and able to perform self-care after short time stay in hospital (STSH) due to a hip fracture. The study used descriptive phenomenology to describe experiences of the pathway. Field studies were conducted in hospitals and in the patients' homes. Interviews were performed with 10 patients recruited from two wards at a Danish University hospital, 4 family members and 15 health professionals from three hospitals. The open attitude of reflective lifeworld research guided the analysis. The findings revealed that patients felt unprepared and insecure about their future, but also had a strong desire to be in charge of their own lives. Of all the patients interviewed, none had any recollection of the information given to them by health professionals during their hospital admission. This study demonstrates that empowerment of patients with hip fractures is not adequately achieved in the pathway with STSH.
Keyword Hip fracture
Osteoporosis
Self-care
Patient empowerment
Short time stay in hospital
Phenomenology
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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Created: Tue, 04 Apr 2017, 13:02:40 EST by Burke, Eliza on behalf of Centre for Health Services Research