A grounded theory of taking control after fall-induced hip fracture

Disability and Rehabilitation
Laura McMillanTracey Howe

Abstract

We applied the grounded theory method to explore the post discharge concerns of older people after fall-induced hip fracture repair. It was anticipated that this understanding would increase awareness of issues that may impact on recovery and rehabilitation. Semi-structured interviews were carried out with 19 older people after discharge home. Initially, purposive sampling guided data collection and thereafter theoretical sampling was employed. Interviews were analysed using the constant comparative method. We generated a theory of how older people 'take control' after hip fracture. Conceptually, taking control was about 'balancing' and was both a process and a range of strategies. The three stages of the process that people moved through were: 'going under', 'keeping afloat' and 'gaining ground'. Nautical metaphors conceptualise the precarious and unstable conditions that older people faced as they struggled to regain their independence. Older people struggled to balance help and risk, in their attempt to manage their concerns relating to losing control of their future independence. Older people are vulnerable to losing a sense of control after a health trauma. This theory adds a new dimension to our understanding of recovery ...Continue Reading

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Citations

Jul 19, 2013·Archives of Orthopaedic and Trauma Surgery·A Hoang-KimS Reeves
Feb 11, 2016·Disability and Rehabilitation·Birgit Rasmussen, Lisbeth Uhrenfeldt
Apr 25, 2013·International Journal of Older People Nursing·Laura McMillanTracey Howe
Feb 27, 2018·International Journal of Geriatric Psychiatry·Alan M RathbunJay Magaziner
Jan 21, 2018·BMC Geriatrics·Vigdis Bruun-OlsenKristi Elisabeth Heiberg
Jul 2, 2020·Disability and Rehabilitation·Jessica SouthwellKatie Jane Sheehan
Sep 1, 2018·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Monica M EhlersMerete B Bjerrum
Feb 2, 2019·International Journal of Qualitative Studies on Health and Well-being·Birgit RasmussenLisbeth Uhrenfeldt
Dec 9, 2020·International Journal of Orthopaedic and Trauma Nursing·Charlotte Abrahamsen, Birgitte Nørgaard
Aug 26, 2021·International Journal of Qualitative Studies on Health and Well-being·Cecilia SegevallSiv Söderberg

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