Improving the experience of hip fracture care: A multidisciplinary collaborative approach to implementing evidence-based, person-centred practice

International Journal of Orthopaedic and Trauma Nursing
Jane ChristieGerri Matthews-Smith

Abstract

Hip fracture care is well supported by national guidelines and audit that provide evidence of safe interventions and an improved process. In the drive for organisational efficiency, complications have been reduced and length of stay shortened. Prioritising targets and performance alone can lead to poor multidisciplinary communication that potentially omits the psychosocial needs of older people recovering from hip fracture. To explore a multidisciplinary collaborative approach to implementing evidence-based, person-centred hip fracture care. Collaborative inquiry. Sixteen clinical leaders (n = 16) from different disciplines, working with older people with hip fracture at different stages of the care pathway participated in eight two-hourly facilitated action meetings. Data collection included strengths and limitations of the present service, values clarification, clinical stories, review of case records and reflections on the stories of three older people and two carers. Hip fracture care was driven by service pressures, guidelines and audits. The care journey was divided into service delivery units. Professional groups worked independently resulting in poor communication. Time away from practice enabled collaboration and the s...Continue Reading

References

Aug 18, 1997·The American Journal of Medicine·C Cooper
Jan 7, 1998·Journal of Orthopaedic Trauma·K A EgolJ D Zuckerman
Sep 20, 2000·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·J MagazinerJ Kenzora
Mar 23, 2001·Journal of Clinical Nursing·I HallströmL Rooke
Jul 23, 2002·Journal of the American Geriatrics Society·Elizabeth A EastwoodAlbert L Siu
Nov 26, 2002·Scandinavian Journal of Caring Sciences·Anita Atwal, Kay Caldwell
Nov 27, 2002·Quality & Safety in Health Care·J Rycroft-MaloneC Estabrooks
Feb 13, 2003·Scandinavian Journal of Caring Sciences·Ami HommelKarl-Göran Thorngren
Apr 24, 2003·Journal of Clinical Nursing·Brendan McCormack, Robert Garbett
Feb 12, 2004·Nursing in Critical Care·Kim Manley
Jun 10, 2004·Journal of Advanced Nursing·Jo Rycroft-MaloneBrendan McCormack
Jun 12, 2004·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Jo-Anne O'Brien, Frances Fothergill-Bourbonnais
Oct 28, 2004·Journal of the American Geriatrics Society·Kenneth S BoockvarAlbert L Siu
Nov 13, 2004·Journal of Nursing Care Quality·Jo Rycroft-Malone
Aug 11, 2005·JAMA : the Journal of the American Medical Association·Patrick J O'Connor
Nov 10, 2005·Disability and Rehabilitation·Kenneth J Koval, Michael R Cooley
Nov 10, 2005·Disability and Rehabilitation·Colin T Currie, James D Hutchison
Jun 8, 2006·Nursing Science Quarterly·Sally HardyBrendan McCormack
Sep 12, 2006·Critical Care Nursing Clinics of North America·Susan McCabe
Feb 13, 2008·Health & Social Care in the Community·Jill ManthorpeUNKNOWN Older People Researching Social Issues
Jun 17, 2008·Qualitative Health Research·Mary Godfrey, Jean Townsend
Aug 30, 2008·Clinical Rehabilitation·Lena ZidénMarianne Hansson-Scherman
Aug 5, 2010·Geriatric Nursing·Eun-Shim NahmMary Degrezia

❮ Previous
Next ❯

Citations

Aug 25, 2018·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Carin WongNatalie E Leland
Dec 1, 2017·Expert Review of Pharmacoeconomics & Outcomes Research·Peter HertzmanKeith Tolley
Mar 31, 2016·Medical Care Research and Review : MCRR·Timothy J Vogus, Sara J Singer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.