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Welsh, Allie, Hanson, Sarah 
ORCID: https://orcid.org/0000-0003-4751-8248, Pfeiffer, Klaus, Khoury, Reema, Clark, Allan ORCID: https://orcid.org/0000-0003-2965-8941, Grant, Kelly, Ashford, Polly-Anna, Hopewell, Sally, Logan, Pip A., Crotty, Maria, Costa, Matthew L., Lamb, Sarah E. and Smith, Toby O. ORCID: https://orcid.org/0000-0003-1673-2954
and
on behalf of the HIP HELPER Study Collaborators
(2024)
Facilitating the transition from hospital to home after hip fracture surgery: A qualitative study from the HIP HELPER trial.
BMC Geriatrics, 24.
ISSN 1471-2318
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Abstract
Background: People post-hip fracture have reported experiences of fragmented care and poor discharge planning, therefore improvements in patient flow are required. This study reports the challenges people face during the discharge process and offers potential solutions for improving the transition from hospital to home from the perspectives of patients, carers, and health professionals. Methods: This was a qualitative study embedded within a multi-centre, feasibility randomised controlled trial (HIP HELPER). We undertook semi-structured interviews with 10 patient-carer dyads (10 people with hip fracture; 10 unpaid carers) and eight health professionals (four physiotherapists, two occupational therapists, one nurse and one physiotherapy researcher) between November 2021 and March 2022. Data were analysed using the principles of Framework Analysis. Results: Participants identified challenges in the transition from hospital to home post-hip fracture surgery: ineffective communication, disjointed systems, untimely services and ‘it’s more than just the hip’. Possible solutions and insights to facilitate this transition included the need for reassurance, collaborative planning, and individualisation. Conclusion: The transition from hospital to home following hip fracture surgery can be a challenging experience for patients, and for friends and family who support them as carers, making them feel vulnerable, frustrated and uncertain. Enabling a coordinated, collaborative approach to discharge planning and early recovery provision is considered a positive approach to improving NHS care.
| Item Type: | Article |
|---|---|
| Additional Information: | Data availability statement: The datasets used and/or analysed during the current study are available from the corresponding author (AW) upon reasonable request. Funding information: This project is funded by the National Institute for Health and Care Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number NIHR200731). MCo and SHo role in this study was supported by the National Institute for Health and Care Research Oxford Biomedical Research Centre. SEL role in this study was supported by the National Institute for Health and Care Research Exeter Biomedical Research Centre. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. |
| Uncontrolled Keywords: | hip fracture,rehabilitation,transition,qualitative,hip fracture,transition,rehabilitation,qualitative,geriatrics and gerontology ,/dk/atira/pure/subjectarea/asjc/2700/2717 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Nutrition and Preventive Medicine Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 18 Sep 2024 08:30 |
| Last Modified: | 03 Dec 2024 01:34 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/96763 |
| DOI: | 10.1186/s12877-024-05390-7 |
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