A Qualitative Study to Ascertain Patient Reported Experience Measures Following Hip Fracture Surgery in the Elderly
试验速览
- 阶段
- 不适用
- 入组人数
- 15
- 主要终点
- Patient experiences following hip fracture surgery
研究概览
简要总结
With an ageing population, hip fractures are likely to become a significant public health burden. Hip fracture surgery is associated with significant morbidity and mortality. Patient outcomes and experience underpin the National Health Service (NHS) Constitution in driving quality improvement and performance.
We aim to conduct a qualitative research study to ascertain the important patient and carer reported experience measures following hip fracture surgery in the elderly to improve quality of care and service provision.
To learn about patient and care-giver experience to ascertain which aspects are important to patients and what can be improved.
详细描述
Rationale for research:
Recovery following hip fracture surgery has been associated with poor functional outcome; (Marcantonio et al. 2001; Luger et al. 2010) these patients may require longer hospital stays, are more often discharged to long-term care, and have a generally poor prognosis for returning home or regaining function in activities of daily living (ADL). (Dolan et al. 2000) Loss to living independently in the community has a significant detrimental effect on their quality of life and some patients have reported that they would rather be dead than experience the loss of independence that results from a hip fracture. (Salkeld et al. 2000) Patients report that going home following hip fracture surgery would be their main priority. (Robinson et al. 2015) Recovery for patients is multi-faceted and includes physical, social and emotional domains. (Miller & Mythen 2014) Increasingly focus is being modified to include patient related experience of the healthcare pathway to inform policymakers, health regulation and service improvement. (Gibbons & Fitzpatrick 2012) Patient public involvement (PPI) via the Clinical Research Ambassador Group (CRAG) at Heart of England NHS Foundation Trust has helped to identify the research question with particular focus on the improving the perioperative care pathway. Members of the CRAG group have reported the impact of hip fracture to include loss of functional ability leading to additional stress for family members. They have advocated a qualitative study to assess the impact on patients and their carers based on their personal experiences. We aim to conduct interviews to ascertain important and relevant patient reported experience measures in elderly patients undergoing hip fracture surgery.
Aims:
To review and evaluate the literature to ascertain the themes related to patient and carer experiences following hip fracture surgery which can improve quality of care.
To conduct interviews to ascertain what are the patient and carer experiences surrounding discharge from hospital following hip fracture surgery? To identify important themes to guide us in improving the care-pathway surrounding patient discharge following fractured neck of femur surgery in the elderly.
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 65 or over.
- •Due to have surgical fixation for proximal femoral fracture.
- •Care-giver of a patient having undergone surgical fixation for proximal femoral fracture.
排除标准
- •Patients admitted with multiple trauma.
- •Patients who are unable to speak sufficient English to participate in the interview.
- •Patients who are unable to consent due to lack of capacity.
结局指标
主要结局
Patient experiences following hip fracture surgery
时间窗: 6 months
Patients views and perceptions around their experience of hip fracture surgery with particular focus surrounding the discharge pathway.
Carer experiences following hip fracture surgery
时间窗: 6 months
The views and perceptions of supporting a relative/friend having undergone hip fracture surgery, with particular focus on the discharge pathway.
次要结局
未报告次要终点