کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2656266 1563986 2015 12 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Improving the experience of hip fracture care: A multidisciplinary collaborative approach to implementing evidence-based, person-centred practice
ترجمه فارسی عنوان
بهبود تجربه مراقبت از شکستگی های لگن: یک رویکرد همکاری چند رشته ای برای اجرای روشی مبتنی بر شواهد و فردمحور
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

BackgroundHip 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.AimTo explore a multidisciplinary collaborative approach to implementing evidence-based, person-centred hip fracture care.DesignCollaborative inquiry.MethodsSixteen 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.ResultsHip 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 sharing of different perspectives.ConclusionsWorking together improved communication and enhanced understanding of the whole care experience.Implications for practiceEnabling teams to find evidence of safe, effective person-centred cultures requires facilitated time for reflective practice.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Orthopaedic and Trauma Nursing - Volume 19, Issue 1, February 2015, Pages 24–35
نویسندگان
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