It’s all about presence: Health professionals’ experience of interprofessional collaboration when mobilizing patients with hip fractures

Assafi, Lone; Evaristi, Dorte; Trevino, Cathrine Selnes; Larsen, TrineSchifter

doi:10.1080/13561820.2021.1956444

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…This approach aligns with the ‘Environmental Context and Resources’ and ‘Social Influences’ domains, emphasising the critical role of institutional support and structure in facilitating effective interprofessional collaboration. A collaborative culture, fostered by mutual respect and clear responsibilities, and supported by senior management and leadership [ 32 , 33 ], could substantially enhance patient outcomes, especially within evidence-based pathways for hip fracture patients [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to early mobilisation and weight-bearing as tolerated after hip fracture surgery among older adults in Saudi Arabia: a qualitative study

Turabi,

Sheehan,

Guerra

et al. 2024

Age and Ageing

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Objective To explore the practice of prescribing and implementing early mobilisation and weight-bearing as tolerated after hip fracture surgery in older adults and identify barriers and facilitators to their implementation. Methods Semi-structured interviews were conducted with 20 healthcare providers (10 orthopaedic surgeons and 10 physiotherapists) from Saudi Arabian government hospitals. Data were analysed using inductive thematic analysis. Results While early mobilisation and weight-bearing as tolerated were viewed as important by most participants, they highlighted barriers to the implementation of these practices. Most participants advocated for mobility within 48 h of surgery, aligning with international guidance; however, the implementation of weight-bearing as tolerated was varied. Some participants stressed the type of surgery undertaken as a key factor in weight-bearing prescription. For others, local protocols or clinician preference was seen as most important, the latter partially influenced by where they were trained. Interdisciplinary collaboration between orthopaedic surgeons and physiotherapists was seen as a crucial part of postoperative care and weight-bearing. Patient and family member buy-in was also noted as a key factor, as fear of further injury can impact a patient’s adherence to weight-bearing prescriptions. Participants noted a lack of standardised postoperative protocols and the need for routine patient audits to better understand current practices and outcomes. Conclusion This study contributes to national and global discussions on the prescription of early mobilisation and weight-bearing as tolerated. It highlights the necessity for a harmonised approach, incorporating standardised, evidence-based protocols with patient-specific care, robust healthcare governance and routine audits and monitoring for quality assurance and better patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to early mobilisation and weight-bearing as tolerated after hip fracture surgery among older adults in Saudi Arabia: a qualitative study

Turabi,

Sheehan,

Guerra

et al. 2024

Age and Ageing

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“…The study was conducted at the Department of Orthopaedic Surgery at a University Hospital in the greater area of Copenhagen, Denmark. Data were collected in an amputation and hip fracture unit, where the nursing staff were familiar with providing care according to the Enhanced Recovery After Surgery (ERAS protocol) using interprofessional collaboration [22,23]. The department has a monthly turnover of approximately 60 patients.…”

Section: Settingmentioning

confidence: 99%

‘Why doesn't anyone ask me’? Patients' experiences of receiving, performing and practices of oral care in an acute Orthopaedic Department

Rasmussen

Halberg

Jensen

2023

Scandinavian Caring Sciences

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Aims and objectivesOral care is an integrated part of everyday life. Within nursing, barriers related to providing oral care often lead to unmet caring needs. Poor oral care is associated with a risk of respiratory and cardiovascular complications during hospitalisation. Knowledge on patients' perspectives of maintaining or receiving oral care during admissions are limited. Following the Fundamentals of Care (FOC) framework, this study uses a person‐centred approach to explore patients' perceptions and experiences of receiving or performing oral care, including the nursing staff's clinical practices.Methodological design and justificationA focussed ethnographic approach was used to explore patients' perspectives and clinical practices during acute admissions in an Orthopaedic Department.Ethics issues and approvalThe local Data Protection Agency and the Ethics Committee approved the study.Research methods, results and conclusionsData were collected in an Orthopaedic ward at a Copenhagen University hospital, Hvidovre, and consisted of 14 days of field observations of clinical practices and 15 patient interviews. Data were analysed inductively using qualitative content analysis. Two themes were identified. The first, ‘The purpose of oral care is defined by the eye of the beholder’, describes the social implications for the patients and how patients reject the assumption of oral care being a transgressive act. The second, ‘The unspoken need’, focus on the lack of dialogue, including the limited provision of oral care and how the nursing staff assesses patients' ability to perform oral care (in)dependently without including the patients.ConclusionOral care is related to the patient's psychological and physical well‐being and affects social appearance. When oral care is provided respectfully, patients do not experience oral care as a transgressive act. Nursing staff's self‐assessments of the patients' (in)dependency to perform oral care risk leading to incorrect care. Developing and implementing interventions applicable to the clinical practice is needed.

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It’s all about presence: Health professionals’ experience of interprofessional collaboration when mobilizing patients with hip fractures

Cited by 2 publications

References 25 publications

Barriers and facilitators to early mobilisation and weight-bearing as tolerated after hip fracture surgery among older adults in Saudi Arabia: a qualitative study

Barriers and facilitators to early mobilisation and weight-bearing as tolerated after hip fracture surgery among older adults in Saudi Arabia: a qualitative study

‘Why doesn't anyone ask me’? Patients' experiences of receiving, performing and practices of oral care in an acute Orthopaedic Department

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