Leanne M Aitken1, Wendy Chaboyer2, Carol Jeffrey3, Bronte Martin4, Jennifer A Whitty5, Michael Schuetz6, Therese S Richmond7. 1. Nursing School of Health Sciences, City, University of London, United Kingdom; Menzies Health Institute Queensland & School of Nursing and Midwifery, Griffith University, Australia; Intensive Care Unit, Princess Alexandra Hospital, Australia. Electronic address: Leanne.aitken.1@city.ac.uk. 2. NHMRC Centre of Research Excellence in Nursing (NCREN), Menzies Health Institute Queensland & School of Nursing and Midwifery, Griffith University, Australia. 3. Princess Alexandra Hospital, Australia & School of Nursing and Midwifery Griffith University, Australia. 4. National Critical Care Trauma Response Centre, Royal Darwin Hospital, Australia. 5. Health Economics, Norwich Medical School, University of East Anglia, Norwich, UK; Menzies Health Institute Queensland & School of Medicine, Griffith University, Australia; School of Pharmacy, The University of Queensland, Australia. 6. Charité Hospital, Humboldt University Berlin, Germany. 7. School of Nursing, University of Pennsylvania, United States.
Abstract
INTRODUCTION: A focus on what is important to patients has been recognized as an essential pillar in care to ensure safe patient care that focuses on outcomes identified as important by patients. Despite this, asking trauma patients and their families what they consider should be the priorities of care and recovery has been neglected. METHODS: Adult trauma patients admitted to two centers in Australia for ≥24h for the treatment of physical injury, and family members of injured patients and clinicians caring for injured patients were invited to participate. Individual interviews were conducted with the patient and family members prior to hospital discharge, and again one and three months post discharge. Individual interviews or focus groups were conducted with clinicians at one point in time. Content analysis of all transcripts was undertaken to determine the indicators of successful recovery over time. RESULTS: Participants in the three stakeholder groups were enrolled (patients - 33; family members-22; clinicians-40). Indicators of recovery focused on five main categories including returning to work, resuming family roles, achieving independence, recapturing normality and achieving comfort. Other categories that were less frequently identified included maintaining one's household, restoring emotional stability, cosmetic considerations and appearance, realignment of life goals, psychological recovery and development of self. Indicators of recovery after physical injury were similar across the three stakeholder groups, although with greater detail identified by patients. In addition, indicators evolved over time with increasing recognition of the importance of the overall impact of the injury in general and on activities of daily living and an unfolding appreciation that life could not be taken for granted. CONCLUSIONS: Description of the indicators of recovery after traumatic injury that matter to patients, family members and clinicians enable an understanding of similarities and differences. Further testing in a broader cohort of participants is essential to identify patient reported outcome measures that might be used in trauma care and associated research. Copyright Â
INTRODUCTION: A focus on what is important to patients has been recognized as an essential pillar in care to ensure safe patient care that focuses on outcomes identified as important by patients. Despite this, asking traumapatients and their families what they consider should be the priorities of care and recovery has been neglected. METHODS: Adult traumapatients admitted to two centers in Australia for ≥24h for the treatment of physical injury, and family members of injured patients and clinicians caring for injured patients were invited to participate. Individual interviews were conducted with the patient and family members prior to hospital discharge, and again one and three months post discharge. Individual interviews or focus groups were conducted with clinicians at one point in time. Content analysis of all transcripts was undertaken to determine the indicators of successful recovery over time. RESULTS:Participants in the three stakeholder groups were enrolled (patients - 33; family members-22; clinicians-40). Indicators of recovery focused on five main categories including returning to work, resuming family roles, achieving independence, recapturing normality and achieving comfort. Other categories that were less frequently identified included maintaining one's household, restoring emotional stability, cosmetic considerations and appearance, realignment of life goals, psychological recovery and development of self. Indicators of recovery after physical injury were similar across the three stakeholder groups, although with greater detail identified by patients. In addition, indicators evolved over time with increasing recognition of the importance of the overall impact of the injury in general and on activities of daily living and an unfolding appreciation that life could not be taken for granted. CONCLUSIONS: Description of the indicators of recovery after traumatic injury that matter to patients, family members and clinicians enable an understanding of similarities and differences. Further testing in a broader cohort of participants is essential to identify patient reported outcome measures that might be used in trauma care and associated research. Copyright Â
Authors: Stephen Breazeale; Samantha Conley; Sangchoon Jeon; Susan G Dorsey; Joan Kearney; Brad Yoo; Nancy S Redeker Journal: Injury Date: 2022-03-22 Impact factor: 2.687