Fast-track and person-centred care in geriatric traumatology in a German-speaking Swiss hospital - A practice development project.
Advanced practice nursing
Frailty
Person centred practice and orthopaedic and trauma nursing
Person-centredness and orthopaedic and trauma care
Practice development
Journal
International journal of orthopaedic and trauma nursing
ISSN: 1878-1292
Titre abrégé: Int J Orthop Trauma Nurs
Pays: England
ID NLM: 101528681
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
25
08
2023
revised:
28
10
2023
accepted:
30
10
2023
medline:
4
12
2023
pubmed:
19
11
2023
entrez:
18
11
2023
Statut:
ppublish
Résumé
Elderly persons have an increased risk for negative health-related outcomes, including higher mortality rates. A centre for geriatric traumatology was established in a German-speaking Swiss hospital to provide more specialised, person-centred care and to lower negative health outcomes. Adaptations and changes in the patient pathway were made by implementing fast-track and person-centred care to better address individual needs. The current patient pathway was analysed by an interprofessional and interdisciplinary geriatric traumatology expert team. The practice development methodology and the Person-Centred Practice Framework (PCP-Framework) were used throughout this engagement process. In consensus within the expert team, the sample was defined as elderly persons aged 65 years or older with suspected hip joint closed fractures. The focus was on three elements of "practice environment" from the PCP-Framework. These were: (1) supportive organisational systems; (2) the physical environment; (3) appropriate skill mix. Several adaptations and changes were made addressing the three elements of "practice environment". These were for example: (1) use of specific assessments, shared decision-making; (2) proper and effective use of aids; (3) integration of Advanced Practice Nurses. The adaptations in the patient pathway were integrated into the standard operating procedures. Through active engagement with the practice development methodology and the focus on person-centredness, the process of care for elderly persons was adapted. Thus, by addressing individual needs, fast-track and person-centred care in geriatric traumatology is provided. Further research is needed to evaluate and to verify implications in clinical practice.
Identifiants
pubmed: 37979241
pii: S1878-1241(23)00069-2
doi: 10.1016/j.ijotn.2023.101065
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
101065Informations de copyright
Copyright © 2023 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors have no conflicts of interest to disclose.