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Carers' involvement in decisions in hip fracture care 1 Carers Research Partnership Carers involvement in decisions regarding patients admitted to hospital.

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Presentation on theme: "Carers' involvement in decisions in hip fracture care 1 Carers Research Partnership Carers involvement in decisions regarding patients admitted to hospital."— Presentation transcript:

1 Carers' involvement in decisions in hip fracture care 1 Carers Research Partnership Carers involvement in decisions regarding patients admitted to hospital with hip fracture Carers Research Partnership with the Health Services Research Group, The Robert Gordon University and the Department of Orthopaedic Surgery, Grampian University Hospitals Trust

2 Carers' involvement in decisions in hip fracture care 2 Carers Research Partnership Aim of the study To examine the extent to which carers are involved in care decisions regarding patients with hip fracture admitted to an Orthopaedic Trauma Unit

3 Carers' involvement in decisions in hip fracture care 3 Carers Research Partnership Policy background Carers are valued partners in the provision of health and social care NHS Plan (2000) and National Service Framework for Older People (2001) At the time of discharge carers must feel fully informed and involved in the planning of future care of the patient, so that assumptions are not made about their ability or willingness to care National Strategy for Carers (1999)

4 Carers' involvement in decisions in hip fracture care 4 Carers Research Partnership Literature review 4 key government policy documents 5 reports produced by carers associations Some studies relating to specific client groups such as stroke (2) and elderly care (5) 9 of the 12 research papers reviewed related to UK

5 Carers' involvement in decisions in hip fracture care 5 Carers Research Partnership Findings from the literature (1) Few studies gave definitions of informal carer Low, Payne, Roderick (1999) Carers do not necessarily recognise themselves as carers early in their caring career. Ward and Cavanagh (1997)

6 Carers' involvement in decisions in hip fracture care 6 Carers Research Partnership Findings from the literature (2) Carers organisations continue to highlight a gap between policy and practice in relation to involvement. Walker, Dewar (2001) For most family carers, their experience is one of constant searching for support and information. Chambers, Ryan, Connor (2001)

7 Carers' involvement in decisions in hip fracture care 7 Carers Research Partnership Study method A convenience sample of 30 carers Invited to participate in an initial interview one week after admission Follow up interview one week after discharge

8 Carers' involvement in decisions in hip fracture care 8 Carers Research Partnership Early issues in the study Establishing a clear definition of carer Identifying carers Getting carers agreement to participate in the study

9 Carers' involvement in decisions in hip fracture care 9 Carers Research Partnership Progress to early March 2003 Ongoing literature review Pilot stage (4 interviews) completed Eight participants have joined the main study Ongoing work with ward in order to recruit more participants

10 Carers' involvement in decisions in hip fracture care 10 Carers Research Partnership Sample carers responses (1) How is your life affected by hospitalisation? Its just the extra effort of trying to make it up to visit her, my father is also disabled but its trying to get him up as well as he has to be brought up in a wheelchair.

11 Carers' involvement in decisions in hip fracture care 11 Carers Research Partnership Sample carers responses (2) What do you know about the care being provided for your relative? I just learn by sitting. Nobody comes and says were doing this or that except the physios. Everything else Ive got to ask. Most times quite honestly - I listen.

12 Carers' involvement in decisions in hip fracture care 12 Carers Research Partnership Sample carers responses (3) What do you know about whats likely to happen to your relative in the future? Im hoping shell get out to Peterhead and shell get on her feet before shes discharged home. No-ones said - Im just hoping.

13 Carers' involvement in decisions in hip fracture care 13 Carers Research Partnership Timetable for the study Complete interviews - May 2003 Transcribe interviews and analyse data - July 2003 Draft paper for publication - Sept 2003 Disseminate results - Oct 2003

14 Carers' involvement in decisions in hip fracture care 14 Carers Research Partnership For further information about this study, please contact: Margaret Macleod Tel:


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