Factors influencing missed nursing care for older people following fragility hip fracture |
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| Institution: | 1. Southern Adelaide Local Health Network, Australia;2. Flinders University of South Australia, College of Nursing and Health Sciences, GPO Box 2100, Adelaide 5001, Australia;1. First Year College, Victoria University, Australia;2. School of Nursing and Midwifery, Monash University, Clayton, Victoria, Australia;3. School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia;4. School of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, Victoria, Australia;1. School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK;2. NHS Greater Glasgow and Clyde, Glasgow, UK;3. Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK;1. Nursing and Midwifery, College of Healthcare Sciences, James Cook University, Townsville, Australia;2. Nursing, School of Health & Biomedical Sciences, RMIT University, Melbourne, Australia;3. College of Health, Massey University, Wellington, New Zealand;1. Children’s Health Queensland Hospital and Health Service, Australia;2. School of Nursing, Faculty of Health, Queensland University of Technology, Australia;3. Clinical Excellence Queensland, Australia;4. School of Nursing and Midwifery, University of Queensland, Australia;5. School of Nursing and Midwifery, Griffith University, Australia |
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| Abstract: | BackgroundOlder people suffering fragility hip fractures are among the most fragile and vulnerable hospital patients. They often have complex care needs due to pre-existing and chronic conditions which may exacerbate as a consequence of surgery and hospitalisation. When deviations from best practice occur, care can be missed.AimTo identify factors that influence missed care for the older person with a hip fracture; inform recommendations for change and highlight the need for further research to achieve best practice nursing care for older people following a fragility hip fracture.MethodsA scoping review was conducted using databases Cumulative Index to Nursing and Allied Health Literature, Medline and Scopus, using a combination of keywords.FindingsTwenty-two relevant papers published between 2010-2018 were identified illustrating areas where nursing care was missed for either patients with hip fractures, older patients or both.DiscussionThis paper has reviewed literature related to nursing care for older people following a hip fracture to determine what nursing care may be missed; why it is missed and to identify strategies to improve outcomes through reducing the impact of missed nursing care for this population. Existing missed care literature usually focusses upon structural and organisational issues to the detriment of other factors.ConclusionMissed nursing care for the hospitalised older person with a hip fracture can be organised under three broad themes: organisational factors, nurse and patient characteristics. |
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| Keywords: | hip fracture missed care nursing acute care aged |
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