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Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa

BACKGROUND: Pelvic fractures are complex injuries that lead to long-term disabilities and poor health-related quality of life (HRQoL). Even though pelvic fractures are known to be challenging to manage, there is limited information on guidelines and protocols to ensure that patients receive comprehe...

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Autores principales: Sobantu, Ntombenkosi A., Tshabalala, Muziwakhe D., Chetty, Verusia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244952/
https://www.ncbi.nlm.nih.gov/pubmed/37265140
http://dx.doi.org/10.4102/safp.v65i1.5705
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author Sobantu, Ntombenkosi A.
Tshabalala, Muziwakhe D.
Chetty, Verusia
author_facet Sobantu, Ntombenkosi A.
Tshabalala, Muziwakhe D.
Chetty, Verusia
author_sort Sobantu, Ntombenkosi A.
collection PubMed
description BACKGROUND: Pelvic fractures are complex injuries that lead to long-term disabilities and poor health-related quality of life (HRQoL). Even though pelvic fractures are known to be challenging to manage, there is limited information on guidelines and protocols to ensure that patients receive comprehensive and collaborative healthcare. METHODS: A qualitative descriptive phenomenological approach was utilised to explore current practices and innovations of healthcare professionals (HPs) in Tshwane academic hospitals in the collaborative management and rehabilitation of patients with pelvic fractures, using semi-structured interviews. Thematic analysis was used to analyse data. RESULTS: Six overarching themes were identified from the interviews with HPs: The biopsychosocial lens of the patient, limitations in approaches to care, contextual impediments to care, the team challenge; the biopsychosocial aspects of care and forging forward to improve care. CONCLUSION: A multidisciplinary approach is encouraged for the comprehensive management of pelvic fractures. However, a poor understanding of roles and poor referral structures challenge this approach. Further barriers to caring include staff shortages and limited resources. Healthcare professionals recommended interprofessional education and collaborative practice, student training and using standardised outcome measurement tools to improve care for patients with pelvic fractures. CONTRIBUTION: This study lays a foundation to initiate conversations about the development of an interprofessional model of care for patients with pelvic fractures. Findings might inform health policies on the management of pelvic fractures. Healthcare professionals might apply strategies that enhance the quality of healthcare provided. Patients with pelvic fractures might receive quality interprofessional healthcare that promotes quality of life, post pelvic fractures.
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spelling pubmed-102449522023-06-08 Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa Sobantu, Ntombenkosi A. Tshabalala, Muziwakhe D. Chetty, Verusia S Afr Fam Pract (2004) Original Research BACKGROUND: Pelvic fractures are complex injuries that lead to long-term disabilities and poor health-related quality of life (HRQoL). Even though pelvic fractures are known to be challenging to manage, there is limited information on guidelines and protocols to ensure that patients receive comprehensive and collaborative healthcare. METHODS: A qualitative descriptive phenomenological approach was utilised to explore current practices and innovations of healthcare professionals (HPs) in Tshwane academic hospitals in the collaborative management and rehabilitation of patients with pelvic fractures, using semi-structured interviews. Thematic analysis was used to analyse data. RESULTS: Six overarching themes were identified from the interviews with HPs: The biopsychosocial lens of the patient, limitations in approaches to care, contextual impediments to care, the team challenge; the biopsychosocial aspects of care and forging forward to improve care. CONCLUSION: A multidisciplinary approach is encouraged for the comprehensive management of pelvic fractures. However, a poor understanding of roles and poor referral structures challenge this approach. Further barriers to caring include staff shortages and limited resources. Healthcare professionals recommended interprofessional education and collaborative practice, student training and using standardised outcome measurement tools to improve care for patients with pelvic fractures. CONTRIBUTION: This study lays a foundation to initiate conversations about the development of an interprofessional model of care for patients with pelvic fractures. Findings might inform health policies on the management of pelvic fractures. Healthcare professionals might apply strategies that enhance the quality of healthcare provided. Patients with pelvic fractures might receive quality interprofessional healthcare that promotes quality of life, post pelvic fractures. AOSIS 2023-05-26 /pmc/articles/PMC10244952/ /pubmed/37265140 http://dx.doi.org/10.4102/safp.v65i1.5705 Text en © 2023. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Sobantu, Ntombenkosi A.
Tshabalala, Muziwakhe D.
Chetty, Verusia
Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa
title Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa
title_full Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa
title_fullStr Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa
title_full_unstemmed Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa
title_short Exploring the collaborative care of patients with pelvic fractures in Tshwane, South Africa
title_sort exploring the collaborative care of patients with pelvic fractures in tshwane, south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244952/
https://www.ncbi.nlm.nih.gov/pubmed/37265140
http://dx.doi.org/10.4102/safp.v65i1.5705
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