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Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences

BACKGROUND: Ankle fractures are one of the more commonly occurring forms of trauma managed by orthopaedic teams worldwide. The impacts of these injuries are not restricted to pain and disability caused at the time of the incident, but may also result in long term physical, psychological, and social...

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Autores principales: McPhail, Steven M, Dunstan, Joel, Canning, Julie, Haines, Terry P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517753/
https://www.ncbi.nlm.nih.gov/pubmed/23171034
http://dx.doi.org/10.1186/1471-2474-13-224
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author McPhail, Steven M
Dunstan, Joel
Canning, Julie
Haines, Terry P
author_facet McPhail, Steven M
Dunstan, Joel
Canning, Julie
Haines, Terry P
author_sort McPhail, Steven M
collection PubMed
description BACKGROUND: Ankle fractures are one of the more commonly occurring forms of trauma managed by orthopaedic teams worldwide. The impacts of these injuries are not restricted to pain and disability caused at the time of the incident, but may also result in long term physical, psychological, and social consequences. There are currently no ankle fracture specific patient-reported outcome measures with a robust content foundation. This investigation aimed to develop a thematic conceptual framework of life impacts following ankle fracture from the experiences of people who have suffered ankle fractures as well as the health professionals who treat them. METHODS: A qualitative investigation was undertaken using in-depth semi-structured interviews with people (n=12) who had previously sustained an ankle fracture (patients) and health professionals (n=6) that treat people with ankle fractures. Interviews were audio-recorded and transcribed. Each phrase was individually coded and grouped in categories and aligned under emerging themes by two independent researchers. RESULTS: Saturation occurred after 10 in-depth patient interviews. Time since injury for patients ranged from 6 weeks to more than 2 years. Experience of health professionals ranged from 1 year to 16 years working with people with ankle fractures. Health professionals included an Orthopaedic surgeon (1), physiotherapists (3), a podiatrist (1) and an occupational therapist (1). The emerging framework derived from patient data included eight themes (Physical, Psychological, Daily Living, Social, Occupational and Domestic, Financial, Aesthetic and Medication Taking). Health professional responses did not reveal any additional themes, but tended to focus on physical and occupational themes. CONCLUSIONS: The nature of life impact following ankle fractures can extend beyond short term pain and discomfort into many areas of life. The findings from this research have provided an empirically derived framework from which a condition-specific patient-reported outcome measure can be developed.
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spelling pubmed-35177532012-12-09 Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences McPhail, Steven M Dunstan, Joel Canning, Julie Haines, Terry P BMC Musculoskelet Disord Research Article BACKGROUND: Ankle fractures are one of the more commonly occurring forms of trauma managed by orthopaedic teams worldwide. The impacts of these injuries are not restricted to pain and disability caused at the time of the incident, but may also result in long term physical, psychological, and social consequences. There are currently no ankle fracture specific patient-reported outcome measures with a robust content foundation. This investigation aimed to develop a thematic conceptual framework of life impacts following ankle fracture from the experiences of people who have suffered ankle fractures as well as the health professionals who treat them. METHODS: A qualitative investigation was undertaken using in-depth semi-structured interviews with people (n=12) who had previously sustained an ankle fracture (patients) and health professionals (n=6) that treat people with ankle fractures. Interviews were audio-recorded and transcribed. Each phrase was individually coded and grouped in categories and aligned under emerging themes by two independent researchers. RESULTS: Saturation occurred after 10 in-depth patient interviews. Time since injury for patients ranged from 6 weeks to more than 2 years. Experience of health professionals ranged from 1 year to 16 years working with people with ankle fractures. Health professionals included an Orthopaedic surgeon (1), physiotherapists (3), a podiatrist (1) and an occupational therapist (1). The emerging framework derived from patient data included eight themes (Physical, Psychological, Daily Living, Social, Occupational and Domestic, Financial, Aesthetic and Medication Taking). Health professional responses did not reveal any additional themes, but tended to focus on physical and occupational themes. CONCLUSIONS: The nature of life impact following ankle fractures can extend beyond short term pain and discomfort into many areas of life. The findings from this research have provided an empirically derived framework from which a condition-specific patient-reported outcome measure can be developed. BioMed Central 2012-11-21 /pmc/articles/PMC3517753/ /pubmed/23171034 http://dx.doi.org/10.1186/1471-2474-13-224 Text en Copyright ©2012 McPhail et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
McPhail, Steven M
Dunstan, Joel
Canning, Julie
Haines, Terry P
Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences
title Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences
title_full Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences
title_fullStr Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences
title_full_unstemmed Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences
title_short Life impact of ankle fractures: Qualitative analysis of patient and clinician experiences
title_sort life impact of ankle fractures: qualitative analysis of patient and clinician experiences
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517753/
https://www.ncbi.nlm.nih.gov/pubmed/23171034
http://dx.doi.org/10.1186/1471-2474-13-224
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