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Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study

OBJECTIVE: To explore experiences of recovery after physical trauma and identify long-term needs for posthospital care. DESIGN, PARTICIPANTS AND SETTING: A qualitative study was conducted consisting of seven online focus groups among working-age adults who sustained their injury between 9 months and...

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Autores principales: Roodbeen, Ruud T J, Lugtenberg, Marjolein, Pöstges, Heide, Lansink, Koen W W, Theeuwes, Hilco P, de Jongh, Mariska A C, Joosen, Margot C W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021804/
https://www.ncbi.nlm.nih.gov/pubmed/35443944
http://dx.doi.org/10.1136/bmjopen-2021-053330
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author Roodbeen, Ruud T J
Lugtenberg, Marjolein
Pöstges, Heide
Lansink, Koen W W
Theeuwes, Hilco P
de Jongh, Mariska A C
Joosen, Margot C W
author_facet Roodbeen, Ruud T J
Lugtenberg, Marjolein
Pöstges, Heide
Lansink, Koen W W
Theeuwes, Hilco P
de Jongh, Mariska A C
Joosen, Margot C W
author_sort Roodbeen, Ruud T J
collection PubMed
description OBJECTIVE: To explore experiences of recovery after physical trauma and identify long-term needs for posthospital care. DESIGN, PARTICIPANTS AND SETTING: A qualitative study was conducted consisting of seven online focus groups among working-age adults who sustained their injury between 9 months and 5 years ago. Trauma patients discharged from a level 1 trauma centre in the Netherlands were divided into three groups based on the type of their physical trauma (monotrauma, polytrauma and traumatic brain injury). Group interviews were transcribed verbatim, and thematic analysis was conducted. RESULTS: Despite differences in type and severity of their injuries, participants all struggled with the impact that trauma had on various aspects of their lives. They experienced recovery as an unpredictable and inconstant process aimed at resuming a meaningful life. Work was often perceived as an important part of recovery, though the value attributed to work could change over time. Participants struggled to bring the difficulties they encountered in their daily lives and at work to the attention of healthcare professionals (HCPs). While posthospital care needs varied between and across groups, all people stressed the need for flexible access to person-centred, multidisciplinary care and support after hospital discharge. CONCLUSIONS: This study reveals that people with a broad variety of injury experience recovery as a process towards resuming a meaningful life and report the need to expand trauma care to include comprehensive support to live well long term. Person-centred care might be helpful to enable HCPs to take people’s individual long-term needs and life situations into account. Furthermore, providing timely access to coordinated, multidisciplinary care after discharge is advocated. Integrated care models that span a network of multidisciplinary support around the person may help align existing services and may facilitate easy and timely access to the most suitable support for injured people and their loved ones.
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spelling pubmed-90218042022-05-04 Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study Roodbeen, Ruud T J Lugtenberg, Marjolein Pöstges, Heide Lansink, Koen W W Theeuwes, Hilco P de Jongh, Mariska A C Joosen, Margot C W BMJ Open Qualitative Research OBJECTIVE: To explore experiences of recovery after physical trauma and identify long-term needs for posthospital care. DESIGN, PARTICIPANTS AND SETTING: A qualitative study was conducted consisting of seven online focus groups among working-age adults who sustained their injury between 9 months and 5 years ago. Trauma patients discharged from a level 1 trauma centre in the Netherlands were divided into three groups based on the type of their physical trauma (monotrauma, polytrauma and traumatic brain injury). Group interviews were transcribed verbatim, and thematic analysis was conducted. RESULTS: Despite differences in type and severity of their injuries, participants all struggled with the impact that trauma had on various aspects of their lives. They experienced recovery as an unpredictable and inconstant process aimed at resuming a meaningful life. Work was often perceived as an important part of recovery, though the value attributed to work could change over time. Participants struggled to bring the difficulties they encountered in their daily lives and at work to the attention of healthcare professionals (HCPs). While posthospital care needs varied between and across groups, all people stressed the need for flexible access to person-centred, multidisciplinary care and support after hospital discharge. CONCLUSIONS: This study reveals that people with a broad variety of injury experience recovery as a process towards resuming a meaningful life and report the need to expand trauma care to include comprehensive support to live well long term. Person-centred care might be helpful to enable HCPs to take people’s individual long-term needs and life situations into account. Furthermore, providing timely access to coordinated, multidisciplinary care after discharge is advocated. Integrated care models that span a network of multidisciplinary support around the person may help align existing services and may facilitate easy and timely access to the most suitable support for injured people and their loved ones. BMJ Publishing Group 2022-04-19 /pmc/articles/PMC9021804/ /pubmed/35443944 http://dx.doi.org/10.1136/bmjopen-2021-053330 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Qualitative Research
Roodbeen, Ruud T J
Lugtenberg, Marjolein
Pöstges, Heide
Lansink, Koen W W
Theeuwes, Hilco P
de Jongh, Mariska A C
Joosen, Margot C W
Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study
title Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study
title_full Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study
title_fullStr Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study
title_full_unstemmed Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study
title_short Experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study
title_sort experiences of recovery and posthospital care needs of working-age adults after physical trauma: a qualitative focus group study
topic Qualitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021804/
https://www.ncbi.nlm.nih.gov/pubmed/35443944
http://dx.doi.org/10.1136/bmjopen-2021-053330
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