The experiences of orthopaedic and trauma hospital care from the perspectives of adults with an intellectual/learning disability in England, UK: An interpretative phenomenological analytical study
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AbstractIntroduction: Musculoskeletal conditions and injuries are prevalent in people with intellectual disabilities and have significant impacts on wellbeing. This study was important as this group seldom have their voices heard and their experiences valued and interpreted. Aim: To better understand the orthopaedic and trauma hospital experiences from the perspective of people with an intellectual disability. Methods: A qualitative perspective focusing on peoples’ lived experiences was utilized. A purposive sample of five participants was recruited and one-to-one, semi-structured interviews were undertaken. Analysis of the interviews employed an interpretative phenomenological analytical framework. Results: A cross-case comparison was undertaken and the themes below represent common experiences across participants: • Communication problems. • Lack of person-centred care. • Issues related to pain. • Lack of confidence in hospital care. • The support of carers. • Incompetence of hospital staff. • Loneliness. Implication for practice: Specific and on-going education and training of health care staff is required to improve orthopaedic and trauma care for people with an intellectual disability around: • Effective communication • Regular and competent pain assessment and management • Including and valuing carers of adults with an intellectual disability • Person-centred care for all
CitationDrozd, M., Chadwick, D. and Jester, R. (2019) The experiences of orthopaedic and trauma hospital care from the perspectives of adults with an intellectual/learning disability in England, UK: An interpretative phenomenological analytical study, RCN International Nursing Research Conference 2019, 3rd-5th September, Sheffield, UK.
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