Exploring geriatric trauma unit experiences through patients' eyes: a qualitative study.

Area of Science:

• Geriatric Medicine
• Trauma Surgery
• Patient Experience Research

Background:

• Surgical management of older adults is complex due to comorbidities and reduced physiological reserves.
• Geriatric Trauma Units (GTUs) effectively manage fall-related injuries in older patients through comanaged care.
• Limited research exists on patient experiences within GTUs, questioning the true manifestation of patient-centered care.

Purpose of the Study:

• To explore how patients with fall-related injuries admitted to a GTU perceive and experience patient-centered care during hospitalization.
• To identify gaps in the implementation of patient-centered care within the GTU setting.

Main Methods:

• Qualitative generic study design.
• Conducted in three teaching hospitals utilizing comanaged care principles for older trauma patients.
• Interviews with 21 patients between January 2021 and May 2022.

Main Results:

• Older patients face significant challenges, including loss of independence and autonomy, during treatment for fall-related injuries.
• A gap exists in consistent patient-centered care; healthcare professionals often focus on injuries over individual patient needs.
• While fracture care and rehabilitation are valued, overlooking broader patient needs compromises comprehensive care in GTUs.

Conclusions:

• Effective patient-centered care in GTUs necessitates full adherence to patient engagement, strong provider relationships, and a patient-focused environment.
• Deviations from patient-centered principles can undermine care quality.
• A holistic approach, extending beyond immediate medical conditions, is vital for optimal care in GTUs.