Older patients' experiences of shared decision-making when choosing treatment for their distal radius fracture; A qualitative study

This study aims to understand how older patients experience shared decision-making (SDM) when making decisions about the treatment of their distal radius fracture (DRF). An exploratory qualitative study was designed using individual in-person and telephone interviews. Twelve DRF patients were recrui...

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Bibliographic Details
Published in:International journal of orthopaedic and trauma nursing 2025-02, Vol.56, p.101153, Article 101153
Main Authors: Nøhr, Louise Marie, Simony, Ane, Abrahamsen, Charlotte
Format: Article
Language:English
Subjects:
Distal radius fracture
Patients perspective
Qualitative
Shared decision-making
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Summary:This study aims to understand how older patients experience shared decision-making (SDM) when making decisions about the treatment of their distal radius fracture (DRF). An exploratory qualitative study was designed using individual in-person and telephone interviews. Twelve DRF patients were recruited during their first follow-up visit to a Danish outpatient clinic, with ten of them participating in interviews. Data was analysed using content analysis. Three themes emerged: 1) An acute situation, 2) Considerations influencing the treatment choice and 3) The treatment decision. In conclusion, our study represents a pioneering effort in reporting the use of Shared Decision Making in fracture management. The sudden onset of DRF proved to be highly distressing for the patients. Providing SDM material to patients in the Emergency department (ED) aimed to empower them and prepare them for their subsequent outpatient clinic visit. However, its effectiveness varied. The demeanour of doctors played a crucial role in shaping patient experiences.
ISSN:1878-1241
DOI:10.1016/j.ijotn.2024.101153