The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

An integrated care pathway for fractured neck of femur patients

An integrated care pathway for fractured neck of femur patients
An integrated care pathway for fractured neck of femur patients
This paper describes how an integrated care pathway was introduced for patients with fractured neck of femur in an acute hospital. Femoral neck fracture is the most common traumatic condition requiring admission to adult orthopaedic wards, and is currently approaching epidemic proportions among older people, especially women (Audit Commission, 1995).

Femoral neck fracture is a high-volume, high-cost procedure with a typically well-defined starting point, and therefore a good candidate for an integrated care pathway.

These pathways have been defined as 'a multidisciplinary outline of anticipated care, placed in an appropriate time frame, to help a patient with a specific condition or set of symptoms move progressively through a clinical experience to a positive outcome' (Middleton et al, 2000).

Their development involves a multidisciplinary team collaborating to evaluate current practice in the light of available evidence on clinical effectiveness. From this, protocols are developed and incorporated, described by the Royal College of Nursing (1993) as 'an agreement to a particular sequence of activities which assist health staff to respond consistently in complex areas of clinical practice'.

Any variance from the anticipated care pathway is recorded, outlining what occurred differently, why, and what was done instead. This ensures the standardised pathway can be adapted to meet individual patients' needs.

Once a group of patients have been through a pathway, analysis of all the variances recorded gives the multidisciplinary team a picture of what is happening to them and why. The team can then review, update and improve their patient care practices, which lies at the heart of proactive clinical governance (Johnson et al, 2000).
265-268
Onslow, L.
fb6e0e4b-86ba-4045-8e8c-8b9fa8a75513
Roberts, H.
5ea688b1-ef7a-4173-9da0-26290e18f253
Steiner, A.
5edd1b04-ec65-44e8-8f09-11553a02f0bb
Roberts, A.
96c4e46b-c3f3-4b2a-bf31-478de01ff265
Powell, J.
a9aed738-e0ec-49aa-9beb-113f8cfe0d6f
Pickering, R.
4a828314-7ddf-4f96-abed-3407017d4c90
Onslow, L.
fb6e0e4b-86ba-4045-8e8c-8b9fa8a75513
Roberts, H.
5ea688b1-ef7a-4173-9da0-26290e18f253
Steiner, A.
5edd1b04-ec65-44e8-8f09-11553a02f0bb
Roberts, A.
96c4e46b-c3f3-4b2a-bf31-478de01ff265
Powell, J.
a9aed738-e0ec-49aa-9beb-113f8cfe0d6f
Pickering, R.
4a828314-7ddf-4f96-abed-3407017d4c90

Onslow, L., Roberts, H., Steiner, A., Roberts, A., Powell, J. and Pickering, R. (2003) An integrated care pathway for fractured neck of femur patients. Professional Nurse, 18 (5), 265-268.

Record type: Article

Abstract

This paper describes how an integrated care pathway was introduced for patients with fractured neck of femur in an acute hospital. Femoral neck fracture is the most common traumatic condition requiring admission to adult orthopaedic wards, and is currently approaching epidemic proportions among older people, especially women (Audit Commission, 1995).

Femoral neck fracture is a high-volume, high-cost procedure with a typically well-defined starting point, and therefore a good candidate for an integrated care pathway.

These pathways have been defined as 'a multidisciplinary outline of anticipated care, placed in an appropriate time frame, to help a patient with a specific condition or set of symptoms move progressively through a clinical experience to a positive outcome' (Middleton et al, 2000).

Their development involves a multidisciplinary team collaborating to evaluate current practice in the light of available evidence on clinical effectiveness. From this, protocols are developed and incorporated, described by the Royal College of Nursing (1993) as 'an agreement to a particular sequence of activities which assist health staff to respond consistently in complex areas of clinical practice'.

Any variance from the anticipated care pathway is recorded, outlining what occurred differently, why, and what was done instead. This ensures the standardised pathway can be adapted to meet individual patients' needs.

Once a group of patients have been through a pathway, analysis of all the variances recorded gives the multidisciplinary team a picture of what is happening to them and why. The team can then review, update and improve their patient care practices, which lies at the heart of proactive clinical governance (Johnson et al, 2000).

This record has no associated files available for download.

More information

Published date: 2003

Identifiers

Local EPrints ID: 34402
URI: http://eprints.soton.ac.uk/id/eprint/34402
PURE UUID: edabb099-757d-4035-9d19-68e0c250f070
ORCID for H. Roberts: ORCID iD orcid.org/0000-0002-5291-1880

Catalogue record

Date deposited: 16 May 2006
Last modified: 09 Jan 2022 03:11

Export record

Contributors

Author: L. Onslow
Author: H. Roberts ORCID iD
Author: A. Steiner
Author: A. Roberts
Author: J. Powell
Author: R. Pickering

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×