title: Identifying outcomes associated with co-managed care models for patients who have sustained a hip fracture: an integrative literature review.
abstract: OBJECTIVE
  The aim of this integrative literature review is to identify themes associated with improved patient outcomes related to orthogeriatric co-managed inpatient unit models of care for patients who had sustained a hip fracture.
  
  
  METHODS
  An integrative literature review was undertaken from 2002-July 2013 using electronic databases with specific search terms.
  
  
  METHODS
  The theoretical framework of Whittemore and Knafl was used to guide the review. This framework was chosen as it allows for the inclusion of varied methodologies and has the capability to increase informed evidence-based nursing practice.
  
  
  RESULTS
  Five distinct themes relating to outcomes emerged from the analysis, which were: time from admission to surgery; complications; length of stay; mortality and initiation of osteoporosis treatment.
  
  
  CONCLUSIONS
  The analysis of this integrative literature review clearly indicates the need for national and international sets of agreed outcome measures to be adopted to facilitate the comparison of models of care. This would significantly improve the way in which outcomes and costs are reported, further enhancing international partnerships as the health care team strive to achieve overall improvements in the management of older people presenting to hospital with hip fracture.
authors.affiliation: Orthopaedic Unit, Princess Alexandra Hospital, 199 Ipswich Rd, Woolloongabba, Qld. 4101, Australia. Electronic address: glynch@bigpond.net.au.
authors.forename: Genni
authors.initials: G
authors.lastname: Lynch
authors.affiliation: School of Nursing & Midwifery, University of Queensland, Mater Clinical School, Mater Education Unit, Level 4 Corporate Services, Raymond Tce, South Brisbane, Qld. 4101, Australia.
authors.forename: Marion
authors.initials: M
authors.lastname: Tower
authors.affiliation: Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, Alberta, Canada T2N 1N4; Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Nathan, Qld. 4111, Australia.
authors.forename: Lorraine
authors.initials: L
authors.lastname: Venturato
mesh_terms: D000368:Aged; D055318:Evidence-Based Nursing; D005598:Fractures, Spontaneous / Q000628:therapy; D006299:Health Services for the Aged / Q000458:organization & administration; D006620:Hip Fractures / Q000150:complications / Q000401:mortality / Q000628:therapy*; D017052:Hospital Mortality; D006760:Hospitalization; D006801:Humans; D007400:Interprofessional Relations; D058866:Osteoporotic Fractures / Q000628:therapy; D010348:Patient Care Team / Q000458:organization & administration; D061665:Time-to-Treatment
keywords: Co-managed; Co-managed care; Fractured neck of femur; Fragility fracture; Hip fracture; Multidisciplinary care; Orthogeriatric care