title: Understanding patient and relative/carer experience of hip fracture in acute care: A qualitative study protocol.
abstract: BACKGROUND
  This paper presents a qualitative study protocol focusing on older peoples' experience of recovery in acute care following hip fracture and also the experiences of their family or informal carers. There is limited evidence regarding older people and their relatives'/carers' experiences of recovery in acute care.
  
  
  OBJECTIVE
  The study had two research questions. First what is the experience of older people who have suffered a fractured hip and secondly what is the relatives'/carers' experience of being alongside a person who has suffered a fractured hip?
  
  
  METHODS
  The methodology chosen is phenomenology using the methods of interviewing and participant observation. It is planned to recruit a purposive sample of up to 40 patients including those with memory loss who have suffered a fractured hip, and up to 30 of their relative/carers, and up to 20 staff may choose to take part in the observation sessions. Analysis will be through drawing out units of meaning, bringing them together to form categories and themes of experience.
  
  
  CONCLUSIONS
  This study will extend knowledge by exploring what is important to patients and their relatives/carers in the early phase of recovery. Practice based principles that can be integrated into the hip fracture pathway and enhance future care will be developed from the study findings.
authors.affiliation: Culture and Society Research and Study Centre, National Scientific and Technical Research Council (CIECS-CONICET-UNC), Cordola, Argentina.
authors.forename: Lorena
authors.initials: L
authors.lastname: Saletti-Cuesta
authors.affiliation: Kadoorie Centre for Critical Care Research and Education, Oxford University Hospitals, NHS Foundation Trust, UK; RCN Research Institute, Warwick Medical School, University of Warwick, West Midlands, CV4 8UW, UK. Electronic address: liz.tutton@ouh.nhs.uk.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Tutton
authors.affiliation: Trauma Unit, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, UK.
authors.forename: Debbie
authors.initials: D
authors.lastname: Langstaff
authors.affiliation: Kadoorie Centre for Critical Care Research and Education, Oxford University Hospitals, NHS Foundation Trust, UK; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK.
authors.forename: Keith
authors.initials: K
authors.lastname: Willett
mesh_terms: D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D004739:England; D016330:Frail Elderly / Q000523:psychology*; D006299:Health Services for the Aged; D006620:Hip Fractures / Q000451:nursing / Q000534:rehabilitation* / Q000601:surgery; D006760:Hospitalization; D006801:Humans; D007407:Interviews as Topic; D009723:Nurse-Patient Relations; D012107:Research Design; D013222:State Medicine
keywords: Acute care; Carers; Frail older people; Hip fractures; Life changing events; Memory loss; Nursing; Phenomenology; Qualitative research