title: "If only had I known": a qualitative study investigating a treatment of patients with a hip fracture with short time stay in hospital.
abstract: Hip fractures are amongst the leading causes of admission to an orthopaedic ward. Systematized pathways with reduced admission time have become increasingly common as an essential tool for quality development and to improve efficiency in the hospital setting.  The aim of this study was to clarify if the patients feel empowered and able to perform self-care after short time stay in hospital (STSH) due to a hip fracture. The study used descriptive phenomenology to describe experiences of the pathway. Field studies were conducted in hospitals and in the patients' homes.  Interviews were performed with 10 patients recruited from two wards at a Danish University hospital, 4 family members and 15 health professionals from three hospitals.  The open attitude of reflective lifeworld research guided the analysis. The findings revealed that patients felt unprepared and insecure about their future, but also had a strong desire to be in charge of their own lives.  Of all the patients interviewed, none had any recollection of the information given to them by health professionals during their hospital admission. This study demonstrates that empowerment of patients with hip fractures is not adequately achieved in the pathway with STSH.
authors.affiliation: a Department of Clinical Research , University of Southern Denmark , Odense , Denmark.|b Department of Orthopaedic Surgery and Traumatology , Odense University Hospital , Odense , Denmark.|c Centre for Innovative Medical Technology , University of Southern Denmark & Odense University Hospital , Brisbane , Denmark.
authors.forename: Charlotte M
authors.initials: CM
authors.lastname: Jensen
authors.affiliation: c Centre for Innovative Medical Technology , University of Southern Denmark & Odense University Hospital , Brisbane , Denmark.|d Centre for Online Health , University of Queensland , Australia.
authors.forename: Anthony C
authors.initials: AC
authors.lastname: Smith
authors.affiliation: a Department of Clinical Research , University of Southern Denmark , Odense , Denmark.|b Department of Orthopaedic Surgery and Traumatology , Odense University Hospital , Odense , Denmark.
authors.forename: Soren
authors.initials: S
authors.lastname: Overgaard
authors.affiliation: c Centre for Innovative Medical Technology , University of Southern Denmark & Odense University Hospital , Brisbane , Denmark.|e The Maersk Mc-Kinney Moller Institute , University of Southern Denmark , Odense , Denmark.
authors.forename: Uffe Kock
authors.initials: UK
authors.lastname: Wiil
authors.affiliation: c Centre for Innovative Medical Technology , University of Southern Denmark & Odense University Hospital , Brisbane , Denmark.
authors.forename: Jane
authors.initials: J
authors.lastname: Clemensen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003718:Denmark; D005260:Female; D006620:Hip Fractures / Q000628:therapy*; D006761:Hospitals; D006801:Humans; D007902:Length of Stay; D008297:Male; D011939:Mental Recall; D010353:Patient Education as Topic; D036301:Qualitative Research; D012648:Self Care; D020377:Self Efficacy
keywords: Hip fracture; osteoporosis; patient empowerment; phenomenology; reflective lifeworld research; self-care; short time stay in hospital