Volume 23, Issue 1-2 pp. 191-200
Original Article

People's experiences of suffering a lower limb fracture and undergoing surgery

Angelica Forsberg MSc, RN, CCN

Corresponding Author

Angelica Forsberg MSc, RN, CCN

Doctoral Student

Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden

Correspondence: Angelica Forsberg, Doctoral Student, Department of Health Science, Luleå University of Technology, Luleå SE-971 87, Sweden. Telephone: +46 920 49 38 22.

E-mail: [email protected]

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Siv Söderberg PhD, RNT

Siv Söderberg PhD, RNT

Professor

Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden

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Åsa Engström PhD, RN, CCN

Åsa Engström PhD, RN, CCN

Associate Professor

Division of Nursing, Department of Health Science, Luleå University of Technology, Luleå, Sweden

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First published: 22 July 2013
Citations: 15

Abstract

Aims and objectives

To describe people's experiences of suffering a lower limb fracture and undergoing surgery, from the time of injury through to the care given at the hospital and recovery following discharge.

Background

There is a lack of research on people's experiences of suffering a lower limb fracture and undergoing surgery – from injury to recovery.

Design

A qualitative approach was used.

Methods

Interviews with nine participants were subjected to thematic content analysis.

Results

One theme was expressed: from realising the seriousness of the injury to regaining autonomy. Participants described feelings of frustration and helplessness when realising the seriousness of their injury. The wait prior to surgery was a strain and painful experience, and participants needed orientation for the future. They expressed feelings of vulnerability about being in the hands of staff during surgery. After surgery, in the postanaesthesia unit, participants expressed a need to have control and to feel safe in their new situation. To mobilise and regain their autonomy was a struggle, and participants stated that their recovery was extended.

Conclusions and relevance to clinical practice

Participants found themselves in a new and unexpected situation and experienced pain, vulnerability and a striving for control during the process, that is, ‘from realising the seriousness of the injury to regaining autonomy’. How this is managed depends on how the patient's needs are met by nurses. The nursing care received while suffering a lower limb fracture and undergoing surgery should be situation specific as well as individual specific. The safe performance of technical interventions and the nurse's comprehensive explanations of medical terms may help the patient to feel secure during the process.

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