Older patients' experiences of shared decision-making when choosing treatment for their distal radius fracture; A qualitative study.

Int J Orthop Trauma Nurs

Department of Orthopaedic Surgery and Traumatology, Hospital Lillebaelt Kolding- University Hospital of Southern Denmark, Kolding Hospital, Sygehusvej 24, 6000, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Department of Emergency Medicine, Hospital Lillebaelt Kolding- University Hospital of Southern Denmark, Kolding Hospital, Sygehusvej 24, 6000, Kolding, Denmark. Electronic address:

Published: November 2024

Objective: This study aims to understand how older patients experience shared decision-making (SDM) when making decisions about the treatment of their distal radius fracture (DRF).

Methods: An exploratory qualitative study was designed using individual in-person and telephone interviews. Twelve DRF patients were recruited during their first follow-up visit to a Danish outpatient clinic, with ten of them participating in interviews. Data was analysed using content analysis.

Results: Three themes emerged: 1) An acute situation, 2) Considerations influencing the treatment choice and 3) The treatment decision.

Conclusion: In conclusion, our study represents a pioneering effort in reporting the use of Shared Decision Making in fracture management. The sudden onset of DRF proved to be highly distressing for the patients. Providing SDM material to patients in the Emergency department (ED) aimed to empower them and prepare them for their subsequent outpatient clinic visit. However, its effectiveness varied. The demeanour of doctors played a crucial role in shaping patient experiences.

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http://dx.doi.org/10.1016/j.ijotn.2024.101153DOI Listing

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