Evidence & Practice
Developing person-centred practice in hip fracture care
Jane Christie Advanced practitioner in clinical education for primary care, NHS Lothian, Scotland
Maureen Macmillan Senior lecturer, School of Health and Social Care, Edinburgh Napier University, Scotland
Colin Currie Formerly consultant, orthogeriatric medicine, NHS Lothian, Scotland; and formerly senior lecturer, geriatric medicine, University of Edinburgh, Scotland
Gerardine Matthews-Smith Senior lecturer and subject group leader, enduring conditions and community care, School of Health and Social Care, Edinburgh Napier University, Scotland
To facilitate a multidisciplinary collaborative approach to developing person-centred practice in hip fracture care for older people.
Collaborative inquiry, a form of action research, was used to collect data for this study. It involved exploration of dilemmas, questions and problems that are part of human experience. Clinical leaders from different disciplines (
Hip fracture care was based on meeting service targets, national guidelines and audits. Care was fragmented across different service delivery units, with professional groups working independently. This resulted in suboptimal communication between members of the multidisciplinary group of clinical leaders and care that was process-driven rather than person-centred. Spending time away from clinical practice enabled the multidisciplinary group to collaborate to understand care from the patients' and caregivers' perspectives, and to reflect critically on the care experience as a whole.
To develop a person-centred workplace culture, the multidisciplinary team requires facilitated time for reflection. Ongoing facilitative leadership would enable the multidisciplinary team to collaborate effectively to deliver safe, effective person-centred practice in hip fracture care for older people.
Nursing Standard. doi: 10.7748/ns.2016.e9926Correspondence
This article has been subject to external double-blind peer review and checked for plagiarism using automated software
Received: 19 January 2015
Accepted: 02 October 2015
Published online: 07 December 2016