This study is part of a wider project which aims to explore the views and perceptions of recovery from injury to later stages of recovery. This study aims to explore patients’ views and perceptions of recovery and what constitutes successful recovery at six months following injury.
A qualitative study using interpretative phenomenological analysis using semi-structured interviews was conducted between November 2021 and November 2023. Eligibility criteria: Adult >18 years, musculoskeletal injury from a traumatic event, and able to communicate in English. Ethical approval was gained (IRAS 287781/REC20/PR/0712). A purposive sample with a range of characteristics including age, gender, injury characteristics and severity was sought. Transcripts were audio recorded and transcribed verbatim. Strategies for trustworthiness included blind reviewing of the data, collaboration of themes and acknowledging potential preconceptions and beliefs encouraging reflexivity.
Thirteen participants (mean age (SD) 51 (17), 69% male) completed the interview. Three main themes were identified: 1. the recovery journey: there was reflection on recovery and ongoing processing of the accident and injuries. Using others experiences to make sense of their own journey was discussed. The impact of the injuries was evident with patients having to navigate through a maze of negative personal emotions and constant conscious planning and adaptation. There was hope through recovery and acceptance with recovery being time focused. 2. The outcome: multiple strategies for success were discussed, with personalised goals being established. Successful recovery was defined as getting back to their ‘normal’. 3. Impact of healthcare on recovery: there was a feeling of being confused and mixed messages from healthcare professionals, with the uncertainty around injury management challenging to deal with. There was a fractured care pathway encompassing a physical focus to their recovery with emotional support from physiotherapists important.
The impact of the injuries both physically and mentally is evident at 6 months following injury, with the focus getting back to their ‘normal’. Accessing support and services is challenging, often leaving patients to manage and navigate this difficult period of recovery with limited support. Further studies are now required to explore the experiences of recovery at 12-months following injury.
A greater understanding and lived experience of patients following musculoskeletal trauma has highlighted that at six months following injury the impact of the injuries is significant. A greater understanding of the lived experience of patients at this crucial time point highlights the need for specialist services at a later stage of recovery. This can, therefore, influence positive change in service provisions for trauma patients. It also allows personalised care when focusing to what is meaningful to the patient and could facilitate enhanced recovery leading to economic benefits e.g. return to work.
Musculoskeletal Trauma
Qualitative
