Article

This study aimed to identify, appraise, aggregate and synthesize
findings of experiences of self-confidence and well-being after hip fracture.
METHOD: The systematic review followed the Joanna Briggs Institute (JBI)
guidelines. A three-step literature search strategy was followed. Included
studies were critically appraised using the JBI critical appraisal tool. Data
were analyzed into a meta-summary and a meta-synthesis using a hermeneutic
approach. RESULTS: Twenty-nine studies were included in the analysis. The
category "balancing a new life" was illustrated through older people's
"adaptations", "adjustments" and "worries". The second category "striving for
interaction with new life possibilities" was built on experiences of "supportive
interaction", "missing interaction" and "obstacles". The abstraction of the
categories into the meta-synthesis "establishing well-being described the process
of older people gradually coming to terms with new life conditions". It was a
process of building confidence through cooperation with staff. CONCLUSIONS:
Experiences of well-being were possible after hip fracture. Self-confidence
enhanced adaptations and adjustments. Older people strived for an active everyday
life where they had a sense of identity. Health professionals can facilitate the
establishing of well-being through supportive interaction being aware of
vulnerabilities and possibilities. This study provides information that may help
in the development of interventions taking into account what is meaningful for
older people. Implications for Rehabilitation Both staff and significant others
play a significant role during rehabilitation after hip fracture and can give
rise to both well-being and suffering. During rehabilitation, experiences of
self-efficacy can be important as they support progress and adaptation towards a
new way of living. After hip fracture, older people may have worries and can
experience a diversity of obstacles. A sensitivity towards these experiences by
health care professionals can be a support for older people striving to establish
well-being after hip fracture. To enhance functional ability and experiences of
independency, it may be important to consider what it is about activities that
are meaningful in the lives of older people after a hip fracture.

Langue : ANGLAIS