Abstract
ABSTRACT Hip fracture (HF) incidents can severely restrict the activity and well-being of older people. While participation in activities may be related to lived experiences of meaningfulness, the aim of this study was to explore facilitators and barriers for being active as experienced by older people during the first six months after HF. The study used a phenomenological-hermeneutic methodology informed by the philosophies of Heidegger and Gadamer. Two men and 11 women with reduced functioning prior to the HF were interviewed 2 weeks (n=13) and again 6 months (n=11) after discharge. Referring to own pre-understanding including a theoretical framework of well-being, a method of meaning condensation was applied to structure the data. A deeper understanding was gradually achieved through a movement between the parts and the wholes. Two themes emerged: (1) “Inner dialogue and actions” with the sub-themes “Inner driving forces” and “Inner limitations”; (2) “Struggling and Striving” with the sub-themes “Building relationships” and “Considering complications and conditions”. We conclude that facilitators for older people to experience well-being while being active involve meaningful relationships with other people, a sense of own identity and being at peace and may be influenced by relationships with staff, physical surroundings, public health services, and health problems.
Highlights
Older people’s lived experiences hold valuable knowledge about facilitators and barriers for being an active part of their being-in-the-world (Heidegger, 1962) after a hip fracture (HF). Their experiences are holistic and complex, expressing the meaningfulness of being active in the practical everyday life full of interrelationships (Dahlberg, Todres, & Galvin, 2009), and the interdependence of older people and the surrounding world (Heidegger, 1962) implies that after an HF, they are active in a world that is familiar in its everydayness while caring about their future, other people and their physical surroundings
To explore facilitators for and barriers to being active among older people during the first 6 months after being discharged after HF surgery, we identified two main themes in the data analysis: “Inner dialogue” and “Struggling and striving”
This study provides knowledge regarding the existential nature of older people’s experiences of facilitators for and barriers to being active after HF, increasing the understanding of how well-being may be possible and suffering diminished during the first 6 months
Summary
Older people’s lived experiences hold valuable knowledge about facilitators and barriers for being an active part of their being-in-the-world (Heidegger, 1962) after a hip fracture (HF) Their experiences are holistic and complex, expressing the meaningfulness of being active in the practical everyday life full of interrelationships (Dahlberg, Todres, & Galvin, 2009), and the interdependence of older people and the surrounding world (Heidegger, 1962) implies that after an HF, they are active in a world that is familiar in its everydayness while caring about their future, other people and their physical surroundings. Existential suffering can be an experience of being exiled, imprisoned, and unable (Todres & Galvin, 2010), a feeling of anxiety and homelessness in one’s own life, which may be present when illness occurs This can be a call for action and bring mobility to life as a positive experience, felt as openness towards changes in life while aiming for homecoming to a sense of one’s own identity and an experience of belonging
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