“I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania
After discharge from the hospital for traumatic injury, patients and their caregivers face a period of increased vulnerability. This adjustment phase is poorly characterized, especially in low- and middle-income countries. We explored the experiences of patients and their caregivers in Northern Tanz...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Trauma Care |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-866X/2/2/28 |
| _version_ | 1797481700626792448 |
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| author | Anna Tupetz Loren K. Barcenas Julia E. Isaacson Joao Ricardo Nickenig Vissoci Victoria Gerald Julius Raymond Kingazi Irene Mushi Timothy Antipas Peter Catherine A. Staton Blandina T. Mmbaga Janet Prvu Bettger |
| author_facet | Anna Tupetz Loren K. Barcenas Julia E. Isaacson Joao Ricardo Nickenig Vissoci Victoria Gerald Julius Raymond Kingazi Irene Mushi Timothy Antipas Peter Catherine A. Staton Blandina T. Mmbaga Janet Prvu Bettger |
| author_sort | Anna Tupetz |
| collection | DOAJ |
| description | After discharge from the hospital for traumatic injury, patients and their caregivers face a period of increased vulnerability. This adjustment phase is poorly characterized, especially in low- and middle-income countries. We explored the experiences of patients and their caregivers in Northern Tanzania after hospitalization for a traumatic injury. Patients who received care for traumatic injury at the Kilimanjaro Christian Medical Center and their caregivers were selected as part of a convenience sample from January 2019 to December 2019. Analysts developed a codebook; content and analytic memos were subsequently created. We then applied the biopsychosocial model to further characterize our findings. Participants included 26 patients and 11 caregivers. Patients were mostly middle-aged (mean age 37.7) males (80.8%), residing in urban settings (57.7%), injured in road traffic accidents (65.4%), and who required surgery (69.2%). Most caregivers were female. Seven major themes arose: pain, decreased physical functioning, poor emotional health, lack of support, challenges with daily activities, financial strain, and obstacles to accessing healthcare. This study describes some of the difficulties transitioning back into the community after hospitalization for traumatic injury. Our work demonstrates the importance of mixed methods approaches in characterizing and addressing transitions of care challenges. |
| first_indexed | 2024-03-09T22:19:20Z |
| format | Article |
| id | doaj.art-85233ed23fc04a5c9d5220081eff6ce9 |
| institution | Directory Open Access Journal |
| issn | 2673-866X |
| language | English |
| last_indexed | 2024-03-09T22:19:20Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Trauma Care |
| spelling | doaj.art-85233ed23fc04a5c9d5220081eff6ce92023-11-23T19:18:09ZengMDPI AGTrauma Care2673-866X2022-06-012234135810.3390/traumacare2020028“I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern TanzaniaAnna Tupetz0Loren K. Barcenas1Julia E. Isaacson2Joao Ricardo Nickenig Vissoci3Victoria Gerald4Julius Raymond Kingazi5Irene Mushi6Timothy Antipas Peter7Catherine A. Staton8Blandina T. Mmbaga9Janet Prvu Bettger10Division of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, NC 27710, USADivision of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, NC 27710, USASchool of Medicine, Duke University, Durham, NC 27710, USADivision of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, NC 27710, USAKilimanjaro Christian Medical Center, Moshi, TanzaniaKilimanjaro Christian Medical Center, Moshi, TanzaniaKilimanjaro Christian Medical Center, Moshi, TanzaniaKilimanjaro Christian Medical Center, Moshi, TanzaniaDivision of Emergency Medicine, Department of Surgery, Duke University School of Medicine, Durham, NC 27710, USADuke Global Health Institute, Duke University, Durham, NC 27710, USADuke Global Health Institute, Duke University, Durham, NC 27710, USAAfter discharge from the hospital for traumatic injury, patients and their caregivers face a period of increased vulnerability. This adjustment phase is poorly characterized, especially in low- and middle-income countries. We explored the experiences of patients and their caregivers in Northern Tanzania after hospitalization for a traumatic injury. Patients who received care for traumatic injury at the Kilimanjaro Christian Medical Center and their caregivers were selected as part of a convenience sample from January 2019 to December 2019. Analysts developed a codebook; content and analytic memos were subsequently created. We then applied the biopsychosocial model to further characterize our findings. Participants included 26 patients and 11 caregivers. Patients were mostly middle-aged (mean age 37.7) males (80.8%), residing in urban settings (57.7%), injured in road traffic accidents (65.4%), and who required surgery (69.2%). Most caregivers were female. Seven major themes arose: pain, decreased physical functioning, poor emotional health, lack of support, challenges with daily activities, financial strain, and obstacles to accessing healthcare. This study describes some of the difficulties transitioning back into the community after hospitalization for traumatic injury. Our work demonstrates the importance of mixed methods approaches in characterizing and addressing transitions of care challenges.https://www.mdpi.com/2673-866X/2/2/28transitions of careTanzaniainjurydisabilitybiopsychosocialtrauma |
| spellingShingle | Anna Tupetz Loren K. Barcenas Julia E. Isaacson Joao Ricardo Nickenig Vissoci Victoria Gerald Julius Raymond Kingazi Irene Mushi Timothy Antipas Peter Catherine A. Staton Blandina T. Mmbaga Janet Prvu Bettger “I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania Trauma Care transitions of care Tanzania injury disability biopsychosocial trauma |
| title | “I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania |
| title_full | “I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania |
| title_fullStr | “I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania |
| title_full_unstemmed | “I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania |
| title_short | “I Don’t Do Anything; I’m Just Being Taken Care Of”: Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania |
| title_sort | i don t do anything i m just being taken care of experiences of patients and their caregivers transitioning back into the community following traumatic injury in northern tanzania |
| topic | transitions of care Tanzania injury disability biopsychosocial trauma |
| url | https://www.mdpi.com/2673-866X/2/2/28 |
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