International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Self-efficacy as a potential mechanism in nurse-led mobile rehabilitation after total hip arthroplasty.","authors":"Elia Firda Mufidah, Lutfi Isni Badiah","doi":"10.1016/j.ijotn.2026.101325","DOIUrl":"https://doi.org/10.1016/j.ijotn.2026.101325","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":" ","pages":"101325"},"PeriodicalIF":1.8,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Collecting patient-reported data among patients with major lower extremity amputation\" [Int. J. Orthop. Trauma Nurs. 62, (2026), 101315].","authors":"Signe Hulsbæk, Morten Tange Kristensen, Rehne Lessmann Hansen, Maya Fey Hallett, Ulla Riis Madsen","doi":"10.1016/j.ijotn.2026.101328","DOIUrl":"https://doi.org/10.1016/j.ijotn.2026.101328","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":" ","pages":"101328"},"PeriodicalIF":1.8,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the letter to the editor: Self-efficacy as a potential mechanism in nurse-led mobile rehabilitation after total hip arthroplasty.","authors":"Zhiyi Chen, Zizhen Gui, Na Li, Tianwen Huang, Wanlian Xiao, Qiaoli Liu, Yan Kang, Xiaoling Chen","doi":"10.1016/j.ijotn.2026.101326","DOIUrl":"https://doi.org/10.1016/j.ijotn.2026.101326","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":" ","pages":"101326"},"PeriodicalIF":1.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The incision is part of recovery: integrating wound care, mobility, and confidence after hip and knee arthroplasty.","authors":"Thomas W Wainwright","doi":"10.1016/j.ijotn.2026.101323","DOIUrl":"https://doi.org/10.1016/j.ijotn.2026.101323","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":" ","pages":"101323"},"PeriodicalIF":1.8,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative care as a framework for fragility hip fracture: A call to action.","authors":"Sara Gomes, Andréa Marques, Isabel Moreira, Julie Santy-Tomlinson","doi":"10.1016/j.ijotn.2026.101310","DOIUrl":"https://doi.org/10.1016/j.ijotn.2026.101310","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":" ","pages":"101310"},"PeriodicalIF":1.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing an early supported discharge intervention to nursing homes and respite care centers after hip fracture: A qualitative study of staff experiences and field observations","authors":"Mads S. Nielsen,&nbsp;Ditte B. Jepsen,&nbsp;Frede Frihagen,&nbsp;Bjarke L. Viberg,&nbsp;Charlotte M. Jensen","doi":"10.1016/j.ijotn.2026.101301","DOIUrl":"10.1016/j.ijotn.2026.101301","url":null,"abstract":"<div><h3>Background</h3><div>An enhanced standardized interdisciplinary cooperation (ESIC) model was introduced to improve collaboration between hospitals, nursing homes and respite care centers (NH-RCC) after hip fracture. It involved structured post-discharge care and 2-week extended hospital care, requiring new collaborative practices whose success depended on how NH-RCC staff perceived and enacted the intervention.</div></div><div><h3>Methods</h3><div>An ethnographically inspired design was applied, combining field observations and semi-structured interviews with Health and Social Care Personnel (HSCP) in 10 NH-RCCs until saturation was reached. Observations followed Spradley's nine-domain framework. Interview data were analyzed using Braun and Clarke's thematic analysis within a hermeneutic framework. Observational findings were used to assess alignment.</div></div><div><h3>Results</h3><div>Twelve interviews (8-33 min) and 180 h of observations were conducted. Participants were NH-RCC nurses (n = 7), outreach nurses (n = 3), and social and health care assistants (n = 2).</div><div>Four overarching themes revealed dualistic findings. The use of Early Warning Score was integrated into daily routines (Theme 1, <em>Normalization of the intervention in everyday practice)</em> and supported a broader clinical view of residents (Theme 2, <em>Clinical awareness, ethics and relational care)</em>. However, some nurses experienced a problematic shift from direct care towards documentation (Theme 3, <em>Role restructuring and coordination work).</em> Mobilization was often omitted in vulnerable residents. Also, incomplete discharges and project tasks were a source of frustration (Theme 4, <em>Systemic constraints and safety vulnerabilities).</em></div></div><div><h3>Conclusion</h3><div>We found that an ESIC model can be integrated into NH-RCC routines and enhance HSCPs clinical awareness. However, professional roles and prioritization of mobilization need clearer alignment between clinical goals and practice.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101301"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collecting patient-reported data among patients with major lower extremity amputation","authors":"Signe Hulsbæk,&nbsp;Morten Tange Kristensen,&nbsp;Rehne Lessmann Hansen,&nbsp;Maya Fey Hallett,&nbsp;Ulla Riis Madsen","doi":"10.1016/j.ijotn.2026.101315","DOIUrl":"10.1016/j.ijotn.2026.101315","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101315"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148776844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational stress, anxiety, and PTSD following needle stick injuries in orthopaedic healthcare workers: A cross-sectional study","authors":"Lokendra Singh,&nbsp;Mahak Aggarwal,&nbsp;Aditya Sharma,&nbsp;Shivam Maheshwari,&nbsp;Shradha Kanwat","doi":"10.1016/j.ijotn.2026.101304","DOIUrl":"10.1016/j.ijotn.2026.101304","url":null,"abstract":"<div><h3>Background</h3><div>Needle stick injuries (NSIs) represent a serious occupational hazard for healthcare workers (HCWs), particularly in surgical departments like orthopaedics. Beyond the risk of blood-borne infections, NSIs can cause significant psychological distress.</div></div><div><h3>Objectives</h3><div>To assess the incidence of NSIs and associated psychological outcomes such as stress, anxiety, and PTSD among doctors and nurses in the orthopaedics department.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of 337 HCWs was conducted using a structured online questionnaire. Data on demographics, NSI experience, reporting behavior, anxiety (GAD-7), PTSD (IES-R), and perceived stress were collected and analyzed using SPSS.</div></div><div><h3>Results</h3><div>Among 327 eligible participants, 103 (31.5%) reported NSIs in the past year. NSI rates were significantly higher among junior and senior resident doctors compared to consultants (p &lt; 0.0001), and among female nurses compared to males (p = 0.0002). Mechanisms included suture needles (27.7%), braided sutures (23.5%), bony ends (21%), orthopaedic instruments (18.5%), and washing instruments (9.2%). Female nurses showed significantly higher anxiety and PTSD scores than males. Junior and senior residents reported more psychological distress compared to consultants.</div></div><div><h3>Conclusion</h3><div>Needle stick injuries are common among orthopaedic HCWs and are associated with considerable psychological impact. Preventive training, proper reporting, and mental health support are essential.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101304"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care gaps in hospital discharge planning for older adults with fall-related fractures: a mixed-methods study","authors":"Jeferson Moreira dos Santos,&nbsp;Larissa Chaves Pedreira,&nbsp;Roberta Pereira Góes,&nbsp;Valdenir Almeida da Silva,&nbsp;Ana Cristina Lima Mimoso Caramelo,&nbsp;Maria Antônia Alves de Souza,&nbsp;Adriana Chaves Junqueira,&nbsp;Cristina Rosa Soares Lavareda Baixinho,&nbsp;Jéssica Lane Pereira Santos","doi":"10.1016/j.ijotn.2026.101311","DOIUrl":"10.1016/j.ijotn.2026.101311","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze discharge planning for older adults hospitalized due to fractures resulting from same-level falls, combining the investigation of associations between sociodemographic and clinical variables with a qualitative exploration of the processes and perceptions involved.</div></div><div><h3>Method</h3><div>A mixed-methods study conducted in a public hospital in the interior of Bahia and in home settings. A total of 142 medical records of older adults hospitalized for fractures (September 2022 to August 2023) were analyzed, and interviews were conducted with 16 participants after discharge. Quantitative data were analyzed using descriptive statistics and Pearson's chi-square test (p &lt; 0.05), while qualitative data were analyzed through content analysis.</div></div><div><h3>Results</h3><div>Only 17 medical records included discharge instructions, which were generic and restricted to clinical aspects. Interviews revealed a predominance of lack of guidance on fall prevention and reports of ptophobia after discharge, leading to activity restriction and social isolation. An association was found between lower limb fractures and female sex, as well as the presence of two to three comorbidities; individuals aged 60 to 79 years showed a higher occurrence of upper limb fractures.</div></div><div><h3>Conclusion</h3><div>The findings point to the urgent need for structured, individualized, and multidisciplinary long-term planning. Nurse-led protocols that include guidance on fall prevention and psychosocial support are essential to prevent ptophobia and activity restriction, ensuring safe hospital-to-home transitions for older adults who have sustained fractures resulting from same-level falls.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101311"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative care in fragility hip fracture: An empirical narrative review of an underrecognised need","authors":"Sara Gomes,&nbsp;Isabel Moreira,&nbsp;Andréa Marques","doi":"10.1016/j.ijotn.2026.101300","DOIUrl":"10.1016/j.ijotn.2026.101300","url":null,"abstract":"<div><h3>Background</h3><div>Fragility hip fractures are associated with high morbidity, mortality, and complex care needs that extend beyond acute management. Despite this, palliative care remains underutilised in this population. Consequently, palliative care needs in people with fragility hip fractures remain insufficiently recognised, assessed and integrated into care pathways.</div></div><div><h3>Objective</h3><div>To identify, synthesise, and analyse key concepts emerging from the literature on palliative care in fragility hip fractures, with a focus on their interrelationships and implications for care.</div></div><div><h3>Methods</h3><div>An empirical narrative review with a structured search was conducted in MEDLINE, Scopus, CINAHL and Google Scholar for articles addressing palliative care and patients with fragility hip fractures, between 15 January and 10 February 2026. Eligible studies included meta-analyses, systematic reviews, observational studies, case series, books and case reports, published in Portuguese, English and Spanish within the last 5 years.</div></div><div><h3>Results</h3><div>Of the 876 studies screened, 4 were included, adhering to the PRISMA flow diagram. The results suggests that patients with fragility hip fractures may have substantial palliative care needs, particularly in relation to symptom management, functional decline, and psychosocial support. However, timely identification of these needs and referral to palliative care services appears to remain limited.</div></div><div><h3>Conclusions</h3><div>In light of the limited evidence in integration of palliative care in the management of fragility hip fractures, an interdisciplinary approach embedding palliative care principles within orthogeriatric and fracture care pathways appears necessary. This should include adequately trained nurses to ensure comprehensive care and to support the quality of life of patients and their families.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101300"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}