International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"A qualitative study of patients' experiences before, during and after surgical treatment for periprosthetic knee joint infection; “I assumed it had to be like that … ”","authors":"Tina Rowland ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Julie Santy-Tomlinson ,&nbsp;Charlotte Myhre Jensen","doi":"10.1016/j.ijotn.2022.100992","DOIUrl":"10.1016/j.ijotn.2022.100992","url":null,"abstract":"<div><h3>Background</h3><p>Periprosthetic joint infection (PJI) of the knee is associated with extended hospital stay, high doses of antibiotics, lengthy rehabilitation, and pain. Standard treatment is a two-stage procedure comprising two surgeries and two hospitalizations. To facilitate exploration of patients’ perspectives, the qualitative study presented here was an adjunct to a Danish randomized controlled trial comparing one-stage and two-stage revision surgery.</p></div><div><h3>Aim</h3><p>To explore patient experiences, before, during and after hospitalization and surgical treatment with one- or two-stage revision for PJI of the knee.</p></div><div><h3>Material and methods</h3><p>Qualitative, semi-structured telephone interviews were conducted with 10 individuals who had undergone either one- or two-stage revision because of PJI. Thematic analysis was employed.</p></div><div><h3>Results</h3><p>The essence of the findings was that the infection was a transition point in a possible life-changing illness. The three themes representing this comprised: 1) physical, 2) psychological, and 3) social implications. Each theme is further illuminated with subthemes.</p></div><div><h3>Conclusions</h3><p>Infection is a transition point in a possible life changing illness. Late diagnosis and delayed treatment are major issues. Individuals suffer from pain, weight loss, fatigue, and reduced mobility as well as dependency on family members, leading to psychological challenges including depression.</p></div><div><h3>Implications for clinical practice</h3><p>Patients with PJI of the knee could be better informed, educated and involved before and during treatment. Information is needed not only about the physical consequences, but also the psychological and social consequences. More patient involvement and inter-professional and care sector coordination is important when caring for patients with PJI.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 100992"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9489879","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":"Literature reviews","authors":"Carole Jackson,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2023.100999","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.100999","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 100999"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49899428","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":"Food consumption, factors affecting food intake and nurses’ interventions in elderly orthopedic surgical patients: An analytic observational cross-sectional study","authors":"Ayse Dudu Kılınc ,&nbsp;Sureyya Karaoz","doi":"10.1016/j.ijotn.2022.100983","DOIUrl":"10.1016/j.ijotn.2022.100983","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 100983"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752426","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":"Intimate partner violence: A practice development issue for orthopaedic nurses","authors":"Amanda R. Heikel,&nbsp;James A. Rankin,&nbsp;Karen L. Then","doi":"10.1016/j.ijotn.2023.100998","DOIUrl":"10.1016/j.ijotn.2023.100998","url":null,"abstract":"<div><p>Intimate Partner Violence (IPV) is an underrecognized healthcare phenomenon that causes significant harm to the health of those affected. The lifetime estimated global prevalence of IPV is one in three for women and one in twelve for men. Orthopaedic<span> fracture clinics care for patients affected by IPV and, in fact, orthopaedic patients themselves believe they should be screened for IPV. Almost three percent of women seen for an acute musculoskeletal injury is a direct consequence of IPV. A major concern is that, in the absence of screening and no outward signs of IPV, healthcare providers do not screen patients. Current screening practices and policies are influenced by the nurses’ practice or the organizational structure in which nurses work. The purpose of this article is to raise awareness of IPV in the orthopaedic patient population and to provide a review on IPV for orthopaedic nurses.</span></p><p>It is important for organizational leaders to recognize the relationship between the barriers and facilitators in relation to IPV intervention. Facilitators and barriers to addressing IPV are discussed. In addition, the need to implement change in practice combined with empowering nurses to address IPV is described. Empowering orthopaedic nurses necessarily involves the provision of appropriate resources, information, and support to overcome barriers. The authors discuss unit policies, guidelines, and resources to address IPV.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 100998"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9192300","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":"Editorial Board/Title Page","authors":"","doi":"10.1016/S1878-1241(23)00011-4","DOIUrl":"https://doi.org/10.1016/S1878-1241(23)00011-4","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 101007"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49857943","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 a discharge process for patients undergoing elective surgery: Rapid review","authors":"Maria J.C. Teixeira ,&nbsp;Ma'ali Khouri ,&nbsp;Evangeline Martinez ,&nbsp;Suzanne Bench","doi":"10.1016/j.ijotn.2023.101001","DOIUrl":"10.1016/j.ijotn.2023.101001","url":null,"abstract":"<div><h3>Background</h3><p><span>Hospital discharge<span> is a ‘vulnerable stage’ in care. A delayed, inappropriate or poorly planned discharge increases hazards and costs, inhibiting recovery, and often leading to unplanned readmission. New discharge processes could boost practice, reduce the length of stay, and, consequently, reduce costs and improve patients' </span></span>quality of life.</p></div><div><h3>Aim</h3><p>To identify technology based interventions that have been implemented to facilitate a safe and timely discharge procedure after elective surgery, and to describe implementation barriers and facilitators and patient satisfaction.</p></div><div><h3>Method</h3><p><span>This rapid review followed a restricted systematic review<span> framework, searching Medline, EMBASE, CINAHL<span>, PsychINFO, and </span></span></span><span>ClinicalTrials.gov</span><svg><path></path></svg>. for relevant studies published from 2015 to 2021 in English.</p></div><div><h3>Results</h3><p>Eleven studies were included. Most interventions were machine-learning-based, and only one study reported patient involvement. Effective leadership, team work and communication were stated as implementation facilitators. The main barriers to implementation were: lack of support from leaders, poor clinical documentation, resistance to change, and financial and logistical concerns. None of the studies evaluated patient satisfaction.</p></div><div><h3>Conclusions</h3><p>Findings highlight factors that support the implementation of technology based interventions aimed at a safe and timely discharge process following elective surgery. Nurses play an important role in the provision of information, and in the development and implementation of discharge processes.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 101001"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9138695","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":"A tribute to Dr Julie Santy-Tomlinson (Editor in Chief)","authors":"Rebecca Jester Professor PhD (Editor in Chief)","doi":"10.1016/j.ijotn.2022.100996","DOIUrl":"10.1016/j.ijotn.2022.100996","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 100996"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9136569","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":"Literature reviews","authors":"Carole Jackson,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2023.101000","DOIUrl":"https://doi.org/10.1016/j.ijotn.2023.101000","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"48 ","pages":"Article 101000"},"PeriodicalIF":1.4,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49899429","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":"Information needs, expectations, and treatment preference of patients considering spinal surgery: A case-control survey","authors":"William Wing-Kuen Lam ,&nbsp;Alice Yuen Loke ,&nbsp;Chun-Kwan Wong ,&nbsp;Bronya Hi-Kwan Luk","doi":"10.1016/j.ijotn.2022.100979","DOIUrl":"10.1016/j.ijotn.2022.100979","url":null,"abstract":"<div><h3>Study design</h3><p>Case-control survey.</p></div><div><h3>Objectives</h3><p>To explore intrapersonal factors associated with decision of patients with degenerative back pain for surgery.</p></div><div><h3>Methods</h3><p>From September 2018 to May 2019 patients were invited to complete a questionnaire. Patients who decided on (case) and declined surgery (control) were later confirmed from medical records.</p></div><div><h3>Results</h3><p>Seventy-five patients were recruited. Male patients (75.0%, <em>p</em> = 0.019), those who were married (78.7%, <em>p</em> = 0.0045), and had spousal care-givers (89.2%, <em>p</em> &lt; 0.0001) were more likely to decide for surgery. All patients who decided on surgery expressed need for information on “the severity of their spine conditions” (<em>p</em> = 0.039). Those who decided on surgery did not have as the high expectation on “to sleep more comfortably” as those who declined (4.71 vs. 4.91, <em>p</em><span><span> = 0.022). The predictive factors for surgery decision by </span>logistic regression analysis were: male gender (OR = 3.23, 95% CI: 1.19–8.77, </span><em>p</em> = 0.021); married (OR = 5.231, 95% CI: 1.87–14.61, <em>p</em> = 0.002); with available spousal care-giver (OR = 1.85, 95% CI: 0.198–3.89, <em>p</em><span> = 0.031); and those who preferred to treat/cure the spine disorder by pharmacological treatment (OR = 2.77, 95% CI: 1.02–7.50, </span><em>p</em> = 0.045).</p></div><div><h3>Conclusion</h3><p>Patients who decided on surgery were likely to indicate need of medical information related to their condition. Patients were in hope of better relief of physical symptoms, especially related to sleep comfort. Patients would escalate their treatment from conservative to surgery when conservative treatments were no longer effective.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"47 ","pages":"Article 100979"},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10344830","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":"A quality improvement project addressing the underreporting of delirium in hip fracture patients","authors":"Naoko Onizuka ,&nbsp;Fernando A. Huyke-Hernández ,&nbsp;Myriam A. Roby ,&nbsp;Tom F. Martell ,&nbsp;Rachael M. Scislow ,&nbsp;Sarah C. Jones ,&nbsp;Andrew Olson ,&nbsp;Nicole James ,&nbsp;Julie A. Switzer","doi":"10.1016/j.ijotn.2022.100974","DOIUrl":"10.1016/j.ijotn.2022.100974","url":null,"abstract":"<div><h3>Introduction</h3><p>After discovering a low incidence of delirium for hip fracture patients at our institution, we evaluated if this was due to underreporting and, if so, where process errors occurred.</p></div><div><h3>Methods</h3><p>Hip fracture patients aged ≥60 with a diagnosis of delirium were identified. Chart-Based Delirium Identification Instrument (CHART-DEL) identified missed diagnoses of delirium. Process maps were created based off staff interviews and observations.</p></div><div><h3>Results</h3><p>The incidence of delirium was 15.3% (N = 176). Within a random sample (n = 98), 15 patients (15.5%) were diagnosed, while 20 (24.7%) went undiagnosed despite evidence of delirium. Including missed diagnoses, delirium prevalence was higher in the sample compared to all patients (35.7% vs 15.3%, p &lt; 0.001). Most missed diagnoses were due to failure in identifying delirium (60%) or failure in documenting/coding diagnosis (20%). The prevalence of baseline cognitive impairment was higher in undiagnosed delirium patients versus correctly diagnosed patients (80% vs 20%, p = 0.001).</p></div><div><h3>Conclusions</h3><p>Our institution significantly underreports delirium among hip fracture patients mainly due to; (1) failure to identify delirium by the clinical staff, and (2) failure to document/code diagnosis despite correct identification. Baseline cognitive impairment can render delirium diagnosis challenging. These serve as targets for quality improvement and hip fracture care enhancement.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"47 ","pages":"Article 100974"},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10356702","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}