International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Improving external fixator pin site care through user involvement: A quality improvement project","authors":"Anette Wulff Christiansen ,&nbsp;Trine Ahlman Petersen ,&nbsp;Cellina Maj Eline Hedkjær ,&nbsp;Julie Santy-Tomlinson ,&nbsp;Charlotte Myhre Jensen","doi":"10.1016/j.ijotn.2024.101139","DOIUrl":"10.1016/j.ijotn.2024.101139","url":null,"abstract":"<div><h3>Introduction</h3><div>External fixation is widely used in treating complex fractures and limb reconstruction. Pin site infections remain a significant complication, impacting on patients' physical and psychosocial wellbeing. This clinical improvement project at a University Hospital in Denmark aimed to enhance pin site care by involving patients and caregivers throughout the treatment pathway.</div></div><div><h3>Background</h3><div>At our hospital, approximately 55 trauma patients are annually treated with lower limb external fixators. Pin site care is crucial for preventing serious infections/osteomyelitis and involves collaboration between hospital and municipal caregivers. Traditional pin site care in our unit was complex and time-consuming, causing patient anxiety and frequent unplanned clinic visits.</div></div><div><h3>Methods</h3><div>Inspired by the Participatory Design research methodology, a quality improvement project was conducted in three phases: (1) identifying users’ needs, (2) developing solutions collaboratively, and (3) testing/evaluating these solutions. Iterative cycles of planning, acting, observing, and reflecting were employed, facilitating mutual learning among participants. Interviews with patients, families and healthcare professionals and field observations both at the hospital and in the municipality were conducted. Inspiration was sought from international literature.</div></div><div><h3>Results</h3><div>Phase 1 identified the need for improved education about infection recognition, a less painful and time-consuming dressing method, and an assessment tool for pin site infection. Phase 2 involved extensive user input to develop and implement a new dressing procedure using PolyMem™ along with an assessment tool. Phase 3 evaluated the new methods, revealing reduced patient pain, fewer clinic visits, and stable infection rates as well as less time-consuming pin site care.</div></div><div><h3>Conclusion</h3><div>The project successfully enhanced pin site care, involving users in developing a new care process, thus improving patient satisfaction and care efficiency.</div></div><div><h3>Implications for future practice</h3><div>Incorporating patient perspectives and collaborative methods can significantly improve clinical care pathways. Future efforts should focus on further integrating patient centered and participatory approaches in healthcare improvements.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101139"},"PeriodicalIF":1.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477223","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":"Psychometric properties of Japanese version15D and cultural characteristics of quality of life undergoing patients with hip and knee arthroplasty","authors":"Kanako Yakushiji ,&nbsp;Satomi Tanaka ,&nbsp;Harri Sintonen ,&nbsp;Heidi Siira ,&nbsp;Yuriko Matsunaga-Myoji ,&nbsp;Yasuko Tabuchi ,&nbsp;Pirjo Kaakinen ,&nbsp;Maria Kääriäinen ,&nbsp;Kimie Fujita","doi":"10.1016/j.ijotn.2024.101138","DOIUrl":"10.1016/j.ijotn.2024.101138","url":null,"abstract":"<div><h3>Background</h3><div>Health-related quality of life (HRQoL) following total hip and knee arthroplasty (THA/TKA) may decline more in Asian countries due to lifestyle and housing factors compared with patients in Western countries.</div></div><div><h3>Aims</h3><div>To evaluate the psychometric properties of the Japanese version of 15D and clarify the characteristics of HRQoL in Japanese patients who underwent THA/TKA compared with Finnish patients.</div></div><div><h3>Methods</h3><div>This longitudinal study included 182 patients between 2019 and 2021. Patients' HRQoL was measured using the 15D preoperatively and 3 months postoperatively. Student's <em>t</em>-tests were used to compare lifestyles between Japan and Finland.</div></div><div><h3>Results</h3><div>The Japanese version of the 15D showed good internal consistency, reliability, construct validity, and responsiveness. Patients with many steps inside their house had worse HRQoL in the dimensions of mobility, distress, and vitality in Japan. There were significant differences in mobility, distress, vitality, and sexual activity dimensions between Japan and Finland 3 months postoperatively.</div></div><div><h3>Conclusions</h3><div>The lower HRQoL in Japan in the dimensions of mobility, distress, and vitality is likely due to Japan's traditional housing structure with many steps. Identifying differences in cultural and psychological characteristics, as well as by residential setting, will enable health care providers to help patients improve their HRQoL.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101138"},"PeriodicalIF":1.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394036","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 relationship of pain catastrophizing in principal caregivers of postoperative children with malignant bone tumors and children's kinesiophobia and pain perception: A cross-sectional survey","authors":"Qian Yu ,&nbsp;Fang Fang ,&nbsp;Lan Chen ,&nbsp;Qiuli Wang ,&nbsp;Wei Dai","doi":"10.1016/j.ijotn.2024.101137","DOIUrl":"10.1016/j.ijotn.2024.101137","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the phenomenon of pain catastrophizing among the principal caregivers of postoperative children with malignant bone tumors and explore its impact on pain perception and kinesiophobia in children.</p></div><div><h3>Design</h3><p>A cross-sectional study design.</p></div><div><h3>Methods</h3><p>Using a cross-sectional study design, a questionnaire-based survey was conducted among 140 children with malignant bone tumors and their principal caregivers, who were admitted to a tertiary hospital in Shanghai from 2020 to 2023. Pearson's univariate and multiple regression analyses were conducted. The questionnaire included general data, the Parental Pain Catastrophizing Scale, the Short-Form McGill Pain Questionnaire, and the Tampa Scale of Kinesiophobia.</p></div><div><h3>Results</h3><p>The frequency of pain catastrophizing for the principal caregivers was 16.8%. The frequency of kinesiophobia in children was 93.1%. The level of pain catastrophizing was positively correlated with the level of kinesiophobia and pain perception (<em>r</em> = 0.556, 0.614, <em>p</em> &lt; 0.05). Multiple logistic regression analysis showed that the level of pain catastrophizing in principal caregivers was an important factor of kinesiophobia in children (B = 0.370, Std. = 0.119, Wald = 9.687, Ex (P) = 1.448, <em>p</em> = 0.002). Multiple linear regression analysis showed that the incidence of pain catastrophizing and the level of kinesiophobia were important influencing factors in pain perception (<em>p</em> &lt; 0.05), with R² = 0.272, adjusted R² = 0.249, F = 11.579, and <em>p</em> &lt; 0.001.</p></div><div><h3>Conclusions</h3><p>The level of pain catastrophizing in the principal caregivers was an important factor in postoperative kinesiophobia and pain perception in children with a malignant bone tumor.</p></div><div><h3>Practice implications</h3><p>It is important to evaluate the patients' and their families' emotional changes and psychological needs during the perioperative period. Nurses play a crucial role in providing appropriate interventions for patients or families to reduce the negative pain experience and improve patients’ prognosis.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101137"},"PeriodicalIF":1.5,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000571/pdfft?md5=930488924f3288c9c4fd3e44344e17b7&pid=1-s2.0-S1878124124000571-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274671","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":"Current status of postoperative care for elderly osteoporotic fracture patients in Jiangsu Province, China: A multicenter cross-sectional study","authors":"Mengting Sun ,&nbsp;Xiafen Zhang ,&nbsp;Jie Wang ,&nbsp;Yang Hong ,&nbsp;Ying Zhang ,&nbsp;Jing Wang ,&nbsp;Dongmei Xu ,&nbsp;Xian Yu ,&nbsp;Yingchun Zhang ,&nbsp;Hongxia Zhu ,&nbsp;Xiaolan Feng","doi":"10.1016/j.ijotn.2024.101136","DOIUrl":"10.1016/j.ijotn.2024.101136","url":null,"abstract":"<div><h3>Background</h3><p>The postoperative care behavior of elderly osteoporotic fracture patients has a significant impact on their prognosis and rehabilitation; thus, it is critical to completely comprehend their current state of care before optimizing postoperative care strategies.</p></div><div><h3>Aims</h3><p>To determine the current status of postoperative care for elderly osteoporotic fracture patients in Jiangsu Province.</p></div><div><h3>Methods</h3><p>From October to December 2023, 669 elderly postoperative patients with osteoporotic fractures were recruited for a cross-sectional study via convenience sampling and a self-designed questionnaire from 21 hospitals in seven urban areas in Jiangsu Province.</p></div><div><h3>Results</h3><p>A total of 800 questionnaires were distributed, and 709 questionnaires were recovered, for a return rate of 88.6%. The postoperative support and care received by the patients were mostly by their children and spouses, and the postoperative health education knowledge received by the patients was mostly about fracture-related knowledge and precautions for the use of medications. Health education methods were mainly conducted by medical staff explanations and health brochures; only 45.3% of the patients were treated with anti-osteoporosis therapy.</p></div><div><h3>Conclusions</h3><p>The current status of postoperative care for osteoporotic fracture patients in Jiangsu Province varies somewhat according to geographic location, hospital level and other factors, with tertiary hospitals and more economically developed areas having relatively better care outcomes. For in-hospital care, it is necessary to improve the content and methods of in-hospital education. For out-of-hospital care, it is necessary to raise the level of awareness of anti-osteoporosis treatment and the prevention and treatment of re-fractures, and to improve hospital-community referral services.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101136"},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187812412400056X/pdfft?md5=e7504b0c7cdb2181defbd50bcaf99438&pid=1-s2.0-S187812412400056X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233042","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":"LITERATURE REVIEWS – The effect of non-steroidal anti-inflammatory drugs (NSAIDs) on bone healing and tissue regeneration","authors":"Sonya Clarke,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2024.101126","DOIUrl":"10.1016/j.ijotn.2024.101126","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101126"},"PeriodicalIF":1.5,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089141","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":"Health literacy of older adults with musculoskeletal problems: A systematic review","authors":"Katerina Athanasopoulou ,&nbsp;Manolis Mentis ,&nbsp;Panagiota Vathi-Sarava ,&nbsp;Georgios Nikolaou ,&nbsp;Elias Panagiotopoulos","doi":"10.1016/j.ijotn.2024.101127","DOIUrl":"10.1016/j.ijotn.2024.101127","url":null,"abstract":"<div><h3>Introduction</h3><p>People with poor Health Literacy (HL) find it difficult to understand medical information in their daily lives, participate in health-related decision making and comply with medical instructions. The physical effects of ageing on the musculoskeletal system have a direct impact on skills related to the management of health problems. Many older adults have limited HL, which impacts their ability to fully engage in their care and their health status. The aim of this study is to conduct a systematic review of the published research regarding the prevalence of low HL and its impact on health outcomes of older adults with musculoskeletal problems.</p></div><div><h3>Methods</h3><p>In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement, this review examined all peer-reviewed studies published in English, with specific pre-selected eligibility criteria.</p></div><div><h3>Results</h3><p>The combined searches yielded 1617 records of which 19 articles were eligible for inclusion. The percentage of low HL varied across the studies of this review, ranging from 14% to 67%. In most studies, however, patients with limited HL were about 1/3 of the participants. Patients of lower educational level, male gender, older age, lower income, unemployment and different country of origin had lower HL level. Low HL was also associated with worse health outcomes, especially adherence to treatment, pain, functionality and health status.</p></div><div><h3>Discussion</h3><p>It is of major importance to conduct educational interventions aimed at enhancing HL in this patient group, as these will contribute to the empowerment and the promotion of appropriate health behaviors of these patients.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"55 ","pages":"Article 101127"},"PeriodicalIF":1.5,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142095050","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 effect of fascia iliaca compartment block on postoperative delirium in elder adults undergoing hip surgery: A systematic review and meta-analysis of randomized controlled trials","authors":"Ran Duan,&nbsp;Longlu Cao,&nbsp;Huanhuan Zhang,&nbsp;Pan Li,&nbsp;Xiaoqian Wu,&nbsp;Jianli Li","doi":"10.1016/j.ijotn.2024.101122","DOIUrl":"10.1016/j.ijotn.2024.101122","url":null,"abstract":"<div><h3>Objective</h3><p>This meta-analysis aimed to evaluate whether fascia iliaca compartment block (FIB) could reduce the incidence of postoperative delirium (POD) in elderly patients undergoing hip surgery.</p></div><div><h3>Methods</h3><p>This meta-analysis was registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42023490399). The PubMed, Embase, Web of Science, and Cochrane Library databases were searched for randomized controlled trials (RCTs) till November 15, 2023. Review Manger 5.4 was used to analyze the data.</p></div><div><h3>Results</h3><p>A total of 10 RCTs with 930 elderly patients were included in this meta-analysis. This meta-analysis indicated that FIB could reduce the incidence of POD in elderly patients undergoing hip surgery without preoperative cognitive impairment (OR:0.46; 95%CI[0.22, 0.96], <em>P</em> = 0.04, <em>I</em>^<em>2</em> = 0%). Subgroup analysis of the incidence of POD showed that elderly patients who received FIB treatment before entering the operating room had a lower risk of developing POD(OR:0.48; 95%CI[0.30, 0.76], <em>P</em> = 0.002, <em>I</em>^<em>2</em> = 0%), and FIB could reduce the occurrence of POD in patients undergoing intravertebral anesthesia instead of general anesthesia (OR:0.37; 95%CI[0.20, 0.66], <em>P</em>﹤0.01, <em>I</em>^<em>2</em> = 0%). Moreover, FIB could reduce the MMSE score on the first day after surgery (SMD:1.07; 95%CI[0.15, 1.99], <em>P</em> = 0.02, <em>I</em>^<em>2</em> = 86%). In addition, FIB could reduce the pain score on the first and third day after surgery (SMD: -0.46; 95%CI[-0.74, -0.18], P = 0.001, I² = 43%; SMD: -0.62; 95%CI[-0.97, -0.26], <em>P</em>﹤0.001, <em>I</em>^<em>2</em> = 58%), as well as after physical activity(SMD: -1.64; 95%CI[-3.00, -0.28], <em>P</em> = 0.02, <em>I</em>^<em>2</em> = 83%).</p></div><div><h3>Conclusion</h3><p>FIB can reduce the incidence of POD in elderly patients undergoing hip surgery without pre-existing cognitive impairment. Additionally, it can lower the delirium scores and pain scores.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101122"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187812412400042X/pdfft?md5=c1c0e5a94ca76046dc9890d043ca063a&pid=1-s2.0-S187812412400042X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761512","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":"Considerations for managing pain in the older adult","authors":"","doi":"10.1016/j.ijotn.2024.101117","DOIUrl":"10.1016/j.ijotn.2024.101117","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101117"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318548","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":"Assessment of rehabilitation nurses' knowledge and results of nurse educational programme (C2F) regarding osteoporosis and fragility fractures","authors":"Georgina Pimentel ,&nbsp;Arménio Cruz ,&nbsp;Cristina Lavareda Baixinho ,&nbsp;Maria Loureiro ,&nbsp;Sílvia Fernandes ,&nbsp;Ricardo J.O. Ferreira ,&nbsp;Andréa Marques","doi":"10.1016/j.ijotn.2024.101120","DOIUrl":"10.1016/j.ijotn.2024.101120","url":null,"abstract":"<div><h3>Background</h3><p>Providing adequate care for the person with a fragility fracture is essential to prevent recurrences. A key strategy involves training by improving nursing care in the fields of osteoporosis and fragility fractures. However, in Portugal, there is no report on the level of knowledge of nurses, nor experimental studies on how to improve it.</p></div><div><h3>Objective</h3><p>The study aimed to assess the knowledge of Rehabilitation Nurses in Portugal on osteoporosis and fragility fractures. Additionally, it sought to evaluate the impact of a specific educational programme on nurses' knowledge.</p></div><div><h3>Methods</h3><p>In Phase I, a cross-sectional study involved 452 participants, utilizing a 26-question knowledge test. In Phase II, a quasi-experimental study included 42 nurses from 28 hospitals, subjected to a 30-h hybrid educational programme. The program comprised 9 online (2 h 30 min each) and 2 live sessions, covering assessment, pharmacological and non-pharmacological treatment, monitoring, project planning, consultations, and outcome indicators measurement. A before-and-after programme knowledge test was administered.</p></div><div><h3>Results</h3><p>Phase I revealed an average knowledge score of 69.6%. In Phase II, there was a significant improvement with programme (70.4% vs. 85.8%, <em>p</em> &lt; 0.01). Specialized nurses performed better than non-specialized nurses (80% <em>vs.</em> 75%, <em>p</em> = 0.011), and those from orthopaedic services showed the greatest improvement (92% <em>vs.</em> 83%, <em>p</em> = 0.014).</p></div><div><h3>Conclusions</h3><p>Rehabilitation Nurses in Portugal have room to improve their knowledge of osteoporosis and fragility fractures. The hybrid educational programme proved effective in improving nurses' knowledge, especially among specialist and orthopaedic service nurses. We hope that this knowledge can be translated into continuous improvement in healthcare provision.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101120"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000406/pdfft?md5=8809e69b3c020086c4d06b59b99037a6&pid=1-s2.0-S1878124124000406-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141705118","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":"Enhancing orthopedic care: The impact of introducing nurse practitioners","authors":"Sarah Crowe ,&nbsp;Brittany G. Spence ,&nbsp;Pamela Colley","doi":"10.1016/j.ijotn.2024.101123","DOIUrl":"10.1016/j.ijotn.2024.101123","url":null,"abstract":"<div><h3>Introduction</h3><p>Orthopedic surgery constitutes a significant portion of surgical interventions globally, driven by aging populations (Spence et al., 2019). Nurse practitioners (NPs) have emerged as essential team members in orthopedic surgery, offering expertise and advanced training.</p></div><div><h3>Purpose</h3><p>This paper describes a practice development initiative that saw the integration of NPs to the orthopedic team to provide postoperative care to patients undergoing hip and knee arthroplasty procedures.</p></div><div><h3>Methods</h3><p>Aggregate data was collected from electronic health records and from online surveys.</p></div><div><h3>Results</h3><p>Using descriptive and inferential statistics our data analysis revealed significant improvements post-NP implementation. Monthly surgeries increased by 41.6%, indicating enhanced access to care. The average length of stay decreased statistically for both hip and knee surgeries (<em>p</em> &lt; 0.001), resulting in substantial cost savings and streamlined resource utilization. The readmission rate post-discharge also decreased by 41.6%, reflecting improved continuity of care facilitated by NPs. Surveys among healthcare staff demonstrated positive feedback regarding NP integration, highlighting improved accessibility, bed utilization, and timely treatment of medical issues.</p></div><div><h3>Conclusion</h3><p>This study underscores the multifaceted benefits of NP integration in orthopedic care, including enhanced patient outcomes, improved healthcare efficiency, and positive impacts on the healthcare team dynamics. Continued investment in NP programs in orthopedic settings is crucial for further optimizing care delivery and patient outcomes. Advocating for the expansion of the NP role in orthopedic surgery will contribute to elevating the standard of care in this specialty.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101123"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761511","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}