International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Personalised patient education in orthopaedic and trauma nursing: the promise and challenges of artificial intelligence","authors":"Carmen Queirós, Hugo Neves","doi":"10.1016/j.ijotn.2026.101302","DOIUrl":"10.1016/j.ijotn.2026.101302","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101302"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632079","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":"Blood transfusion in hip and knee replacement in Thailand: A call to transition from crossmatch to type-and-screen","authors":"Chanapa Rittiwan,&nbsp;Chaturong Pornrattanamaneewong,&nbsp;Jularat Yamsoontorn,&nbsp;Hemvala Chirdchupunseree,&nbsp;Nakarin Chankerd,&nbsp;Wattanalin Singwongsa","doi":"10.1016/j.ijotn.2026.101313","DOIUrl":"10.1016/j.ijotn.2026.101313","url":null,"abstract":"<div><h3>Background</h3><div>Total knee and hip arthroplasties carry a risk of intra- and post-operative blood loss. Effective blood management is therefore crucial for patient safety and the optimal management of hospital resources. In Thailand, where healthcare resources are heavily utilized under the Universal Coverage scheme, transitioning from ritualistic blood ordering to evidence-based practice is essential.</div></div><div><h3>Objectives</h3><div>To identify independent risk factors affecting the need for blood transfusion and to evaluate the efficiency of blood ordering practices using the crossmatch-to-transfusion (C:T) ratio in patients undergoing hip and knee arthroplasty.</div></div><div><h3>Methods</h3><div>A retrospective analytical study was conducted on 1554 patients undergoing surgery at a single institution. Demographic, clinical, and surgical data were analyzed. Multivariable logistic regression was used to determine independent predictors of blood transfusion. The C:T ratio was calculated according to the type of procedure to assess resource utilization efficiency.</div></div><div><h3>Results</h3><div>Of the 1554 patients, 487 (31.3%) required post-operative blood transfusion. Multivariable analysis identified independent risk factors, including age greater than 70 years, bilateral surgery, the use of a redivac drain (OR 1.425, p = 0.006), and a longer operative time (OR 1.006, p = 0.005). Pre-operative anemia (Hct &lt; 30%) was found to be the most significant predictor (OR for the Hct ≥ 30% group = 0.074, p &lt; 0.001). Regarding the efficiency of blood ordering, the overall C:T ratio was 1.5. However, the C:T ratio reached 7.3 in the unicompartmental knee arthroplasty (UKA) group and 15.7 specifically in the unilateral UKA group.</div></div><div><h3>Conclusions</h3><div>Pre-operative optimization of hematocrit levels is critical in reducing the likelihood of blood transfusion. Furthermore, current blood ordering practices for UKA are highly inefficient. Transitioning from routine crossmatch to a type-and-screen strategy for UKA cases would reduce medical costs and improve blood bank inventory turnover without compromising patient safety. This approach also empowers nurses to facilitate pre-operative clinic optimization regarding patient education and adherence to treatment plans, reduces the time spent on unnecessary blood ordering, and enhances bedside monitoring in high-risk patient groups.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101313"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148776843","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 – Quality improvement in orthopaedic and fracture trauma care","authors":"Sonya Clarke,&nbsp;Shareena Bibi Mohd Arif,&nbsp;Carmen Queiros","doi":"10.1016/j.ijotn.2026.101288","DOIUrl":"10.1016/j.ijotn.2026.101288","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101288"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148843153","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":"Can AI-based chatbots enhance patient education and support nursing practice for hip replacement patients? A scoping review","authors":"Jaskomal Kaur,&nbsp;Festus Adedoyin,&nbsp;Marcin Budka,&nbsp;Thomas W. Wainwright","doi":"10.1016/j.ijotn.2026.101299","DOIUrl":"10.1016/j.ijotn.2026.101299","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI), particularly machine learning and large language models (LLMs), has seen rapid advancements and widespread adoption over the past decade, transforming many fields, including healthcare. ChatGPT is one of the prominent chatbot interfaces that is powered by generative pre-trained transformers. ChatGPT can generate natural, human-like conversations on diverse topics, and its performance depends on the underlying model version. Due to its accessibility and versatility, this chatbot interface has generated significant interest in its use for patient education, especially among those seeking information about orthopaedic procedures, such as hip replacement surgery. Despite growing enthusiasm, the extent and nature of evidence regarding AI-based chatbots’ role in educating hip replacement patients remain unclear.</div></div><div><h3>Objective</h3><div>To systematically map and summarise the existing literature on AI-based chatbot interventions for patient education in hip replacement surgery. Specifically, to identify relevant studies, describe their characteristics and outcomes, highlight gaps in the current evidence, and provide recommendations to inform future research and clinical practice in digital health education for orthopaedic care.</div></div><div><h3>Methodology</h3><div>Following PRISMA-ScR guidelines, a systematic search of peer-reviewed articles published in English and available in databases such as EBSCO, PubMed, and Scopus was conducted. Studies were screened and selected based on predefined inclusion and exclusion criteria. Key data on chatbot features, educational content, and outcomes were extracted and thematically synthesised. Methodological quality was appraised using the Mixed Methods Appraisal Tool (MMAT) to ensure transparency and rigour.</div></div><div><h3>Results</h3><div>Ten studies, 4 quantitative non-randomised and 6 quantitative descriptive, evaluated a specific LLM, i.e. ChatGPT. Chatbots generally provided accurate, clear, and patient-friendly information, facilitating engagement and readability. Limitations included unreliable references, a limited personalisation, and a need for clinician oversight. Overall, AI-based chatbots show promise as supplementary educational tools but should not currently replace expert guidance.</div></div><div><h3>Conclusion</h3><div>AI-based chatbots show promise as supplementary tools for educating hip replacement patients, but require careful integration with clinical guidance. This review maps current evidence, guiding future research to optimise their use in orthopaedic patient education. These findings are particularly relevant for orthopaedic nurses, who play a central role in delivering patient education and supporting informed recovery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101299"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550692","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":"Nurse-led education to improve deep vein thrombosis prevention knowledge after hip arthroplasty: a sequential controlled quasi-experimental study","authors":"Kim-Tuyen Thi Nguyen,&nbsp;Loc Cong Dai Tran,&nbsp;Thang Van Nguyen","doi":"10.1016/j.ijotn.2026.101312","DOIUrl":"10.1016/j.ijotn.2026.101312","url":null,"abstract":"<div><h3>Background</h3><div>Patients undergoing hip arthroplasty require adequate knowledge to participate in venous thromboembolism (VTE) prevention, recognise warning symptoms, and follow postoperative recommendations. Because reduced mobility contributes to venous stasis, early mobilisation represents a clinically relevant and potentially modifiable preventive behaviour.</div></div><div><h3>Objective</h3><div>To evaluate whether structured nurse-led education improves short-term deep vein thrombosis (DVT) prevention knowledge after hip arthroplasty.</div></div><div><h3>Design</h3><div>Sequential controlled, non-randomised pre–post quasi-experimental study.</div></div><div><h3>Methods</h3><div>Seventy-two patients were sequentially enrolled into routine care (n = 36) or structured nurse-led DVT prevention education plus routine care (n = 36). All followed a five-day postoperative inpatient pathway. Knowledge was assessed one day before surgery and once before discharge. The primary outcome was follow-up mean domain percentage knowledge score, analysed by baseline-adjusted ANCOVA with HC3 robust standard errors. Mobility behavior was secondary outcome and documented daily using physiotherapy and nursing records plus patient confirmation.</div></div><div><h3>Results</h3><div>Baseline knowledge was similar between groups. The intervention group had a higher baseline-adjusted follow-up mean domain percentage score (difference, 45.20 percentage points; 95% CI, 37.51–52.88; p &lt; 0.001). Total raw and domain scores showed consistent effects after Holm correction. By discharge, at least three of four mobility practices had been achieved by 94.4% of controls and 91.7% of intervention participants (p = 1.000). Intervention participants initiated active bed exercise and assisted walking earlier.</div></div><div><h3>Conclusion</h3><div>Structured nurse-led education significantly improved short-term DVT prevention knowledge before discharge. Mobility findings were exploratory. Knowledge retention after discharge and effects on objectively confirmed VTE remain to be established.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101312"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698121","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":"Construction of a postoperative cervical collar use and nursing guidance protocol for single-level anterior cervical discectomy and fusion patients in cold northern China (Heilongjiang Province): A modified Delphi study","authors":"Chang Liu,&nbsp;Wei Zhao,&nbsp;Chenggang Jie,&nbsp;Yiting Zhou,&nbsp;Limin Hao,&nbsp;Yuchao Huang,&nbsp;Yuan Han,&nbsp;Jiaxing Xu,&nbsp;Kun Wang","doi":"10.1016/j.ijotn.2026.101307","DOIUrl":"10.1016/j.ijotn.2026.101307","url":null,"abstract":"<div><h3>Aim</h3><div>Guided by the Enhanced Recovery After Surgery (ERAS) concept, this study aimed to establish a postoperative nursing guidance protocol focusing on cervical collar management for patients receiving single-level anterior cervical discectomy and fusion (ACDF), to strengthen patients’ self-management of cervical collar application and lower the incidence of postoperative complications.</div></div><div><h3>Methods</h3><div>From August to December 2024, Chinese and English databases were systematically searched. After quality appraisal, evidence was synthesized to develop an initial protocol draft. Three rounds of modified Delphi expert consultation were performed with 16 specialists from tertiary hospitals to review, revise and refine the protocol.</div></div><div><h3>Results</h3><div>The final protocol consisted of a three-tier structural framework, including 4 Level 1 core functional modules, 10 Level 2 secondary classification dimensions and 29 Level 3 specific executable nursing operation items. The expert response rate was 100% across all three rounds. Expert authority coefficients were 0.796, 0.862, and 0.925, respectively. Kendall's W values were 0.171, 0.301, and 0.415 (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The protocol shows good scientific rigor and clinical applicability. Future research will focus on clinical validation to provide a theoretical basis for standardizing postoperative care for single-level ACDF patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101307"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670818","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":"Exploring barriers and facilitators to the implementation of non-pharmacological preventive nursing interventions for postoperative delirium in elderly adults with hip fracture based on the consolidated framework for implementation research: A qualitative study","authors":"Jiayi Xu,&nbsp;Yanping Guo,&nbsp;Minghui Shao,&nbsp;Aihong Tan,&nbsp;Yingchun Li,&nbsp;Weiying Zhang","doi":"10.1016/j.ijotn.2026.101309","DOIUrl":"10.1016/j.ijotn.2026.101309","url":null,"abstract":"<div><h3>Introduction</h3><div>Non-pharmacological prevention of postoperative delirium in elderly hip fracture patients shortens hospital stay and improves rehabilitation quality, but its implementation faces multiple challenges.</div></div><div><h3>Objective</h3><div>This study aimed to identify barriers and facilitators to implementing non-pharmacological preventive measures in Chinese healthcare settings, providing a basis for culturally appropriate nursing strategies.</div></div><div><h3>Methods</h3><div>A descriptive qualitative study was conducted with 21 healthcare professionals from a tertiary Grade A hospital in Shanghai. Semi-structured interviews were performed using an interview guide developed based on the updated Consolidated Framework for Implementation Research, which was also used for deductive analysis of interview data.</div></div><div><h3>Results</h3><div>Four primary themes and sixteen secondary themes of the Consolidated Framework for Implementation Research were identified, including intervention characteristics, outer setting, inner setting, and individual characteristics. A total of 11 barriers and 8 facilitators.</div></div><div><h3>Conclusion</h3><div>Key barriers include the complexity of interventions, a lack of awareness of delirium amongst family members, structural constraints within orthopaedic care workflows, and knowledge gaps amongst healthcare providers. To address these challenges, nursing-led optimization strategies are required, including the integration of delirium risk assessment into existing electronic health records, the use of a consultation-liaison model to access specialist support, and the provision of training to enhance nurses’ clinical judgement. These context-specific adaptations are designed to improve the feasibility and accuracy of non-pharmacological preventive measures and to enhance cognitive function in older patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101309"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689988","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":"Self-management behavior and its predictors in patients with lumbar degenerative diseases after surgery: A prospective cohort study","authors":"Tingting Zhang,&nbsp;Shuixia Lu,&nbsp;Jiaying Lai,&nbsp;Kailan Lai,&nbsp;Lingling Gao","doi":"10.1016/j.ijotn.2026.101308","DOIUrl":"10.1016/j.ijotn.2026.101308","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate self-management behavior and its predictors in patients with lumbar degenerative disease from hospital discharge to 3 months post-surgery.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted in Zhuhai, China, from October 2023 to August 2024. 190 patients undergoing lumbar surgery completed measures of self-management behaviors, patient activation, kinesiophobia, social support, pain, and functional disability at hospital discharge (T1), 1 month (T2), and 3 months (T3) post-surgery. Generalized estimating equations were used to analyze changes over time, and multiple linear regression was employed to identify predictors of self-management behaviors at each time point.</div></div><div><h3>Results</h3><div>The self-management behaviors remained stable from T1 to T2 but declined from T2 to T3. T1 Kinesiophobia (<em>β</em> = −0.215) and T1 functional disability (<em>β</em> = −0.212); T1 self-management behaviors (<em>β</em> = 0.717) and T2 kinesiophobia (β = −0.161); surgical approach (<em>β</em> = −0.156), T3 pain (<em>β</em> = −0.119), T2 self-management behaviors (<em>β</em> = 0.702), and T1 kinesiophobia (<em>β</em> = −0.164) were significant predictors of T1, T2 and T3 self-management behaviors, respectively.</div></div><div><h3>Conclusion</h3><div>Kinesiophobia is the key factor hindering self-management from hospital discharge to 3 months post-surgery. Current clinical practices, including offering only rehabilitation videos and health education, may be insufficient to sustain long-term self-management; instead, systematic, structured interventions that integrate cognitive-behavioral therapy with exercise training are recommended to reduce kinesiophobia and enhance long-term functional outcomes.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101308"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702553","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":"Nursing assessment of the adaptive process in individuals with traumatic spinal cord injury: Content validation","authors":"Bia Schueler Gonçalves,&nbsp;Joice Cesar de Aguiar Barbosa,&nbsp;Renan Alves Silva,&nbsp;Marcos Antonio Gomes Brandão,&nbsp;Barbara Stohler Sabença de Almeida,&nbsp;Kenia Rocha Leite Zaccaro","doi":"10.1016/j.ijotn.2026.101303","DOIUrl":"10.1016/j.ijotn.2026.101303","url":null,"abstract":"<div><h3>Background</h3><div>Instruments with evidence of validity and supported by theories are necessary for nurses to perform a systematic and accurate assessment that enables clinical reasoning and assertive decision-making, especially when it comes to the process of adapting a person to traumatic spinal cord injury.</div></div><div><h3>Objective</h3><div>To perform content validation of the instrument “Guidelines for nursing assessment of the adaptation process of individuals with traumatic spinal cord injury\".</div></div><div><h3>Methods</h3><div>This is a methodological study, a content validation study. The sample of expert judges was a non-probabilistic snowball sampling method, composed of 12 specialists from the clinical and academic fields of orthopedics, traumatology, and rehabilitation. Data collection was conducted using an online questionnaire via Google Forms®.</div></div><div><h3>Results</h3><div>When analyzing the I-CVI of each item in the instrument, we observed that all were equal to or greater than 0.83, demonstrating that all items reached the adopted cutoff point. Furthermore, there is a sufficiently elevated level of favorable agreement to support the content validity of each criterion and category of the evaluated instrument.</div></div><div><h3>Conclusions</h3><div>The instrument has evidence of content validity according to item, category, and domain regarding comprehensiveness, clarity/appropriate language, pertinence, and relevance.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101303"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498220","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":"AI-assisted concept mapping enhances orthopaedic nursing students’ critical thinking: A quasi-experimental study","authors":"Satik Sutthiviriwan,&nbsp;Nuntawat Pinyo,&nbsp;Khwanchit Kuptanont,&nbsp;Arrisara Sukwatjanee","doi":"10.1016/j.ijotn.2026.101305","DOIUrl":"10.1016/j.ijotn.2026.101305","url":null,"abstract":"<div><h3>Background</h3><div>Critical thinking (CT) is essential in orthopaedic nursing practice, where nurses must accurately assess fractures, identify complications, plan mobility strategies, and support postoperative recovery. Concept mapping (CMAP) can facilitate structured clinical reasoning, while artificial intelligence (AI) may further support conceptual organization and reflective learning processes. However, evidence regarding AI-assisted CMAP in orthopaedic nursing education remains limited.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of an AI-assisted CMAP program in improving CT among undergraduate students enrolled in an orthopaedic nursing course.</div></div><div><h3>Methods</h3><div>A two-group quasi-experimental pretest–posttest design was employed. Participants were allocated to either an experimental group receiving AI-assisted CMAP using ChatGPT (OpenAI) during a structured workshop or a control group receiving standard instructional activities. CT was evaluated using a validated 12-item CMAP-based assessment tool administered before and after the intervention. Data were analyzed using mixed-design ANOVA and ANCOVA.</div></div><div><h3>Results</h3><div>CT scores improved significantly over time, with greater improvement observed in the experimental group. Mean CT scores in the experimental group increased from 2.40 ± 0.50 at pretest to 2.97 ± 0.72 at posttest, whereas scores in the control group increased from 2.43 ± 0.68 to 2.57 ± 0.63. A significant interaction effect between time and group was identified (F(1,58) = 9.705, p = .003, partial η² = 0.143). Students in the experimental group also reported high satisfaction with the AI-assisted CMAP program.</div></div><div><h3>Conclusions</h3><div>AI-assisted CMAP may support CT development and structured clinical reasoning in orthopaedic nursing education. Integrating AI-assisted reflective support into concept-mapping activities may provide an effective pedagogical approach for helping nursing students organize and integrate complex clinical information.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"62 ","pages":"Article 101305"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550720","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}