International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Low back pain knowledge and associated disability among nursing staff in Oman","authors":"Azza Ali Alabdali,&nbsp;Huda Al-Noumani,&nbsp;Tasnim Khalifa Al Harrasi,&nbsp;Alzahraa Ali Al Daghaishi,&nbsp;Maryam Ali Al Rasbi,&nbsp;Huda khalaf Alaamri,&nbsp;Yusra Nasser Al Abdali,&nbsp;Zeinab AlAzri","doi":"10.1016/j.ijotn.2024.101085","DOIUrl":"10.1016/j.ijotn.2024.101085","url":null,"abstract":"<div><h3>Background</h3><p>Low back pain is a prevalent issue worldwide, impacting all healthcare professionals, in particular nurses, and leading to disability.</p></div><div><h3>Objective</h3><p>This study aimed to explore the predictive contribution of demographic factors, the presence of LBP, and knowledge about LBP in forecasting the level of disability among nurses in Oman.</p></div><div><h3>Method</h3><p>A cross-sectional study was conducted using a paper-based questionnaire comprising two valid tools: the Low Back Pain Knowledge Questionnaire and the Oswestry Low Back Disability Questionnaire. A total of 236 nurses working in two tertiary hospitals in Oman participated in the study.</p></div><div><h3>Result</h3><p>The findings indicate that 66.8% of nurses had low back pain. The low back pain knowledge score was 13.81(SD 4.42). The mean disability score was 9.13 (SD 8.56), indicating mild disability. There is a negative significant association between low back pain knowledge (r = -0.24, <em>p</em> &lt; .004) and disability level. The low back pain presence was also significantly associated with disability level (<em>t</em> (233) = 4.606, <em>p</em> &lt; .001). The results of the regression indicated the two predictors (i.e., knowledge level and low back pain) explained 13 % of the variation in nurses’ disability level [F (3,230) = 11.447, p = .01].</p></div><div><h3>Conclusion</h3><p>Low back pain is prevalent among nurses in Oman, and it is associated with disability. Preventive strategies need to be implemented.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101085"},"PeriodicalIF":1.4,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139878078","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":"Impact of obesity on patient-reported physical activity level, knee pain and functional capacity 12 months after unicompartmental or total knee arthroplasty","authors":"Mette Garval ,&nbsp;Thomas Maribo ,&nbsp;Rikke Mikkelsen ,&nbsp;Jacob Beck ,&nbsp;Anne Mette Schmidt","doi":"10.1016/j.ijotn.2024.101084","DOIUrl":"10.1016/j.ijotn.2024.101084","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101084"},"PeriodicalIF":1.4,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747550","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":"Unintended consequences of using collars with occipital extensions in neck support – Snapshot assessment at the largest tertiary spinal referral centre in the UK","authors":"N. Patel ,&nbsp;A. Rajabian ,&nbsp;J. George","doi":"10.1016/j.ijotn.2024.101083","DOIUrl":"10.1016/j.ijotn.2024.101083","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Upper cervical spine fractures<span> are commonplace in the elderly following low energy trauma. These injuries<span> carry high mortality rates, similar to patients sustaining </span></span></span>hip fractures. A key aspect affecting clinical outcome is effective management in the first 12 weeks following injury. This study aims to assess the understanding of healthcare staff that may be required to care for such patients.</p></div><div><h3>Materials and methods</h3><p>A survey was carried out over a single day at the UK's largest Spine Specialist referral centre (Salford Royal Foundation Trust, SRFT) assessing the understanding of healthcare staff of the term, ‘Collar with occipital extension’, by asking staff to identify the safe position of the neck when looking at clinical images of a model in a collar in various different neck positions. The participants demographics were then taken, including profession, grade, spinal/post graduate experience, if English is their first language and their understanding of the term ‘Collar with occipital extension’.</p></div><div><h3>Results</h3><p>102 participants were interviewed and the results showed almost half (45.1%) of participants selecting an incorrect hyperextended neck to be a safe position for conservative treatment and only 37.3% selecting the neutral position as satisfactory. The only positive predictors identified for those selective the neutral safe cervical spine alignment was if participants had &gt;5 years of previous spinal experience (p = 0.0006) or if they understood the term ‘Collar with occipital extension’ to be describing the collar component (p = 0.000013) and not neck position.</p></div><div><h3>Conclusion</h3><p>Management of spinal injuries are classically poorly managed in non-spinal centres, possibly due to the lack of training and understanding within the spinal speciality. This study shows the importance of clearly communicating with referring hospitals exactly how to conservatively manage patients with high cervical injuries to best improve clinical outcome.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"53 ","pages":"Article 101083"},"PeriodicalIF":1.4,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713227","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 care after hand replantation based on Roy's adaptation model: A case report","authors":"Kamile Akarsu","doi":"10.1016/j.ijotn.2023.101039","DOIUrl":"10.1016/j.ijotn.2023.101039","url":null,"abstract":"<div><h3>Background</h3><p>Hand injuries are very complex and worrying in terms of hindering activities of daily living, functionality and self-care skills. Hand injuries are caused by traumatic events, resulting in a partial or complete loss. The focus of acute treatment is surgical replantation.</p></div><div><h3>Aim</h3><p><span>In this study, nursing care and nursing experiences of a patient who was replanted as a result of hand trauma were discussed in the light of the </span>Roy Adaptation Model.</p></div><div><h3>Case</h3><p>The male patient admitted to the emergency room due to traumatic amputation was a 49-year-old farmer. He lost his hand to an agricultural tool while working the land and was taken to the hospital within 4 h. He was taken up for emergency surgery for replantation. He has a history of diabetes mellitus. Nursing follow-up and interventions were applied by evaluating the data according to four adaptation modes (physiological needs, self-concept, role function and interdependence) within the scope of the Roy Adaptation Model.</p></div><div><h3>Conclusion</h3><p>and Suggestions: Patients experience difficulties (loss of function, financial problems, loss of role, psychological traumas) due to disability after injury<span>. Therefore, nurses should know the underlying physiological risks, complications, and interventions to recognize and respond to situations that cause the loss of the reattached limb. Nursing models can identify patients' needs and problems, prevent complications, provide quality care, and manage the process. This study discussed the postoperative nursing care of a patient based on Roy's Adaptation Model.</span></p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101039"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154951","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":"Pain management education needs for nurses caring for older adults undergoing total knee replacement","authors":"Chayada Piyakhachornrot ,&nbsp;Phichpraorn Youngcharoen","doi":"10.1016/j.ijotn.2023.101037","DOIUrl":"10.1016/j.ijotn.2023.101037","url":null,"abstract":"<div><h3>Introduction</h3><p>Effective postoperative pain management is necessary to improve the outcomes of older adults undergoing total knee replacement (TKR). Discovering what registered nurses (RNs) need to know about pain management may be beneficial to improving the quality of care.</p></div><div><h3>Aim</h3><p>The study aimed to identify the information needed to develop pain management education for RNs caring for older adults undergoing TKR.</p></div><div><h3>Methods</h3><p>A qualitative descriptive design was used in this study. Three focus groups were conducted with 22 staff RNs with experience caring for older adults undergoing TKR at a supra-tertiary care hospital in Bangkok, Thailand; one focus group was conducted with five members of the hospital's nursing pain management committee. Data were analyzed using content analysis.</p></div><div><h3>Results</h3><p>Two themes relevant to pain assessment education were pain assessment and pain management. Subthemes of pain assessment included challenges in cognitively impaired older adults, inadequate knowledge and misconceptions, and re-assessing pain. Three subthemes of pain management were created, including knowledge of pain medication, new trends in pharmacological pain management and devices, and non-pharmacological pain management using cold compression.</p></div><div><h3>Conclusions</h3><p>RNs require current information about pain management to provide effective postoperative care for older adults undergoing TKR. The findings may be used in pain management education to update RNs’ knowledge of pain management.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101037"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124123000412/pdfft?md5=d7ed24e75726fed9fda9b6b2af83b980&pid=1-s2.0-S1878124123000412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9763797","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":"Effect of educational program on knowledge and self-care behavior among arthritis patients: Pre-experimental research design","authors":"N.R. Gurjar","doi":"10.1016/j.ijotn.2023.101038","DOIUrl":"10.1016/j.ijotn.2023.101038","url":null,"abstract":"<div><h3>Background</h3><p>Arthritis is a chronic condition of the joints and taking medicine alone cannot <strong>be</strong><span> effective in getting better result as there is no cure of the disease. Understanding the condition and the steps necessary to limit the disease's progression increases the practice of self-care </span><strong>behaviours,</strong> which are crucial for halting the disease's progression and sustaining quality of life.</p></div><div><h3>Objective</h3><p>The study aimed to assess the effectiveness of <strong>a</strong> nurse led educational program on knowledge and self-care behavior among arthritis patients.</p></div><div><h3>Methods</h3><p>This study used <strong>a</strong> single group pre-test and post-test, pre-experimental research design and selected 210 study participants using a convenient sampling technique at OPD of Ortho and Medicine department, Nims Medical College and Hospital, Nims University, Rajasthan, Jaipur, India.After pretest, patients participated in a four session of nurse led educational program, then post test was conducted after three months.</p></div><div><h3>Results</h3><p>The result shows that there was significant improvement in knowledge and self-care behavior among arthritis patients after the supportive educational program (p = 0.001).</p></div><div><h3>Conclusion</h3><p>The nurse led educational program can be seen as useful aid in raising knowledge and self-care behavior for the management of disease among patients.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101038"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41166769","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 initiated auricular acupressure for post-operative pain control in patients undergoing TKA or THA: A randomized controlled trial","authors":"Carolyn Huffman ,&nbsp;Juli Olson ,&nbsp;Joni K. Evans ,&nbsp;Teresa Brady ,&nbsp;Sonia Huff ,&nbsp;Brie Bishop ,&nbsp;Ellen Abbott ,&nbsp;Karen Wishon ,&nbsp;Kyle Washburn ,&nbsp;Remy Coeytaux","doi":"10.1016/j.ijotn.2023.101035","DOIUrl":"10.1016/j.ijotn.2023.101035","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101035"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9823304","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":"Does early or late discharge after total knee replacement affect the burden and stress of caregivers?","authors":"Özlem Fidan ,&nbsp;Nihal Buker ,&nbsp;Raziye Savkin ,&nbsp;Arife Sanlialp Zeyrek","doi":"10.1016/j.ijotn.2023.101036","DOIUrl":"10.1016/j.ijotn.2023.101036","url":null,"abstract":"<div><h3>Background</h3><p>Since patients may experience difficulties in their daily activities after total knee replacement<span> surgery, the role of the caregiver is important in supporting the daily needs of the patients. Caregivers are involved in the day-to-day care activities of the patient during the recovery process, managing their symptoms and providing support. All these factors can affect the burden and stress of caregivers.</span></p></div><div><h3>Methods</h3><p>It was aimed to compare the caregiver burden and stress of caregivers of total knee replacement patients who were discharged on the same day of surgery and at a later point. Data were collected from 140 caregivers by using the Bakas Caregiving Outcomes Scale, Zarit Caregiving Burden Scale, and Stress Coping Styles Scale.</p></div><div><h3>Results</h3><p>There was no significant difference between on the same day of surgery discharge and later discharge in terms of care burden and stress of caregivers (p &gt; 0.05). While the burden of care was mild to moderate (22.15 ± 13.76) on the same day of surgery discharge group, the burden of care in the later discharge group was very low (19.03 ± 13.65).</p></div><div><h3>Conclusion</h3><p>In order to reduce the care burden and stress levels of caregivers, it is important that nurses determine the problems related to caregiving and provide the necessary support.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101036"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9763716","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":"Level of implementation of pain management and early mobilization strategies to prevent delirium in geriatric trauma patients: A mixed-methods study","authors":"Maryline Beaudoin ,&nbsp;Etienne L. Belzile ,&nbsp;Céline Gélinas ,&nbsp;David Trépanier ,&nbsp;Marcel Émond ,&nbsp;Marc-Aurèle Gagnon ,&nbsp;Mélanie Bérubé","doi":"10.1016/j.ijotn.2023.101050","DOIUrl":"10.1016/j.ijotn.2023.101050","url":null,"abstract":"<div><h3>Background</h3><p><span>Pain management and </span>early mobilization strategies are recommended in clinical practice guidelines for the prevention of delirium in older adults. However, available data on the implementation of these strategies in trauma are limited.</p></div><div><h3>Aims</h3><p>To describe the use of pain management and early mobilization strategies in older adults at a level I trauma center, as well as the facilitators and barriers to their implementation.</p></div><div><h3>Methods</h3><p>A convergent mixed methods study was used. Quantitative data were collected from sixty medical records. Qualitative data was collected through a focus group with healthcare providers to explore their perspectives regarding the use of the target practices and on barriers and facilitators to their implementation. Descriptive statistics were calculated, and a thematic analysis using an inductive and deductive interpretative descriptive approach was undertaken.</p></div><div><h3>Results</h3><p>A question on the presence/absence of pain was the most frequently documented pain assessment method. Pain assessment was poorly documented. Frequencies of non-opioid and opioid administrations were similar, but non-pharmacological strategies were not widely used. The first mobilization was performed quickly and was most commonly to a chair. The focus group discussion confirmed many of the data collected in the medical records. Barriers to implementing the targeted strategies were primarily related to organizational context and facilitation processes.</p></div><div><h3>Conclusions</h3><p>Areas for improvement were identified including pain assessment, the use of non-pharmacological pain management strategies and ambulation as a mobilization strategy. Our findings will serve as a starting point for optimizing and adapting practices for geriatric trauma patients and evaluating their impact.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101050"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239700","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":"Mary Drozd,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2023.101058","DOIUrl":"10.1016/j.ijotn.2023.101058","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"52 ","pages":"Article 101058"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136127692","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}