International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review","authors":"Chun Huang ,&nbsp;Jian Song ,&nbsp;Lingli Peng ,&nbsp;Zirong Tao","doi":"10.1016/j.ijotn.2025.101162","DOIUrl":"10.1016/j.ijotn.2025.101162","url":null,"abstract":"<div><h3>Background</h3><div>Unmet nursing needs during hospital discharge for elderly patients with hip fractures may lead to increased readmission rates and mortality.</div></div><div><h3>Objective</h3><div>To investigate the discharge transition experience and nursing needs of elderly patients with hip fracture.</div></div><div><h3>Methods</h3><div>Five electronic databases (PubMed, Web of science, Ovid, CINAHL, Embase) were searched from Jan. 1st, 2014 to Nov. 1st, 2024. Qualitative studies that reported the experiences, perceptions, and needs of elderly patients with hip fractures during the discharge transition were included. Two authors independently screened, and extracted themes. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was used to evaluate the quality of literature. Themes were generated by the thematic analysis method of data from the original study.</div></div><div><h3>Results</h3><div>A total of 11 qualitative studies were included. And three themes were identified: (1) challenges of transition and rehabilitation, (2) adaptation and coping, (3) ensuring patient-centered rehabilitation and discharge care.</div></div><div><h3>Conclusion</h3><div>It is crucial for healthcare staff to address the discharge transition experiences and nursing needs of elderly patients with hip fracture. Additionally, the findings of this review offer valuable insights for healthcare policymakers and administrators to enhance support for patients during the discharge process.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101162"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387765","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 – Skin traction in orthopaedic care: Efficacy, management and clinical practices across the life course","authors":"Sonya Clarke,&nbsp;Shareena Bibi Mohd Arif,&nbsp;Carmen Queiros","doi":"10.1016/j.ijotn.2025.101160","DOIUrl":"10.1016/j.ijotn.2025.101160","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101160"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349346","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":"Increasing primary care nurse practitioner student confidence in select therapeutic musculoskeletal injections: A pilot study","authors":"Nancy G. Russell,&nbsp;Rita F. D’Aoust,&nbsp;Chakra Budhathoki,&nbsp;Brenda Douglass,&nbsp;Catherine Ling","doi":"10.1016/j.ijotn.2025.101182","DOIUrl":"10.1016/j.ijotn.2025.101182","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal conditions are commonly seen in outpatient settings, where many advanced practice nurses (registered nurses with additional graduate education and training) are filling the gap of primary care provider shortages globally. Family nurse practitioners (FNPs) are the most common advanced practice nurse type in primary care settings in the U.S. Therapeutic injections are recommended in a variety of knee and shoulder musculoskeletal disorders to provide short to moderate term improvement, but are underutilized in primary care, due in part to lack of provider comfort and training. Literature is limited regarding primary care nurse practitioner student training on therapeutic musculoskeletal injections. The purpose of this project was to increase family nurse practitioner (FNP) student confidence in providing therapeutic subacromial bursae shoulder and knee joint corticosteroid injections.</div></div><div><h3>Methods</h3><div>A pre/post design was used to evaluate participant confidence in knowledge and skill performance before and after an in-person workshop intervention focused on subacromial bursae shoulder and knee joint therapeutic injections.</div></div><div><h3>Results</h3><div>Twenty-four graduate nursing students training to be FNPs in a Doctor of Nurse Practice (DNP) program at one school of nursing participated. All knowledge and skill confidence change scores were statistically significant (p &lt; .001) after the intervention. Most participants reported they were more likely to perform an intra-articular knee and subacromial bursae shoulder injection after the intervention.</div></div><div><h3>Conclusions</h3><div>Therapeutic corticosteroid injections are an important skill for advanced practice nurses in primary care. An in-person, experiential procedure workshop can increase the confidence of FNP students in therapeutic subacromial bursae shoulder and knee joint corticosteroid injections.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101182"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847993","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 preoperative education on fear of first mobilization experienced after total knee arthroplasty in individuals","authors":"Ayşegül Kaya İmrek ,&nbsp;Meryem Yilmaz","doi":"10.1016/j.ijotn.2025.101189","DOIUrl":"10.1016/j.ijotn.2025.101189","url":null,"abstract":"<div><h3>Objective</h3><div>Total knee arthroplasty is a surgical intervention performed to reduce pain and movement restriction resulting from advanced joint deformity in individuals diagnosed with osteoarthritis, and to improve their quality of life and functionality. Meeting the preoperative educational needs of individuals undergoing total knee arthroplasty positively impacts postoperative recovery, mobilization, and rehabilitation. In this context, this study was conducted to determine the effect of preoperative education on fear of mobilization experienced after surgery in individuals who have undergone total knee arthroplasty.</div></div><div><h3>Materials and methods</h3><div>This study, was conducted using a single-group pre-test-post-test model, included 36 individuals who underwent total knee arthroplasty. Data were collected preoperatively and postoperatively using a questionnaire, a fear of falling and fall history assessment form, a Visual Analog Scale-10 (VAS-10), and a fall information exchange form.</div></div><div><h3>Results</h3><div>The average age of the 36 participants (27 women [75 %]; 9 men [25 %]) was 65.56 ± 4.39 years. The pre-education level of fear was 5.09 ± 1.57, the post-education level of fear was 3.73 ± 0.68, and the level of fear of pre-mobilization was 4.08 ± 0.81. A statistically significant difference was found between the pre-education and post-education level of fear of mobilization (t = 8.324, p = 0.000), between the post-education level and the level of fear before the first mobilization (t = −22.293, p = 0.000). However, it should be noted that fear of mobilization slightly increased during the postoperative first mobilization compared to after education; this may be related to patients' fear of mobilization, pain or anxiety.</div></div><div><h3>Conclusion</h3><div>The results of this study show that preoperative education provided to individuals undergoing total knee arthroplasty has positive effects on reducing fear of first mobilization experienced after surgery.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101189"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942404","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":"Discharge transition experience and nursing needs of elderly patients with hip fracture: A qualitative systematic review [Letter]","authors":"Sari Luthfiyah ,&nbsp;Triwiyanto Triwiyanto ,&nbsp;Hery Sumasto ,&nbsp;Mohammed Ismath","doi":"10.1016/j.ijotn.2025.101177","DOIUrl":"10.1016/j.ijotn.2025.101177","url":null,"abstract":"<div><div>This letter addresses the article \"Discharge Transition Experience and Nursing Needs of Elderly Patients with Hip Fracture: A Qualitative Systematic Review\" by Chun Huang et al., published in the International Journal of Orthopaedic and Trauma Nursing. The review offers valuable insights into the discharge transition experiences and nursing needs of elderly patients recovering from hip fractures, emphasizing critical aspects of care, such as rehabilitation, emotional well-being, and coordinated discharge planning. However, the review has notable limitations, including its focus on studies from developed countries, exclusion of patients with significant cognitive impairments, and the absence of quantitative data on the effectiveness of nursing interventions. Future research should aim to include a broader range of patient populations, particularly those with cognitive impairments, and consider diverse healthcare systems. Incorporating mixed-methods research and digital health technologies could also enhance the understanding and management of discharge transitions. The letter concludes by appreciating the contributions of the original review and suggesting directions for further research to improve care for elderly hip fracture patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101177"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781518","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":"Parents' and nurses’ experiences when children undergo limb lengthening treatment","authors":"Anders Ringnér ,&nbsp;Malin Ljung ,&nbsp;Anna-Clara Rullander","doi":"10.1016/j.ijotn.2025.101176","DOIUrl":"10.1016/j.ijotn.2025.101176","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101176"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697616","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":"Enhanced recovery pathways improve early outcomes and reduce length of stay in primary hip and knee arthroplasty: A systematic review of randomized controlled trials","authors":"Larissa Sattler ,&nbsp;Elizabeth Puze ,&nbsp;Kendal Sands ,&nbsp;William Talbot","doi":"10.1016/j.ijotn.2025.101186","DOIUrl":"10.1016/j.ijotn.2025.101186","url":null,"abstract":"<div><h3>Background</h3><div>Enhanced Recovery After Surgery (ERAS) protocols represent an evidence-based approach to perioperative care, though evidence from randomized controlled trials in primary hip and knee arthroplasty remains limited.</div></div><div><h3>Objective</h3><div>This systematic review aims to synthesize evidence from randomized controlled trials (RCTs) comparing ERAS protocols with standard care for primary hip and knee arthroplasty.</div></div><div><h3>Methods</h3><div>Four databases were searched following PRISMA guidelines. RCTs comparing ERAS protocols with standard care for primary hip or knee arthroplasty were included. Primary outcome was length of stay (LOS), with secondary outcomes including patient-reported outcomes, functional measures, and complications.</div></div><div><h3>Results</h3><div>Five RCTs (710 patients) met inclusion criteria. ERAS pathways reduced LOS by an average of 4.7 days compared to standard care. Patients in ERAS protocols demonstrated superior early functional recovery, particularly in the first postoperative week, with improved performance in mobility tests and daily activities. Patient-reported outcomes generally favoured ERAS protocols, though measurement heterogeneity limited synthesis. No studies reported increased complications with ERAS implementation. The role of multidisciplinary teams, particularly nurse coordinators, was identified as an important for protocol success.</div></div><div><h3>Conclusion</h3><div>This systematic review of RCTs provides strong evidence that ERAS pathways reduce length of stay following primary hip and knee arthroplasty without compromising patient outcomes or safety. While ERAS protocols were associated with improved early functional recovery, heterogeneity in assessment methods limits definitive conclusions.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101186"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895600","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 less invasive catheterization protocol for managing urinary retention in patients undergoing hip and knee arthroplasty: A prospective cohort study","authors":"Keetie Kremers-van de Hei ,&nbsp;Bob Evers ,&nbsp;Lotte Weijers ,&nbsp;Diederick Duijvesz ,&nbsp;Berend Willem Schreurs ,&nbsp;Sander Koeter","doi":"10.1016/j.ijotn.2025.101172","DOIUrl":"10.1016/j.ijotn.2025.101172","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative urinary retention is a frequently seen serious complication after surgery. After orthopaedic hip or knee arthroplasty the incidence is relatively high, between 30 and 50% in previous studies. Currently, there is no consensus on the indication for urinary catheterization and a uniform guideline is lacking. This prospective cohort study examined the safety of a modified catheterization protocol with a catheterization threshold of 800 ml instead of 400 ml (usual care) after elective joint arthroplasty using ultrasound bladder scans. The hypothesis was that the incidence of catheterization will be reduced without increasing urinary complications.</div></div><div><h3>Method</h3><div>We prospectively included 305 patients who were treated according to the local fast track arthroplasty protocol in which a modified catheterization protocol was used. Catheterization was only performed at a scan volume of 800 ml or more. Bladder contents were monitored preoperatively, immediately postoperatively and at outpatient follow-up. Urological scores and complications were monitored. The usual care control group was treated according to the usual care protocol with a threshold for catheterization of 400 ml, these results were published in a previous study.</div></div><div><h3>Results</h3><div>The incidence of catheterization for urinary retention was significantly lower in patients who were treated with the less invasive protocol than the usual care control group (11.1% versus 48.8%, p &lt; 0.001). The rate of urologic complications was low using the new protocol (4% urinary tract infection and 0.3% pharmacological interventions).</div></div><div><h3>Conclusion</h3><div>The results of our study provide strong empirical support for modifying catheterization protocols after orthopaedic surgery. A less invasive protocol is safe, provides reduction in workload for nurses, is patient-friendly and reduces costs.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101172"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579400","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 transition of young people to adult services within orthopaedic healthcare -Editorial for May 2025 issue","authors":"Sonya Clarke (Dr)","doi":"10.1016/j.ijotn.2025.101165","DOIUrl":"10.1016/j.ijotn.2025.101165","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101165"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474785","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":"Healthcare professional's management of the risk for postoperative urinary retention in hip surgery patients – a qualitative interview study","authors":"Ami Hommel ,&nbsp;Nina Hummerdal ,&nbsp;Lovisa Strålöga ,&nbsp;Joan Ostaszkiewicz ,&nbsp;Maria Hälleberg-Nyman","doi":"10.1016/j.ijotn.2025.101180","DOIUrl":"10.1016/j.ijotn.2025.101180","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative urine retention can lead to permanent bladder dysfunction. This occurs even though healthcare personnel can access evidence-based guidelines on avoiding urine bladder injuries related to care.</div></div><div><h3>Aim</h3><div>This study aimed to describe healthcare professionals’ experiences with, and strategies to avoid post-operative urinary retention among hip surgery patients.</div></div><div><h3>Method</h3><div>A descriptive qualitative study using telephone interviews, were conducted in April to June 2021, with 22 healthcare professionals (13 nurses, 7 nursing assistants and 2 occupational therapists) in 17 orthopaedic wards in Sweden. Qualitative content analysis of interview data was performed.</div></div><div><h3>Results</h3><div>Five categories were identified: “Knowledge about guidelines regarding bladder monitoring”, “Understanding of patients' prehospital bladder function influences healthcare professionals’ reasoning and actions”, “Strategies are applied to make it easier for the patients to empty their bladder”, “Indwelling catheter is used routinely” and “Short length of stay creates stress”.</div></div><div><h3>Conclusion</h3><div>To optimise safe patient bladder monitoring after hip surgery, health care professionals need to be more aware of the availability of guidelines about bladder monitoring to adopt consistent monitoring practices, and to have enough time to care for patients.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101180"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833348","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}