Orthopaedic NursingPub Date : 2025-09-01Epub Date: 2025-09-23DOI: 10.1097/NOR.0000000000001151
Mehmet Dalkılıç, Ayşegül Savcı, Hale Turhan Damar
{"title":"The Effect of Fear of Falling and Kinesiophobia on Older Patients' Readiness for Discharge After Total Joint Arthroplasty.","authors":"Mehmet Dalkılıç, Ayşegül Savcı, Hale Turhan Damar","doi":"10.1097/NOR.0000000000001151","DOIUrl":"10.1097/NOR.0000000000001151","url":null,"abstract":"<p><p>This study was conducted to determine the relationship between older patients' readiness for discharge after total arthroplasty and fear of falling, kinesiophobia, and other variables. This correlational and cross-sectional study was conducted with 250 older people who had undergone total knee and hip arthroplasty. Data were collected using a Patient Descriptive and Clinical Information Form, the Fear of Falling Scale, the Visual Analog Scale, the Tampa Kinesiophobia Scale, and the Readiness for Hospital Discharge Scale-Short Form. The mean Readiness for Hospital Discharge Scale (RHDS) score was 4.70 ± 1.23, and 84.4% of the participants were found to be not ready for discharge. This is low in comparison to the findings from other studies. The model created for readiness for discharge explained 30% of the total variance (p < .005). The independent variables included in the model, namely fear of falling, pain, age, and number of mobilizations, were determined to be statistically significant predictors of readiness for discharge. It is necessary to support mobilization and manage the fear of falling and pain to increase older patients' readiness for discharge following surgery.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"286-295"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2025-09-01Epub Date: 2025-09-23DOI: 10.1097/NOR.0000000000001156
{"title":"NAON Foundation Congress Scholarships 2025.","authors":"","doi":"10.1097/NOR.0000000000001156","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001156","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"267"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2025-07-01Epub Date: 2025-07-18DOI: 10.1097/NOR.0000000000001109
Mahmut Dağcı, Seher Deniz Öztekin, Serdar Yeşiltaş
{"title":"Managing Sounds in the Operating Room: Improving Patient Care Using Active and Passive Noise Control.","authors":"Mahmut Dağcı, Seher Deniz Öztekin, Serdar Yeşiltaş","doi":"10.1097/NOR.0000000000001109","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001109","url":null,"abstract":"<p><p>Sounds are used to communicate, whereas noise is an unwanted or unpleasant sound. Each of these can be perceived differently by humans and nonhumans and in different situations. In operating rooms (ORs), high levels of sound perceived as noise can increase patient stress levels and delay recovery from surgery, which has a negative impact on the treatment process. Active and passive noise control methods must be implemented to ensure patient safety during surgery. Active noise control uses computer technology to create counter-phase sound waves by listening to sounds within the environment. Passive noise control aims to reduce noise through soundproofing and dampening. Each method has its own advantages and disadvantages; however, the use of both methods in the OR can provide a quieter, safer, and more patient-focused environment for surgical care. The aim of this review was to explain the effects on patients of environmental noise within the OR and the importance of using individual noise control for these patients.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 4","pages":"225-230"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2025-07-01Epub Date: 2025-07-18DOI: 10.1097/NOR.0000000000001136
Leah Goldberg, Jennifer Hehl, Sara Strecker, Dan Witmer
{"title":"Examining Preoperative Patient Education and Preparedness Using Patient-Reported Outcomes for Patients Undergoing Staged Bilateral Total Joint Arthroplasty.","authors":"Leah Goldberg, Jennifer Hehl, Sara Strecker, Dan Witmer","doi":"10.1097/NOR.0000000000001136","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001136","url":null,"abstract":"<p><p>Patient preparedness influences the overall patient experience for elective surgery. Thirty percent of total joint arthroplasty (TJA) patients require a staged arthroplasty to correct bilateral arthritis, therefore preparedness and outcomes were compared between the first and second surgery. The purpose of this study was to explore if patients felt more prepared for their second surgery and examine differences in patient-reported outcomes (PROs). An exploratory, retrospective chart review was done to assess patients' feeling prepared for surgery, PROs, and surgical outcomes for patients undergoing staged bilateral TJAs. Fifty-eight percent of patients felt \"very prepared\" for the first surgery, whereas 76% felt \"very prepared\" for the second surgery (p = .027). Twenty-nine percent felt their postoperative pain management plan was very clearly communicated to them for the first surgery compared to 67% for their second surgery (p < .001). PROs and surgical outcomes showed no significant differences. While surgical outcomes do not differ between contralateral sides for staged bilateral TJA, patients report feeling more prepared for their second surgery. Patients' varying experiences of feeling prepared for their surgeries can help nurses refine content and optimize patient preoperative education efforts.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 4","pages":"217-224"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2025-07-01Epub Date: 2025-07-18DOI: 10.1097/NOR.0000000000001140
Elizabeth Ann Carlson
{"title":"Fauci and the Black Angels.","authors":"Elizabeth Ann Carlson","doi":"10.1097/NOR.0000000000001140","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001140","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 4","pages":"248-250"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2025-07-01Epub Date: 2025-07-18DOI: 10.1097/NOR.0000000000001146
{"title":"An Evaluation of Orthopaedic Nurse Preparedness to Address the 2024 CMS and Joint Commission SDOH Requirements.","authors":"","doi":"10.1097/NOR.0000000000001146","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001146","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 4","pages":"E21"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthopaedic NursingPub Date : 2025-07-01Epub Date: 2025-07-18DOI: 10.1097/NOR.0000000000001145
{"title":"Data Submission to the American Spine Registry for Advanced Disease-Specific Certification in Spine Surgery.","authors":"","doi":"10.1097/NOR.0000000000001145","DOIUrl":"https://doi.org/10.1097/NOR.0000000000001145","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 4","pages":"E19-E20"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}