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International Journal of Orthopaedic and Trauma Nursing

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https://www.readbyqxmd.com/read/28416178/the-effect-of-time-to-surgery-on-functional-ability-at-six-weeks-in-a-hip-fracture-population-in-mid-west-ireland
#1
Audrey Butler, Sinead Hahessy, Finbarr Condon
Patients with a hip fracture may be appropriately delayed for surgery as they require optimisation or clinical interventions to treat acute medical illnesses (Moja et al., 2012). Other patients are inappropriately delayed due to hospital factors (Brener, 2013; Lee & Elfar, 2014). Timely efficient admission and surgery is well documented as the best course of management for these patients. The aim of this prospective cohort longitudinal follow-up study was to establish if a relationship existed between duration of time spent in the Emergency Department (ED), time to surgery and functional ability in patients with hip fractures and to examine the effect prolonged waits may have on ability to return home...
March 9, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28416177/restoring-how-older-adults-manage-their-recovery-from-hip-fracture
#2
David J Healee, Antoinette McCallin, Marion Jones
AIMS AND OBJECTIVES: To generate a substantive theory that explained recovery from hip fracture from the perspective of older adults and find out how they managed it. BACKGROUND: Hip fracture is a well-researched phenomenon. The perspective of how older adults recover from hip fracture has been examined least of all. Patients spend less time in hospital following injury and generally recover in their home setting. DESIGN: A Glaserian grounded theory approach was used for this study...
March 9, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28284661/sleep-in-orthopaedic-patients-a-nationwide-study-project-report
#3
Kirsten Specht, Hanne Mainz
No abstract text is available yet for this article.
February 7, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28233693/evidence-based-practice-taking-the-pressure-off
#4
EDITORIAL
Julie Santy-Tomlinson
No abstract text is available yet for this article.
February 7, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27931884/a-sense-of-security-spouses-experiences-of-participating-in-an-orthopaedic-case-management-intervention-the-sicam-trial
#5
Connie Bøttcher Cb Berthelsen, Jimmie Kristensson
The aim of the study was to explore and describe spouses' experiences of participating in a case management intervention during older patients' fast-track programme having total hip replacement as well as which intervention elements they found useful. Data were collected through qualitative interviews with 10 spouses from the intervention group of the SICAM-trial, directed by predetermined codes based on elements of the intervention. Data were analysed by both authors using directed content analysis. The results showed that the spouses were very pleased about being a part of the case management intervention...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27931883/quality-of-counselling-for-knee-and-shoulder-arthroscopy-patients-during-day-surgery
#6
Pirjo Kaakinen, Helka Ervasti, Maria Kääriäinen
BACKGROUND: Counselling for day surgery patients is one of the core components for a knee or shoulder arthroscopy patient to succeed in self-care. AIM: This cross-sectional study examined the quality of counselling given to patients (n = 86) during their day surgery, using the Counselling Quality Instrument (CQI). METHODS: The data were analysed using basic and multivariate statistical methods. RESULTS: Most respondents were male and aged over 50 years...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27919714/initial-testing-of-a-behavioural-pain-assessment-tool-within-trauma-units
#7
Julie Gregory
Pain is common in trauma patients who may be older and also may have cognitive impairment leading to reduced communication about their pain. A number of observational pain assessment tools are available and have been found to have limited clinical usefulness. The Bolton Pain Assessment Tool (BPAT) was developed following a trial of three established tools and includes a section to involve family and/or close carers in the pain assessment process. The aim of this paper is to present the findings of initial testing of BPAT...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27615119/orchestrating-care-through-the-fast-track-perspective-a-qualitative-content-analysis-of-the-provision-of-individualised-nursing-care-in-orthopaedic-fast-track-programmes
#8
Connie Bøttcher Berthelsen, Kirsten Frederiksen
The lack of individualised care in orthopaedic regimes is often explained by the extended use of patient pathways and clinical guidelines. The aim of this study was to illuminate orthopaedic nurses' perceptions and experiences of providing individual nursing care for older patients in standardised fast-track programmes after total hip or knee replacement. Ten semi-structured interviews were conducted with orthopaedic nurses in orthopaedic wards at three Danish hospitals between April and June of 2015. Data were analysed using manifest and latent content analysis according to Graneheim and Lundman...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27613074/spinal-fusion-surgery-from-relief-to-insecurity
#9
Janne B Damsgaard, Lene B Jørgensen, Annelise Norlyk, Regner Birkelund
BACKGROUND: During their decision-making process patients perceive surgery as a voluntary yet necessary choice. Surgery initiates hope for a life with less pain but also creates a feeling of existential insecurity in terms of fear, isolation and uncertainty. AIM: The aim of this study was to explore how patients experience their situation from the point of making the decision to undergo spinal fusion surgery to living their everyday life after surgery. METHOD: A phenomenological-hermeneutic study design was applied based on the French philosopher Paul Ricoeur's theory of interpretation...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27561248/traction-survival-skills
#10
EDITORIAL
Julie Santy-Tomlinson
No abstract text is available yet for this article.
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27554953/older-patients-perception-of-their-own-capacity-to-regain-pre-fracture-function-after-hip-fracture-surgery-an-explorative-qualitative-study
#11
Berit Gesar, Ami Hommel, Hanne Hedin, Carina Bååth
AIMS AND OBJECTIVES: To explore healthy older patients' perceptions of their own capacity to regain pre-fracture function in the acute phase following hip fracture surgery. BACKGROUND: The incidence of hip fractures is expected to increase. In Sweden, of the patients who sustain a hip fracture, 40 per cent are healthy and lived independently pre fracture. However, a hip fracture often results in declined functional outcomes for 40 per cent of these patients. DESIGN: The study had an explorative inductive qualitative design...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27527536/acute-to-chronic-pain-transition-in-extremity-trauma-a-narrative-review-for-future-preventive-interventions-part-2
#12
REVIEW
Mélanie Bérubé, Manon Choinière, Yves G Laflamme, Céline Gélinas
BACKGROUND: The first part of this series of 2 articles revealed that chronic pain is an important issue post extremity trauma (ET) involving permanent biological transformations. Interventions aimed at preventing chronic pain in ET patients are therefore required. OBJECTIVE: To conduct a comprehensive analysis of literature on risk and protective factors for chronic pain post-ET to guide the development of relevant preventive interventions. METHODS: A narrative review of the literature was undertaken...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28237620/the-national-hip-fracture-database-nhfd-using-a-national-clinical-audit-to-raise-standards-of-nursing-care
#13
EDITORIAL
Antony Johansen, Christopher Boulton, Karen Hertz, Michael Ellis, Vivienne Burgon, Sunil Rai, Rob Wakeman
The National Hip Fracture Database (NHFD) is a key clinical governance programme for staff working in trauma wards across England, Wales and Northern Ireland. It uses prospectively collected information about the 65,000 people who present with hip fracture each year, and links these with information about the quality of care and outcome for each individual. The NHFD can, therefore, provide a picture of the care offered to frail older people with this injury - people who, between them, occupy nearly half of inpatient trauma beds...
January 23, 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28089404/the-schhs-hip-fracture-clinical-network-experience-improving-care-and-outcomes-through-an-interprofessional-approach
#14
Gillian Puckeridge, Morné Terblanche, Debbie Massey
BACKGROUND: Hip fractures are a major global health care issue, with the 1.26 million estimated cases in 1990 predicted to increase to 4.5 million by 2050. Varying models of care have been developed to improve outcomes following fragility hip fractures. Most of these care models embrace an interprofessional approach to care. Specialist orthopedic nurses play an important role in the management of fragility hip fracture patients and their contribution to the interprofessional health care team is an important predictor of patient outcomes...
December 18, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28259736/health-care-professionals-readiness-for-an-interprofessional-orthogeriatric-unit-a-cross-sectional-survey
#15
Charlotte Abrahamsen, Birgitte Nørgaard, Eva Draborg
An assessment of readiness for change can set the stage for the implementation by providing information regarding staff members' beliefs and attitudes prior to an organizational change. We conducted a cross-sectional survey to assess readiness for change (N = 113 employees) in a hospital on the verge of implementing an interprofessional, co-managed orthogeriatric unit. Staff members from three departments with roles related to orthogeriatric patients were invited to answer a web-based questionnaire. Our survey demonstrates that health care professionals are confident that interprofessional collaboration will be promoted by the implementation of orthogeriatric care...
November 11, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28258956/orthopaedic-nursing-in-developing-nations-a-collaboration-between-the-republic-of-the-union-of-myanmar-burma-and-australia
#16
Yin Mar Han, Nang Awng, Lahkri Hkawn Nu, Ni Mya Thway, Paul McLiesh
This paper describes a collaboration between orthopaedic nurses in Myanmar (Burma) and Australia. It aims to explores how that collaboration began and how it can grow and has grown. The unique needs and challenges of healthcare delivery in developing nations are discussed. Understanding these unique needs and challenges is vital in tailoring strategies to provide orthopaedic nurses in those countries with resources that are suitable to assist them in providing the highest level of quality care to their patients...
November 7, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27979662/exploring-the-experiences-of-parents-caring-for-infants-with-developmental-dysplasia-of-the-hip-attending-a-dedicated-clinic
#17
REVIEW
Heather J Jennings, Martina Gooney, Joseph O'Beirne, Linda Sheahan
Specialised DDH (developmental dysplasion of the hip) clinics are developing around Ireland but are, however, variable in how they are operated. A DDH clinic was set up in the South-east of Ireland in 2002 with the goal of achieving an integrated care pathway between the orthopaedic surgical team and nursing team, working to an explicit protocol while also fostering a strong collaboration with the ultrasound department. This paper aims to explore the effectiveness of this dedicated clinic in the Southeast of Ireland...
November 5, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28256419/evaluation-of-the-acceptability-of-a-sphygmomanometer-device-in-knee-extension-training-following-surgical-procedures-of-the-knee
#18
Hauke Horstmann, Christian Colcuc, Philipp Lobenhoffer, Christian Krettek, Thomas Sanjay Weber-Spickschen
BACKGROUND: The postoperative treatment after a standard surgical intervention such as knee arthroplasty, proximal tibial osteotomy or supracondylar osteotomy, can have an important impact on the overall treatment outcome. In most cases, outcomes are positively effected by patients receiving physiotherapy and occupational therapy. Basic movements and range of motion need to be learnt. Self-responsible behaviour, which is similar to exercise programs in sports, needs to be supported. However, in most cases the transfer of training techniques into successful and desired postoperative care is not simple...
November 4, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27596797/fragility-fracture-special-issue-call-for-papers
#19
EDITORIAL
Julie Santy-Tomlinson, Louise Brent
No abstract text is available yet for this article.
November 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27575875/a-cycling-and-education-programme-for-the-treatment-of-hip-osteoarthritis-a-quality-improvement-study
#20
Thomas W Wainwright, Tikki Immins, Robert G Middleton
Osteoarthritis of the hip is associated with pain, stiffness and limitations to activities of daily living. The aims of this quality improvement project were to introduce a service developed to promote the self-management of hip osteoarthritis through exercise and education and to assess the impact of the programme on pain, function and quality of life. The service was a six-week cycling and education programme and 119 participants took part. Statistically significant improvements were found for Oxford Hip Scores (Mean (SD) change 4...
November 2016: International Journal of Orthopaedic and Trauma Nursing
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