Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization: Improving Patient Access to Musculoskeletal Care.

IF 0.8 4区医学 Q4 NURSING Orthopaedic Nursing Pub Date : 2023-09-01 DOI:10.1097/NOR.0000000000000968

Martha Kebeh, Chloe C Dlott, Wei Shao Tung, Donna Kurek, Charla B Johnson, Daniel H Wiznia

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Abstract

Preoperative optimization programs for total joint arthroplasty identify and address risk factors to reduce postoperative complications, thereby improving patients' ability to be safe surgical candidates. This article introduces preoperative optimization programs and describes the role of orthopaedic nurse navigators. This foundation will be used to produce an article series with recommendations for optimization of several modifiable biopsychosocial factors. We consulted orthopaedic nurse navigators across the United States and conducted a literature review regarding preoperative optimization to establish the importance of nurse navigation in preoperative optimization. The responsibilities of nurse navigators, cited resources, and structure of preoperative optimization programs varied among institutions. Optimization programs relying on nurse navigators frequently demonstrated improved outcomes. Our discussions and literature review demonstrated the integral role of nurse navigators in preoperative optimization. We will discuss specific risk factors and how nurse navigators can manage them throughout this article series.

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骨科护士导航仪和全关节置换术术前优化：改善患者获得肌肉骨骼护理的机会。

全关节置换术的术前优化程序可识别和解决风险因素，以减少术后并发症，从而提高患者作为安全手术候选者的能力。本文介绍了术前优化程序，并描述了骨科护士导航仪的作用。该基础将用于制作一系列文章，其中包括对几种可修改的生物心理社会因素的优化建议。我们咨询了美国各地的骨科护士导航员，并对术前优化进行了文献综述，以确定护士导航在术前优化中的重要性。护士导航仪的职责、引用的资源和术前优化计划的结构因机构而异。依靠护士导航仪的优化程序经常显示出改善的结果。我们的讨论和文献综述证明了护士导航仪在术前优化中的整体作用。我们将在本系列文章中讨论具体的风险因素，以及护士导航仪如何管理这些因素。

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来源期刊

Orthopaedic Nursing 医学-护理

CiteScore

0.60

自引率

14.30%

发文量

132

审稿时长

>12 weeks

期刊介绍： Orthopaedic Nursing is an international journal providing continuing education for orthopaedic nurses. Focusing on a wide variety of clinical settings - hospital unit, physician"s office, ambulatory care centers, emergency room, operating room, rehabilitation facility, community service programs, the client"s home, and others – Orthopaedic Nursing provides departmental sections on current events, organizational activities, research, product and drug information, and literature findings. Articles reflect a commitment to professional development and the nursing profession as well as clinical, administrative, academic, and research areas of the orthopaedic specialty. Official Journal of the National Association of Orthopaedic Nurses (NAON)

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