Journal of Orthopaedic Nursing最新文献

This qualitative study explores the perceptions of orthopaedic patients towards having to use a bed pan. Ten patients were interviewed both before and after either an elective hip or knee replacement. The main findings were that if nurses facilitated a discussion around the use of bed pans some anxiety could be relieved about their use. The research was conducted 15 years ago and the author has re-visited the setting where it was conducted and found that patients continue to be anxious about using bed pans, even though they are now only confined to bed for only 24 h following surgery.

Purpose

To describe the pain experience and the pain belief of a group of Chinese patients with traumatic fracture of limb and surgery.

Design

A qualitative descriptive design with in-depth interview was employed. A purposive sample of 26 Chinese patients was recruited who were diagnosed with a fractured limb and had undergone surgery in a trauma unit in a regional hospital in Hong Kong, China.

Findings

Content analysis resulted in seven themes describing informants’ pain experience and belief, which included intense pain, lack of control over pain, pain as a negative signal, worry about ‘shan’, limited knowledge of pain management, eagerness to be a good patient, and the need to learn to cope with pain. Informants experienced intense pain over which they had no control. They believed that pain is inevitable when one has a fracture, therefore one should bear the pain. They avoided analgesia as they considered it had serious side effects. These beliefs shaped their pain coping behaviour.

Conclusion

The understanding of Chinese patients’ pain experience will help nurses to plan culturally sensitive education programmes that may enhance patients’ knowledge of pain medication and clarify their pain beliefs which might lead to more effective pain management. Alternative interventions on pain management could thus be provided.

This descriptive paper outlines the issues encountered when setting up a new nurse led clinic: identifying the driving forces behind the establishment of the clinic, personnel training needs, the requirement for robust protocols, support mechanisms, practice pathway and problems encountered. The paper concludes with results of a parent satisfaction survey.

Aim

The purpose of this study was to explore community multidisciplinary teams’ activities and attitudes in relation to osteoporosis prevention and treatment.

Background

Osteoporosis is a progressive, potentially crippling disease, which is largely preventable. No longer confined to the older population, risk factors for the disease need to be identified by health care providers and followed up on. Despite a growing body of literature in this area, there is little exploration of the views of multidisciplinary teams (MDT). They constitute to a large group of health care workers and are uniquely placed to educate the public about osteoporosis.

Methods

A quantitative, descriptive survey elicited the views of members (n = 193) of community multidisciplinary teams (CMDT’s) in one region of the Republic of Ireland (ROI). The response rate was 48%.

Findings

This study found that members of MDTs were more likely to raise the issue of osteoporosis with patients if they believed them to be at risk. High levels of perceived competence in the field were reported by staff although pharmacological treatments and identification of secondary causes scored much lower. Those who were aware of osteoporosis tools, checklists and guidelines were significantly more likely to have raised the issue with patients. Those with post graduate education felt significantly more competent to discuss falls prevention.

Conclusion

The study demonstrates that the MDT had positive attitudes towards their role in osteoporosis prevention. With knowledge and confidence health promotion was more likely to occur. MDT’s expressed interested in continuing education on and interprofessional learning on the topic. They also demonstrated high levels of interest in the developing health promotional roles. Thus education and continued professional development are key aspects of role development in this area.