Orthopaedic Nursing最新文献

Background: In 2023, two major earthquakes with magnitudes of 7.7 and 7.6 struck Turkey, resulting in significant loss of life, extensive property damage, and numerous amputations. While existing literature explores the experiences of nurses caring for amputees, there is a notable gap in research specifically addressing the experiences and needs of nurses caring for individuals amputated following an earthquake.

Purpose: This study aims to qualitatively examine the experiences of nurses providing care to individuals amputated as a result of the earthquake.

Methodology: A qualitative descriptive research design was employed, utilizing traditional content analysis. Snowball sampling was used. Data saturation was achieved after interviews with ten participants. In-depth interviews were conducted between April and June 2023. Ethical approval was obtained (Social and Human Sciences Ethics Committee of Ondokuz Mayıs University, dated 29.03.2023; number 2023-132). The COREQ checklist was used for reporting.

Findings: The experiences of nurses caring were categorized into three themes: "Psychological and Cognitive Strain," "Expanding Care," and "Needs in Disaster Management." The "Psychological and Cognitive Strain" theme encompassed meaning units such as fear of causing harm, sadness, suffering, feelings of inadequacy, helplessness, emotional turmoil, and avoidance behavior. The "Expanding Care" theme included elements of altruism, sympathy, and compassion.

Challenges: The "Needs in Disaster Management" theme highlighted both individual and organizational challenges. Despite their efforts to expand care in response to unexpected and rapidly evolving situations, including amputations, nurses encountered significant individual and organizational challenges and inadequacies, making it difficult to cope with the constantly changing health conditions. Therefore, it is recommended that nurses receive empowerment training focused on disaster management and the specialized care of amputees.

Orthopaedic nurses play a pivotal role in the collection of social determinants of health (SDOH) data. Therefore, it is crucial to determine orthopaedic nurses' preparedness to address the new SDOH mandates put forward by the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC). This study examines nurse awareness and understanding of the new CMS and TJC SDOH requirements for orthopaedic practices. A total of 100 nurses from the National Association of Orthopedic Nurses were electronically surveyed regarding their preparedness for the new CMS and TJC SDOH requirements. Knowledge assessment revealed that 63% of nurses could correctly identify the SDOH domains of the new CMS requirements and 47% of nurses could correctly identify one of the major TJC SDOH mandates. Nurses play a crucial role in screening for SDOH but may need more education regarding the CMS and TJC SDOH mandates.

In this study, the authors examine the establishment and significance of spine surgery registries, particularly the American Spine Registry (ASR). The historical development of spine registries in the United States is outlined along with the role of registries in evaluating clinical outcomes and improving healthcare quality. The ASR aims to collect comprehensive data on spine surgeries, including patient-reported outcomes and performance metrics, to enhance quality standards and clinical practice guidelines. Studies from European registries demonstrate the utility of registry data in identifying trends, assessing cost-effectiveness, and improving patient care. This paper also discusses the economic implications of participation in spine registries and emphasizes the potential cost savings and benefits for healthcare organizations. Ethical and legal considerations, data security, and patient confidentiality are addressed, along with the challenges associated with registry participation such as resource allocation. Increased transparency, collaboration, and clarity are needed to promote broader engagement in spine surgery registries.

Professional development in nursing is a progressive path that begins with membership engagement in nursing organizations followed by the attainment of specialty certifications through clinical preparation and examination. The Fellow designation from a professional nursing organization is a culmination of continuous service, commitment, and meaningful contributions to the organization and to the associated specialty. The Fellow designation is the most distinguished and highest level of membership in an organization, recognizing professional leaders who have considerably contributed to their field and achieved notable accomplishments. The National Association of Orthopaedic Nurses (NAON) established the designation and the conferred credential, Fellow of NAON (FNAON) in 2022 to recognize nurses who have made significant contributions to orthopaedic nursing. The purpose of this article is to support future candidates in their journey toward fellow designation and navigating the associated application process.

Psychological resilience signifies the capacity to effectively manage and endure traumas and stressors, enabling individuals to adjust and recuperate despite challenges and hardships. In recent years, researchers have explored the possible effects of psychological resilience on illness and treatment. This descriptive study investigated the effect of preoperative psychological resilience on postoperative pain. The sample consisted of 150 orthopaedic surgical patients. Data were collected using the Brief Resilience Scale (BRS) and the Brief Pain Inventory. The results showed negative correlations between BRS and BRS subscale scores. Our results provide evidence regarding the relationship between resilience and postoperative pain. Healthcare professionals should actively promote the cultivation of resilience among patients during the perioperative period as a means to assist them in effectively managing postoperative pain.