Journal of Orthopaedic Nursing RSS feed: Current Issue. Orthopaedic nursing is changing at an unprecedented pace and will continue to do so at an accelerated rate in the future. The Journal of Orthopaedic Nursing seeks to ensure that orthopaedic nurses, and allied health care professionals, are able to move forward positively and practively to continually improve their patients' and clients' outcomes at home or in hospital. Research, practice, education and management, at all levels are interlinked to produce a forum for providing evidence-based care related to impaired physical mobility. The Journal of Orthopaedic Nursing provides: • Practical and theoretical guidance for trainees and professionals • Peer-reviewed papers and comments • Editorial comments, book and policy reviews, events • Indexed in the CINAHL database, VINITI and BDLIC. The journal's education strategy and content enable nurses to satisfy professional development requirements for registration as determined by the UKCC.http://www.orthopaedic-nursing.com/?rss=yesElsevier Inc.en © 2009 Published by Elsevier Inc. All rights reserved. Journal of Orthopaedic Nursing1361-3111134November 2009 © 2009 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.orthopaedic-nursing.com/article/PIIS1361311109002325/abstract?rss=yesEditorial Board10.1016/S1361-3111(09)00232-5Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1IFCIFChttp://www.orthopaedic-nursing.com/article/PIIS1361311109002283/abstract?rss=yesIt’s difficult to believe that just over a year ago I was one of the first student nurses to gain a free delegates place at the 23rd Society for Orthopaedic and Trauma Nursing at Llandudno, Wales in the United Kingdom. Time has moved on and I have now come to a time of transition – things are about to change. Three years of nurse training is almost complete and I’m about to venture into a profession that demands a very high standard of its staff and I wonder if I will be able to meet them.Sarah Richardson10.1016/j.joon.2009.10.001Journal of Orthopaedic Nursing 13, 4 (2009)2009-10-26Journal of Orthopaedic Nursing2009-10-26134S1361-3111(09)X0005-1Editorial163164http://www.orthopaedic-nursing.com/article/PIIS1361311109001757/abstract?rss=yesSummary: Warfarin, a vitamin K antagonist has been the mainstay of venous thromboembolism treatment for over 60years. However, it has significant limitations in relation to achieving a safe and therapeutic efficacy. Evolution in the development of oral anticoagulants to offset the drawbacks of warfarin, has led to the introduction of two new oral anticoagulants, namely dabigatran, a direct thrombin inhibitor and rivaroxaban, a direct factor Xa inhibitor. This paper examines the potential of the two new oral anticoagulants to offer a safer therapeutic alternative to warfarin, as well as their clinical efficacy in relation to the prevention of venous thromboembolism in patients undergoing hip and knee replacement surgery. In seven randomized clinical trials, dabigatran has demonstrated noninferior efficacy to enoxaparin, with a similar safety profile. Following a single technology appraisal of dabigatran, The National Institute of Clinical Excellence (NICE) have now endorsed its clinical efficacy as a serious alternative to low molecular weight heparin and fondaparinux.Three randomized clinical trials have also concluded that rivaroxaban is as efficacious and safe as enoxaparin in the prevention of venous thromboembolism for patients undergoing major orthopaedic surgery of the lower limbs. In a single technology appraisal, rivaroxaban within its marketing authorisation was recommended by NICE in April 2009, as an option for the prevention of venous thromboembolism in adults having elective hip or knee replacement surgery.New oral anticoagulants to revolutionise venous thromboembolism (VTE) managementRicky Autar10.1016/j.joon.2009.08.002Journal of Orthopaedic Nursing 13, 4 (2009)2009-10-23Journal of Orthopaedic Nursing2009-10-23134S1361-3111(09)X0005-1Original Articles165171http://www.orthopaedic-nursing.com/article/PIIS1361311109000892/abstract?rss=yesSummary: This article is one of a two part series examining the people and environment associated with patient handling. The approach used was that of an occupational injury investigation of a job class, which incorporates defining in the task, environment, tools, and worker health status. Hence, the objective of this portion of the research was to develop a method and use it to compare the physical and mental health of Alabama nurses with known normative populations to determine a baseline of overall health. For this purpose, the validated SF-36© survey was used to collect data on Alabama nurses who had been registered in the state for at least one year. The potential participant pool included 1000 nurses randomly selected from more than 49,000 registered. Physical mailers with a pre-paid return envelope and a follow-up reminder post-card were used. A return rate of 10% was expected based on nursing literature. One hundred and one surveys were returned with 87 being complete. Results confirmed that nursing in the US is a female dominated profession with the survey matching both the Alabama and US national average of 92%. Comparisons of the sample data to general populations yielded significant differences in 3 of the 8 outcome measures: social functioning; physical functioning; bodily pain. In each of these measures, Alabama nurses had a reduced health status compared to at least one comparative population. Additionally, data related to body mass index (BMI) for Alabama nurses were stratified by gender and age. Results indicated 28% had a “healthy” BMI with 37% and 35% of the nurses being “overweight” or “obese”, respectively. Consequently, results suggest Alabama nurses have a reduced health status compared to normative populations and show similar but not identical BMI trends to the general populations for the state of Alabama and the US, which warrants concerns about potential declines in health status among caregivers.Significance to healthcare: Nurses constitute the largest proportion of the healthcare industry’s workforce. Understanding the perceptions of health status of this employee group is essential to gain further information about possible influences of health on nurses’ ability to continue to perform their jobs.A health comparison of Alabama nurses versus US, UK, and Canadian normative populationsG. Talley Holman, Robert E. Thomas, Kathleen C. Brown10.1016/j.joon.2009.03.005Journal of Orthopaedic Nursing 13, 4 (2009)2009-07-17Journal of Orthopaedic Nursing2009-07-17134S1361-3111(09)X0005-1Original Articles172182http://www.orthopaedic-nursing.com/article/PIIS1361311109001174/abstract?rss=yesSummary: In this study, we developed and evaluated a Continuity of Care Checklist (CCC) to assist nurses in comprehensively reviewing practices related to continuity of care for orthopaedic patients discharged from hospital to community. The CCC was designed to ensure nurses would attend to multiple dimensions of continuity including informational continuity, relational continuity and management continuity. To evaluate the CCC, patients discharged from an orthopaedic unit (n=77) were interviewed about continuity of care. The CCC was then implemented and a second group of patients (n=77) was interviewed to examine changes in care. Structured interviews were also conducted with nurses (n=12) to learn about their experiences with the CCC. Interviews with patients revealed significant improvements in patient perceptions of information provision, involvement of informal caregivers in discharge, communication between hospital and community providers, consistency of information, and satisfaction with patient–provider relationships. Nurses who used the CCC found the tool improved standards for care and patient involvement in care. The CCC appears to be a practical tool for assisting nurses in systematically improving continuity of care among orthopaedic patients. Future directions for research and practice using the CCC are described.Development and evaluation of a Continuity of Care Checklist for improving orthopaedic patient discharge from hospitalHeather D. Hadjistavropoulos, Sharon Garratt, Jennifer Amy Janzen, Michelle D. Bourgault-Fagnou, Kerry Spice10.1016/j.joon.2009.05.006Journal of Orthopaedic Nursing 13, 4 (2009)2009-08-25Journal of Orthopaedic Nursing2009-08-25134S1361-3111(09)X0005-1Original Articles183193http://www.orthopaedic-nursing.com/article/PIIS1361311109001708/abstract?rss=yesSummary: This paper introduces the brachial plexus anatomy with mechanisms of injury and proceeds to explore outcome assessment tools before a range of quality of life issues is addressed.Quality of life issues for patients following traumatic brachial plexus injury – Part 1 A Literature reviewBeverley Wellington10.1016/j.joon.2009.07.047Journal of Orthopaedic Nursing 13, 4 (2009)2009-10-05Journal of Orthopaedic Nursing2009-10-05134S1361-3111(09)X0005-1Original Articles194200http://www.orthopaedic-nursing.com/article/PIIS1361311109000910/abstract?rss=yesSummary: Tourniquets use is common in hand surgery. The correct tourniquet pressure is important to achieve a bloodless operating field and to prevent tourniquet syndrome and tourniquet paralysis syndrome. Newer tourniquet devices use kPa as the unit to measure pressure. This article highlights the existence of such machines and also describes the formula to convert mmHg to kPa which can be done quite easily to ensure that the correct pressure (in kPa) is used.Formula for converting mmHg to kPa as the unit for measurement of pressure when using newer tourniquet machines that measure pressure using the SI (Systeme International)Manohar Arumugam10.1016/j.joon.2009.04.002Journal of Orthopaedic Nursing 13, 4 (2009)2009-07-14Journal of Orthopaedic Nursing2009-07-14134S1361-3111(09)X0005-1Continuing Professional Education201203http://www.orthopaedic-nursing.com/article/PIIS1361311109001733/abstract?rss=yesSummary: The article considers the development of orthopaedic nursing roles in the United Kingdom in the 1990s. The nurse practitioner role within pre-operative assessment clinics and other roles related to patient care after joint replacement surgery or trauma are described. Such roles developed because of changes in healthcare and legislation which allowed nurses to take on roles and responsibilities traditionally the preserve of other professions for the benefit of patient care.The emergence of specialist orthopaedic nurses and nurse-led pre-operative assessment in the 1990sBrian Lucas10.1016/j.joon.2009.07.050Journal of Orthopaedic Nursing 13, 4 (2009)2009-10-26Journal of Orthopaedic Nursing2009-10-26134S1361-3111(09)X0005-1Historical Perspective204207http://www.orthopaedic-nursing.com/article/PIIS1361311109001964/abstract?rss=yesThe provision of accessible, equitable high quality care and services is difficult for health and social care teams and organisations to achieve. The ideal is a high quality service delivered locally by well trained, motivated people that provides the right care in the right service in the right setting (). This approach to service provision must be capable of demonstrating success in a meaningful way to patients, the public, health and social care organisations and governments. The ultimate challenge for any team working in the complexity of health and social care is developing and sustaining collaborations and partnerships with a diverse range of stakeholders and teams.The Excellence in Practice Accreditation Scheme (EPAS): The quest for excellence amidst uncertainty and change? (Keynote)Robert McSherry10.1016/j.joon.2009.08.004Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts208208http://www.orthopaedic-nursing.com/article/PIIS1361311109001976/abstract?rss=yesHip fractures constitute a serious and common health problem among older adults from both the individual and the public health perspectives. For persons over 80 years of age, hip fracture is the most frequent fracture and for persons over 65 years the second most frequent fracture. Knowledge of how nurses working with audit and in collaboration with all other health care staff can improve quality of care and patient safety for patients with a hip fracture. The health care system has to deal with substantial costs, which are expected to continue to rise due to increasing elderly populations. One way of saving has been a reduction in the number of beds in hospitals. The consequence of this is that acute patients are admitted inappropriately to non specialised wards because of a shortage of beds. These patients are sometimes known as “outliers”.Best practice of patient with a hip fracture (Plenary)Ami Hommel10.1016/j.joon.2009.08.005Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts208209http://www.orthopaedic-nursing.com/article/PIIS1361311109001988/abstract?rss=yesHip fractures are expected to account for an ever increasing percentage of admission to the acute care setting, numbers projected to reach a half-million in the USA by the year 2040 (AAOS, CDC). A common complication of hip fracture is acute confusion or delirium, occurring in as many as 61% of hip fracture patients. An estimated 60 to 80% of hospitalized frail older adults experience at least one preventable episode of delirium (). For many patients the onset of delirium leads to functional decline, increased length of stay and increased mortality. Despite the prevalence of this condition, studies show that up to 70% of the cases of delirium are undiagnosed by nurses and physicians (). The consequences of failure to detect and treat are serious; studies report that elderly delirious patients admitted mortality rates are 10–26% with a three year mortality rate of 75% versus 51% for control subjects (). Research has shown that the risk of delirium as a complication of surgery for hip fractures can be significantly reduced by proactively identifying the risk factors for delirium at the time of surgery and implementing interventions to prevent or ameliorate symptoms. This session will identify the clinical features of delirium and discuss the risk factors and situations where delirium is likely to occur. Examples of assessment tools to detect cognitive impairment will be identified and nursing strategies to prevent or reduce symptoms will be described.Delirium: Clearing up the confusion (Plenary)Anita Meehan10.1016/j.joon.2009.08.006Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts209209http://www.orthopaedic-nursing.com/article/PIIS136131110900199X/abstract?rss=yesThis paper will explore the transition from hospital based secondary care into general practice based primary care – from consultant nurse to primary care nurse clinician. It will explore what is in a title, the transferability of skills and the many pitfalls encountered on the way after the decision had been made to change jobs.‘Back–pedaling’. Transferability of skills in orthopaedics (Plenary)Margaret Flanagan10.1016/j.joon.2009.08.007Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts209210http://www.orthopaedic-nursing.com/article/PIIS1361311109002003/abstract?rss=yesThis paper aims to highlight educational developments that enhance children’s nursing practice. exploration of orthopaedic nursing suggested that the United Kingdom’s (UK) non-standard initial nurse education provides limited access to orthopaedic nursing education. It is suggested that UK Higher Education Institutions do not provide an orthopaedic/fracture course to meet the educational needs of the solely registered children’s nurse or for the generic nurse caring for the child with an orthopaedic condition.Enhancing orthopaedic/fracture trauma within Northern Ireland with a focus on children’s nursing (Plenary)Sonya Clarke10.1016/j.joon.2009.08.008Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts210210http://www.orthopaedic-nursing.com/article/PIIS1361311109002015/abstract?rss=yesThe presentation focuses on the study of bones from archaeological sources, many of which show the ravages of diseases and injuries still common to us today. This gives insight into the lives of the people of previous ages who did not have the benefit of modern healthcare systems, but also shows how these diseases may still affect the bones of our patients.The inspiration of bones; a dip in the past (Plenary)Christine Knight10.1016/j.joon.2009.08.009Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts210211http://www.orthopaedic-nursing.com/article/PIIS1361311109002027/abstract?rss=yesThe implementation of evidence into practice is an area of health care that, despite much research, still has limited sustainable success. The literature has widely recognised that a theory practice gap exists. Practice Development is a systematic approach which aims to help practitioners and healthcare teams to look critically at their practice and identify how it can be improved. Its purpose is to develop effective workplace cultures that have embedded within them person-centred processes, systems and ways of working. Skilled facilitators help frontline staff to get underneath the surface of daily routine, to critically reflect on the values and beliefs they hold about patient care. Teams are challenged to consider if the behaviours, systems and processes used in practice, are consistent with person-centred values. They are enabled to identify what should be changed and the part they need to play in effecting improvement. Key to this is the development of evidence from practice, and the implementation of evidence into practice. Practice Development helps staff to increase their self awareness and enables them to take control of their own practice by integrating work-based learning, and the development of new knowledge, skills and ways of working which are vital to achieving sustainable change.Getting evidence into practice – The PARIHS way (Workshop)Brian McGuire10.1016/j.joon.2009.08.010Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts211211http://www.orthopaedic-nursing.com/article/PIIS1361311109002039/abstract?rss=yesIntroduction: Total joint arthroplasty constitutes a common surgical operation with beneficial results. Patient education, through empowerment, can support patients in their recovery so that they self-manage their situation.Pilot study on the existence of empowering education of orthopaedic patients in Greece (Concurrent)Panagiota Copanitsanou, Panayota Sourtzi, Kirsi Johanson, Chryssoula Lemonidou10.1016/j.joon.2009.08.011Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts211212http://www.orthopaedic-nursing.com/article/PIIS1361311109002040/abstract?rss=yesIntroduction: Orthopaedic procedures are some of the most common major surgical procedures in western countries and have beneficial short-term and long-term effects. Patient education plays a major role in these procedures, but still there is limited evidence of this.Finnish pilot study of empowering patient education from the point of view of orthopaedic patients and their significant others (Concurrent)Johansson Kirsi, Lehtikunnas Tuij, Leino-Kilpi Helena10.1016/j.joon.2009.08.012Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts212212http://www.orthopaedic-nursing.com/article/PIIS1361311109002052/abstract?rss=yesIntroduction: Earlier studies indicate that patients undergoing surgery suffer anxiety. There is, however, little evidence about the effect of Internet-based education to reduce anxiety.Ambulatory orthopaedic surgery patients’ anxiety with Internet-based education (Concurrent)Katja Heikkinen10.1016/j.joon.2009.08.013Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts212213http://www.orthopaedic-nursing.com/article/PIIS1361311109002064/abstract?rss=yesThe prevalence of osteoarthritis will increase as the population ages. Osteoarthritis of the hip causes pain and impairs patients’ function and psychosocial well-being. Total hip arthroplasty has been shown to be effective surgery for patients with osteoarthritis in the hip. The aim of this follow-up study was to evaluate patient-perceived health-related quality of life after surgery. The ultimate goal is to use this knowledge when planning postoperative patient care and support.Patient-perceived health-related quality of life after total hip arthroplasty (Concurrent)Liisa Montin10.1016/j.joon.2009.08.014Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts213213http://www.orthopaedic-nursing.com/article/PIIS1361311109002076/abstract?rss=yesPneumatic (inflatable) tourniquets are used worldwide for a variety of extremity surgeries and anaesthesia (Biers block) to temporarily control the circulation of blood. However, they exert both systemic and localised effects on patients. Responsibility for protecting patients from the hazards of tourniquet use is shared among the entire health care team. suggests that each health service provider must establish authority responsibility and accountability for pneumatic tourniquet management. Orthopaedic nurses are well placed to monitor and detect any abnormalities which may result following tourniquet use. suggest research is the central to advancing nursing practice. Thus a quantitative descriptive study of orthopaedic nurses was conducted to advance orthopaedic nursing practice in this area.Pneumatic tourniquet: Irish orthopaedic nurses experiences (Concurrent)Caroline O. Connor, Siobhan Murphy10.1016/j.joon.2009.08.015Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts213213http://www.orthopaedic-nursing.com/article/PIIS1361311109002088/abstract?rss=yesAim: Osteoarthritis (OA), which can lead to marked functional loss and pain, has a high incidence in the population over 50. It has a negative effect on daily activities and quality of life. The aim of the study was to evaluate the methods that patients with knee osteoarthritis (OA) use to cope with pain and the effect of these methods on disease-specific quality of life.Evaluation of the coping methods used by knee osteoarthritis patients for pain and their effect on the disease-specific quality of life (Concurrent)Semra Aciksoz, Senay Uzun, Servet Tunay10.1016/j.joon.2009.08.016Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts213214http://www.orthopaedic-nursing.com/article/PIIS136131110900209X/abstract?rss=yesInternational cross-cultural comparative nursing research is considered important for the advancement of nursing knowledge, offering a global perspective for nursing. Although this is recognised in policy statements and quality standards, international comparative studies are rare in database citations. In western countries there is a major drive for quality improvement including patient-centred and individualised care. There are only a few studies about nurses’ perceptions of individualised care.Individualised care from the orthopaedic nurses’ point of view: A cross-cultural comparative survey (Concurrent)Riitta Suhonen, M. Välimäki, H. Leino-Kilpi, J. Katajisto, E. Papastavrou, C. Lemonidou, M. Kalafati, M. da Luz, A. Berg, E. Idvall, R. Acaroglu, L. Land, V. Sousa10.1016/j.joon.2009.08.017Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts214214http://www.orthopaedic-nursing.com/article/PIIS1361311109002106/abstract?rss=yesJust then they came in sight of 30 or 40 windmills that rise from that plain. And no sooner did Don Quixote see them that he said to his squire, “Fortune is guiding our affairs better than we ourselves could have wished. Do you see over yonder, friend Sancho, thirty or forty hulking giants? I intend to do battle with them and slay them.” “What giants?” asked Sancho Panza.Tilting at windmills (Concurrent)Jacqui Hitchen, Angela Whelan10.1016/j.joon.2009.08.018Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts214215http://www.orthopaedic-nursing.com/article/PIIS1361311109002118/abstract?rss=yesThe initial aim of the study was to investigate the practicalities of training nurses to perform nerve blocks for patients with a fractured neck of femur (#NOF), in the pre-operative period. There are multiple advantages to using a peripheral lower extremity block and our on-going study investigates the efficacy and feasibility of its use within an acute district general hospital.Pain management in the pre-operative period for patients with a fractured neck of femur (Concurrent)Lynn Grigg, Adrianne Randall10.1016/j.joon.2009.08.019Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts215215http://www.orthopaedic-nursing.com/article/PIIS136131110900212X/abstract?rss=yesThe aim of this presentation is to explore a study of the experiences of individuals who had suffered a hip fracture and who were recovering in an acute Orthopaedic ward. The aim was not to produce generalisable findings, but rather to generate a rich description of the experience of incurring and recovering from a hip fracture, that will inform nursing practice. In order to explore lived experience, Heideggerian phenomenological methodology was used. Nine participants were purposively selected and data was mainly generated through semi-structured interviews. These elderly people were interviewed during their acute hospital phase, a few days after suffering the traumatic injury. All participants had undergone surgical repair of their fracture and were being rehabilitated and approaching discharge from the acute setting.Elderly patients’ experiences of fracturing a hip (Concurrent)Jason Busuttil10.1016/j.joon.2009.08.020Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts215216http://www.orthopaedic-nursing.com/article/PIIS1361311109002131/abstract?rss=yesThis study used a quasi-experimental design and qualitative techniques to investigate two different nursing interventions designed for knee osteoarthritis patients in the community in Thailand. The aim was to determine whether a multi faceted intervention improved the quality of life, and was more effective in relation to patients’ satisfaction than standard treatment.Comparison of two different of nursing interventions for knee osteoarthritis patients in the community in northern Thailand (Concurrent)Rangsiya Narin10.1016/j.joon.2009.08.021Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts216216http://www.orthopaedic-nursing.com/article/PIIS1361311109002143/abstract?rss=yesAim: This study is designed to examine the effect of perceived social support on disease-specific quality of life in patients with knee osteoarthritis who were seen in orthopaedic and traumatology outpatient clinics.The effect of perceived social support on disease-specific quality of life in patients with knee osteoarthritis (Concurrent)Semra Aciksoz, Filiz Arslan, Servet Tunay, Senay Uzun10.1016/j.joon.2009.08.022Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts216217http://www.orthopaedic-nursing.com/article/PIIS1361311109002155/abstract?rss=yesThis paper reports on multi-disciplinary, collaborative working that improved the care and outcomes for patients’ following fractured neck of femur (NOF), within the Orthopaedic Directorate in one District General Hospital (DGH) in the United Kingdom (UK). About 3389 patients over 8 years formed the purposive sample. The data were gathered and analysed from clinical audit data pertaining to all patients in one DGH admitted with fractured NOF during two time periods over eight years. Firstly, 1996 and 2000 data provided evidence consistent with national UK and international challenges in terms of delay in operating on trauma patients as well as large numbers of patients requiring a high level of long term care.Collaborative working to improve the return of patients to their usual place of residence following fractured neck of femur (Concurrent)Ruth Clemow10.1016/j.joon.2009.08.023Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts217217http://www.orthopaedic-nursing.com/article/PIIS1361311109002167/abstract?rss=yesScoliosis is a three dimensional deformity that results in a lateral curvature of the spine combined with a rib-hump and an accompanying thoracic lordosis. Left untreated scoliosis can result in pain, decreased spinal mobility and level of physical activity, respiratory impairment as well as a number of psychological problems resulting from numerous back asymmetries. School Screening Programmes for this deformity are highly controversial with few countries having mandatory programmes. In the UK school screening was abolished in the 1980‘s when the British Scoliosis Society decided that it should no longer be national policy to screen for scoliosis. Since the abolition of screening the detection of a curvature in a child has tended to be haphazard and detected either by parents usually observing it on the beach whilst on holiday or by GP‘s observing asymmetries in the child’s back.To screen or not to screen? The role of school screening in the management of mild and moderate scoliosis curves (Concurrent)Josette Bettany-Saltikov10.1016/j.joon.2009.08.024Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts217218http://www.orthopaedic-nursing.com/article/PIIS1361311109002179/abstract?rss=yesMusculoskeletal disorders (MSD) that are related to occupation appear to be the most common health problems. According to Eurostat data in the European Union, 25–27% of workers complain about lower back pain and 23% about muscular pains. The frequency of MSD among nursing staff is very high. Therefore, risk assessment for MSD is very important.Risk assessment for musculoskeletal disorders in the hospital environment (Concurrent)Helen Tsintzou, Panayota Sourtzi10.1016/j.joon.2009.08.025Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts218218http://www.orthopaedic-nursing.com/article/PIIS1361311109002180/abstract?rss=yesA hip fracture is sustained by 250,000 Americans every year, and that number is expected to double by 2040. The most frequent complication associated with hip fracture in elderly patients is postoperative delirium (Robertson and Robertson, 2006). However, it is usually misdiagnosed and sub-optimally managed. Thus, as health care team members it is important to identify, prevent and treat this complication in order to improve the quality of life for our patients.Delirium in elderly patients with hip fractures (Concurrent)Veronica Braganza10.1016/j.joon.2009.08.026Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts218219http://www.orthopaedic-nursing.com/article/PIIS1361311109002192/abstract?rss=yesThe move to a specifically designed acute hospital, nearly two years ago, brought with it the need for innovative clinical nursing practices, where the patient is viewed as the centre of care. It was imperative that, to achieve such patient-centred care, we had to introduce a structured, standard tool to collect baseline objective data on the activities of daily living. The ultimate aim was to tailor-make timely nursing interventions which were congruent with patients’ needs on admission. This would in turn allow maximum use of resources in terms of human, equipment and financial.Unfolding patient’s needs-a Maltese approach (Concurrent)Carmel Grima, Rosalie Sammut10.1016/j.joon.2009.08.027Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts219219http://www.orthopaedic-nursing.com/article/PIIS1361311109002209/abstract?rss=yesBackground: Assessment and retraining of posture is a traditionally integral physiotherapeutic intervention in the treatment of back pain with the benefit of postural correction exercises for the relief of back pain being well documented. Evaluation of posture by physiotherapists is based on subjective observations and patients’ self report of which activities lead to increased pain. Improvements from treatment may be detected subjectively, but it is currently difficult to compare patients or to quantify improvements. Further, difficulties arise when trying to compare measures taken by different physiotherapists as standardised objective assessment tools may not have been used. This lack of objective measures for assessing posture does not agree with standards set out by governing bodies in the United Kingdom, which stipulate that treatments should be based on objective markers and evidence-based practice. Previous studies with physiotherapists concluded that there was a need for an assessment system to provide objective, accurate results, displayed quantitatively and visually for evidence based practice.A new low cost method for the assessment of patients with poor back posture and scoliosis: 3D Mapping of 100 Subjects (Poster)Josette Bettany-Saltikov, Julian Warren-Senior10.1016/j.joon.2009.08.028Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts219220http://www.orthopaedic-nursing.com/article/PIIS1361311109002210/abstract?rss=yesIntroduction: In recent years the research on quality of life has become one of the most important diagnostic as well as the prognostic factors of the functional state of people regardless of illness. The aim of this research was to identify the reasons for different estimations of idiopathic scoliosis treatment, in spite of using the same procedure and the same therapeutic management technique.The prognostic value of the quality of life parameters in patients with idiopathic scoliosis treated operatively (Poster)Bozena Gorzkowicz, M. Kolban, Z. Szych10.1016/j.joon.2009.08.029Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts220220http://www.orthopaedic-nursing.com/article/PIIS1361311109002222/abstract?rss=yesBackground: Patient’s perceptions of care received are increasingly acknowledged as important in evaluating and developing health care services. A huge amount of literature can be found that discussed the patients’ and nurses’ view the quality of nursing care from different perspectives.Greek orthopaedic patients’ perceptions regarding nursing care (Poster)Maria Kalafati, Riitta Suhonen, Perikllis Dedousis, Crryssoula Lemonidou10.1016/j.joon.2009.08.030Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts220221http://www.orthopaedic-nursing.com/article/PIIS1361311109002234/abstract?rss=yesIntrduction: Successful patient education during surgical treatment improves patients’ empowerment, symptom management and quality of life. This international research project aims to evaluate and improve the empowerment of osteoarthritis patients and their significant others in six countries in Europe.International comparison of surgical osteoarthritis patient education (Poster)Kirsi Johansson, E. Cabrera, A. Charalambous, P. Copanitsanou, B. Ingadottir, N. Istomina, Å. Johansson-Stark, D. Kyrlus, C. Lemonidou, E. Papastavrou, A. Sigurdardottir, P. Sourtzi, K. Thorarinsdottir, M. Unosson, A. Zabalegui, H. Leino-Kilpi10.1016/j.joon.2009.08.031Journal of Orthopaedic Nursing 13, 4 (2009)2009-11-01Journal of Orthopaedic Nursing2009-11-01134S1361-3111(09)X0005-1Conference Abstracts221221http://www.orthopaedic-nursing.com/article/PIIS1361311109002258/abstract?rss=yesPOLICY REVIEWS10.1016/j.joon.2009.09.001Journal of Orthopaedic Nursing 13, 4 (2009)2009-10-23Journal of Orthopaedic Nursing2009-10-23134S1361-3111(09)X0005-1Policy Reviews222223http://www.orthopaedic-nursing.com/article/PIIS1361311109002295/abstract?rss=yesLITERATURE REVIEWS10.1016/j.joon.2009.10.002Journal of Orthopaedic Nursing 13, 4 (2009)2009-10-28Journal of Orthopaedic Nursing2009-10-28134S1361-3111(09)X0005-1Literature Reviews224226