- Email: [email protected]
Pro-active Patient Rounding: Developing nursing practice to improve the quality of patient care
Selected Abstracts from the International Collaboration of Orthopaedic Nursing GDS-15), functional status (Modified Health Assessment Questionnaire: MHAQ) and pain (Visual Analogue Scale: VAS) of rheumatoid arthritis patients. We also assessed resources available for caregivers, and examined caregivers’ burden using a subjective scale – the Zarit Burden Interview (ZBI). Resources included the level of needing care, care term and patient’s depression. Caregivers’ burden was analyzed according to aspects of burden: general burden, concern about health and care, restriction of social activity, mental fatigue, release from care and deterioration of human relations. The findings indicated that employment status, health status and recreation played important roles in caregivers’ burden. Furthermore, the effects of these factors differed according to the aspect of subjective burden. The results suggest that promotion of caregivers’ health status, temporary release from care-giving and social support are important for reducing the burden of caregivers of rheumatoid arthritis patients. doi:10.1016/j.ijotn.2010.08.016
Collaborating to care – The ‘hip’ way to networking Amanda Broom a, Josanne Grech b, Maria b Schembri a b
Royal United Hospital, Bath, UK Mater Dei Hospital, Malta
This presentation will provide an overview of a project established between the Association of Maltese Orthopaedic Nursing (AMON), Society of Orthopaedic & Trauma Nursing UK (SOTN) and the Maltese Emergency Nurses Association (MENA). The project included the identification of three nurses (one member from each Association) who would act as the champions for hip fracture patients in their particular area. The project included the co-ordination of a visit to the UK by a nurse from an orthopaedic ward and a nurse from the Emergency Department in Malta. The focus of the project was to compare the care given to hip fracture patients in the two countries and to explore the possibilities of fast-tracking and enhancing care of hip fracture patients in Malta. The outcomes of the project included the enhancement of fast-tracking processes for hip fracture patients in the Emergency Department in Malta and discussions with a dietician to set up a
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nutritional support plan for hip fracture patients. Also included in the project was the identification and implementation of interventions to enhance care for high risk patients requiring special attention for the prevention of complications such as pressure ulcers. doi:10.1016/j.ijotn.2010.08.017
Pro-active Patient Rounding: Developing nursing practice to improve the quality of patient care B. Lucas, R. Ahmad Whipps Cross University Hospital NHS Trust, London, UK
Introduction The presentation will describe the development and implementation of Pro-active Patient Rounding (PPR) in a UK Orthopaedic Unit so that staff responsiveness to patient needs was improved. PPR involves nursing staff asking patients on a regular (two hourly) basis if there is anything they need, using a ‘script’ devised as part of the project, and checking the patient environment to ensure that it is clean and uncluttered and that everything is in reach of the patient. The project was supported by the Patients First Programme (a partnership between the Foundations of Nursing Studies and the Burdett Trust for Nursing).
Methods The project involved seven stages: 1. Analysis of the current situation – including why patients sought nursing staff help, an audit of call bell use and staff perceptions of PPR. 2. Development of the PPR standard and audit tool. 3. Education of nursing staff in the use of the PPR standard. 4. Three month pilot of PPR. 5. Analysis of the pilot results and refinement of the PPR process as necessary. 6. Implementation of the routine use of PPR in clinical practice. 7. Dissemination of the results locally and externally.
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Results The project ran from October 2009 until August 2010.
Discussion PPR is designed to increase patient satisfaction and the standard of nursing care by ensuring that all patients receive regular attention designed to elicit and meet their individual needs. The presentation will consider whether these benefits were achieved in practice and the issues to consider when introducing similar initiatives.
Further reading Meade, C.M., Bursell, A.L., Ketelson, L., 2006. Effects of nursing rounds on patients’ call light use, satisfaction, and safety. American Journal of Nursing 106 (9), 58–70. Tea, C., Ellison, M., Feghali, F., 2008. Proactive patient rounding to increase customer service and satisfaction on an Orthopaedic Unit. Orthopaedic Nursing 27 (4), 233–240. doi:10.1016/j.ijotn.2010.08.018
A clinical retrospective study of early complications associated with anterior approach thoracic and lumbar spine surgery for tuberculosis Liao Dengbin, Ning Ning
Abstracts was constructed and analyzed using SPSS (version 13.0). Data are presented as the mean ± standard deviation (SD) or as the median and inter-quartile range as appropriate.
Results Sixteen out of 193 cases had early complications with an incidence rate of 19.3%. Among these cases who had complications, 5 were stomach/intestine complications, 2 were inadequate reduction or lateral scoliosis, 3 cases of pleural effusion, 1 of abscess, 3 of delayed healing of the incision, 1 of injury to nerve root and 1 of emphysema.
Conclusions 1. The anterior approach has been widely used in surgery of the thoracic and lumbar spine diseases. Under proper conditions and nursing, the anterior approach is relatively safe and severe complications are rare. 2. The anterior approach thoracic and lumbar tuberculosis surgery has a variety of complications. 3. The occurrence rate of early complications can be reduced by methods such as careful pre-operative nursing care, education of the patients and family and precise postoperative nursing intervention. doi:10.1016/j.ijotn.2010.08.019
West China Hospital, Sichuan University, China
Objectives
Assessment of acute pain in older adults with hip fracture: current nursing practice Y.Y. Wong Prince of Wales Hospital, Hong Kong, China
To explore the causes and related factors of the early complications associated with nursing following anterior approach thoracic and lumbar surgery for tuberculosis and to summarise some measures to prevent and treat them and reduce the occurrence of complications.
Introduction There were 9000 elderly patients with hip fracture in Hong Kong in 2006. Previous studies showed that the pain management in these patients was not optimal. The pain assessment in Chinese patients has not been evaluated in detail in the past.
Patients and methods Objectives From January 2006 to December 2008, computer records for n = 193 patients following primary anterior approach thoracic and lumbar spine surgery for tuberculosis were analysed retrospectively. The statistical indices included sex, age, operation time, operative approach, blood loss, blood transfusion and complications. A standardized database
(i) Identify the current nursing practice regarding the assessment of acute pain in elderly people with a hip fracture. (ii) Identify the differences in pain management between elderly people with and without cognitive impairment.
Collaborating to care – The ‘hip’ way to networking Amanda Broom a, Josanne Grech b, Maria b Schembri a b
Royal United Hospital, Bath, UK Mater Dei Hospital, Malta
This presentation will provide an overview of a project established between the Association of Maltese Orthopaedic Nursing (AMON), Society of Orthopaedic & Trauma Nursing UK (SOTN) and the Maltese Emergency Nurses Association (MENA). The project included the identification of three nurses (one member from each Association) who would act as the champions for hip fracture patients in their particular area. The project included the co-ordination of a visit to the UK by a nurse from an orthopaedic ward and a nurse from the Emergency Department in Malta. The focus of the project was to compare the care given to hip fracture patients in the two countries and to explore the possibilities of fast-tracking and enhancing care of hip fracture patients in Malta. The outcomes of the project included the enhancement of fast-tracking processes for hip fracture patients in the Emergency Department in Malta and discussions with a dietician to set up a
227
nutritional support plan for hip fracture patients. Also included in the project was the identification and implementation of interventions to enhance care for high risk patients requiring special attention for the prevention of complications such as pressure ulcers. doi:10.1016/j.ijotn.2010.08.017
Pro-active Patient Rounding: Developing nursing practice to improve the quality of patient care B. Lucas, R. Ahmad Whipps Cross University Hospital NHS Trust, London, UK
Introduction The presentation will describe the development and implementation of Pro-active Patient Rounding (PPR) in a UK Orthopaedic Unit so that staff responsiveness to patient needs was improved. PPR involves nursing staff asking patients on a regular (two hourly) basis if there is anything they need, using a ‘script’ devised as part of the project, and checking the patient environment to ensure that it is clean and uncluttered and that everything is in reach of the patient. The project was supported by the Patients First Programme (a partnership between the Foundations of Nursing Studies and the Burdett Trust for Nursing).
Methods The project involved seven stages: 1. Analysis of the current situation – including why patients sought nursing staff help, an audit of call bell use and staff perceptions of PPR. 2. Development of the PPR standard and audit tool. 3. Education of nursing staff in the use of the PPR standard. 4. Three month pilot of PPR. 5. Analysis of the pilot results and refinement of the PPR process as necessary. 6. Implementation of the routine use of PPR in clinical practice. 7. Dissemination of the results locally and externally.
228
Results The project ran from October 2009 until August 2010.
Discussion PPR is designed to increase patient satisfaction and the standard of nursing care by ensuring that all patients receive regular attention designed to elicit and meet their individual needs. The presentation will consider whether these benefits were achieved in practice and the issues to consider when introducing similar initiatives.
Further reading Meade, C.M., Bursell, A.L., Ketelson, L., 2006. Effects of nursing rounds on patients’ call light use, satisfaction, and safety. American Journal of Nursing 106 (9), 58–70. Tea, C., Ellison, M., Feghali, F., 2008. Proactive patient rounding to increase customer service and satisfaction on an Orthopaedic Unit. Orthopaedic Nursing 27 (4), 233–240. doi:10.1016/j.ijotn.2010.08.018
A clinical retrospective study of early complications associated with anterior approach thoracic and lumbar spine surgery for tuberculosis Liao Dengbin, Ning Ning
Abstracts was constructed and analyzed using SPSS (version 13.0). Data are presented as the mean ± standard deviation (SD) or as the median and inter-quartile range as appropriate.
Results Sixteen out of 193 cases had early complications with an incidence rate of 19.3%. Among these cases who had complications, 5 were stomach/intestine complications, 2 were inadequate reduction or lateral scoliosis, 3 cases of pleural effusion, 1 of abscess, 3 of delayed healing of the incision, 1 of injury to nerve root and 1 of emphysema.
Conclusions 1. The anterior approach has been widely used in surgery of the thoracic and lumbar spine diseases. Under proper conditions and nursing, the anterior approach is relatively safe and severe complications are rare. 2. The anterior approach thoracic and lumbar tuberculosis surgery has a variety of complications. 3. The occurrence rate of early complications can be reduced by methods such as careful pre-operative nursing care, education of the patients and family and precise postoperative nursing intervention. doi:10.1016/j.ijotn.2010.08.019
West China Hospital, Sichuan University, China
Objectives
Assessment of acute pain in older adults with hip fracture: current nursing practice Y.Y. Wong Prince of Wales Hospital, Hong Kong, China
To explore the causes and related factors of the early complications associated with nursing following anterior approach thoracic and lumbar surgery for tuberculosis and to summarise some measures to prevent and treat them and reduce the occurrence of complications.
Introduction There were 9000 elderly patients with hip fracture in Hong Kong in 2006. Previous studies showed that the pain management in these patients was not optimal. The pain assessment in Chinese patients has not been evaluated in detail in the past.
Patients and methods Objectives From January 2006 to December 2008, computer records for n = 193 patients following primary anterior approach thoracic and lumbar spine surgery for tuberculosis were analysed retrospectively. The statistical indices included sex, age, operation time, operative approach, blood loss, blood transfusion and complications. A standardized database
(i) Identify the current nursing practice regarding the assessment of acute pain in elderly people with a hip fracture. (ii) Identify the differences in pain management between elderly people with and without cognitive impairment.