Nurses’ Performance for Orthopedic Patients with Traction or Internal Fixatio

Author

Medical Surgical Nursing Faculty of Nursing - Port Said University

Abstract

Background: Traction or internal fixation is very stressful situation for patient and it requires a competent nurse to meet the patient's needs and to prevent complications. So, orthopedic nurses play a complicated and vital role in the care of patients with traction or internal fixation, Aim of the study: to assess nurses' performance for orthopedic patients with traction or internal fixation. Design: A descriptive research design was utilized in this study. Setting: The study was carried out in orthopedic department at two hospitals in Mansoura City (Mansoura University Hospital and Mansoura Emergency Hospital). Sample: A convenient sample of all staff nurses (50 nurses) who were working at the previously mentioned settings. Tools of data collection: The data were collected using three tools(Nurses' Knowledge Questionnaire, Nurses' Attitude Questionnaire and Nurses’ Observational Checklist). Results: The study’s results indicated that More than half  of studied nurses had unsatisfactory total level of knowledge. Nearly most of the studied nurses had unsatisfactory total practice level and most of them had positive attitude regarding nurses' performance of orthopedic patients with traction or internal fixation. Conclusion: There was a highly statistically significant correlation between nurses’ total level of knowledge and total level of practice. But there was no statistically significant correlation between nurses' total knowledge and their total attitude scores. Recommendations: It was recommended that educational and training programs should be provided to orthopedic nurses to increase their knowledge and practice for caring of patients with traction or internal fixation

Keywords


Abdulla, S., Abdulla, Z. (2014): Effect of an educational program on nurses' knowledge and practices toward Hepatitis B virus in emergency hospitals in Erbil City, Journal of medical science18 (1): 620.

Abd-Alla, K. (1990): Assessment the effect of Nurses’ Knowledge and skills on the care given to the orthopedic patient with traction and internal fixation. Unpublished Master thesis, Ain Shams Un., Faculty of Nursing. P.p23,24.

Afifi, H. (2000):Effect of a training program for developing anesthesia nurses as an advanced nursing practice specialty on their performance. Unpublished Doctorate Thesis. Medical Surgical Nursing, Faculty of Nursing, Ain Shams University. P 137.
Al-Barwari, R., Al-Attar, W., Saeed, O. (2006): Evaluation of Nursing Knowledge and Practices Concerning Nursing Care of patient  with Skin Traction in Orthopedic Units Kurdistan Region, Sci. J. Nursing / Baghdad 19(2): 24-31    
Alexander, M., Nicol, M., Brooker, C. (2011): Alexander's Nursing practice. Hospital and Home, The adult,4th ed., China, Elsevier health science.P338.
Atiyah, H., Khudhur, K., Hasan, S. (2012): Evaluation of nurses' practices toward postoperative wound dressing in surgical wards, Iraq international journal of nursing specialists 25(1):35. Ir
Bader, T., Kadhim, H. (2012): Evaluation of nurses’ practices toward orthopedic wound infection, Iraq international journal of nursing specialists 25(1):65
IBelal, A. (2011): Educational program for Nurses Managing Patient on Mechanical Ventilation .Unpublished doctorate thesis, Faculty of nursing, Ain shams University:P116.
Camera, I., Lewis, S., Dirksen, S., Bucher, L., Heitkemper, M. (2015): Assessment and management of clinical problems, medical surgical nursing, 8th ed., USA, Elsevier health sciences. P1595.
Chaboyer, W., Marshall, A., Aitken, L. (2015):ACCCN's critical care Nursing, 3rd ed., China, Elsevier health science.P803.
Cooper, K., Gonsnell, K. (2015): Foundation and Adult health nursing,7th ed., Canada, Elsevier health science. P 158.
Dewit, S., Kumagai, C. (2013): Concepts and Practice, medical-surgical nursing, 2nd ed., USA, Elsevier Saunders. P. 737.
El-dakhakhny, A. (2011):Impact of educational program on Nurses' performance toward children in Thomas traction. International journal of orthopedic and Trauma   Nursing 15 (2):107.
Elhakeem,S.,Ellateef,Z.,Farouk,O.,Ghanem,H.,(2014):Standards of Nursing Care for Patients Undergoing External Fixation in Trauma Unit At Assiut University Hospital, Assuit Scientific Nursing Journal 2(4):17
Garcia, P., Fugulin, F. (2012): Nursing care time and quality indicators  for adult intensive care: correlation analysis 20(4):651-659.
Hagerling, F. (2015): ''Nurse Attitudes toward caring for older patients with delirium. Published master thesis, Colorado State University: P41.
Moradi, T.,  Hajbaghery, M. (2013): Quality of care for patients with traction in kashan shahid Beheshti, Archives of trauma Research2(2):85-90
Ignatavicius, D., Workman, M. (2015): Patient centered collaborative care, Medical surgical nursing, 8th ed., Canada, Elsevier Saunders company. P1060.
iKassa, H., Murugan , R., Zewdu, F., Hailu, M., Woldeyohannes, D., (2014). Assessment of knowledge, attitude and practice and associated factors towards palliative care among nurses working in selected hospitals, Addis Ababa, Ethiopia, BMC, palliative care 13(1): 6.
Jones, R., Neighbors, M. (2014):Human diseases,4th ed., USA, cengage learning.P117.
Kambli, S. (2014):Fractured patient's knowledge Regarding care and treatment, International Journal of science and Research 3(7): 1178.
Lynn, P. (2011): Taylor's clinical nursing skills, 3rd ed., USA, Lippincott Williams &Wilkins.P508.

Mohammed, S., Weheida, S. (2015): Effects of implementing educational program about pressure ulcer control on nurses' knowledge and safety of immobilized patients, Journal of Nursing Education and Practice 5(3):

Mohsin, A., Atiyah, H. (2016): Nurses knowledge Toward Cast Complications in Orthopedic Ward at Al-Najaf AL-Ashraf Hospitals. International Journal of science and Research publications 6(7): 99.
Pereira, B., Fernandez, L., Garcia, G. et al. (2015): An overview of musculoskeletal injuries for emergency physicians. Emergency medicine open journal 1(3):77-88.

Qaddumil, J., Khawaldeh, A. (2014): Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study, BMC Nursing 13(1): 6.

Shahin, M., Mohammed, W., Sayed, M. (2012): Nurses' knowledge and practices regarding Enteral Nutrition at the critical care Department of Al-Manial University Hospital in Egypt: Impact of a Deigned instructional Program. Journal of American Science 8(11):402-403.
Taha, A. (2014): Nurses knowledge and practices related to pressure ulcer at intensive care unit. Journal of international academic research for multidisciplinary2(2):247-262 .
Timby, B., Smith, N. (2014): Introductory medical-Surgical nursing;11th ed., USA, Lippincott Williams&Wilkins.P1056.