Safe Nursing Practices Applied for Patients Post Hip Joint Replacement

Authors

  • Soheir Mohamed Weheida Professor, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt
  • Nesreen Abdel-Monaem Abou-Zeid Lecturer, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Egypt
  • Esam Mohamed Kamel El Abassy Professor, Orthopedic Surgery Department, Faculty of Medicine, Alexandria University, Egypt
  • Magda Fekery Ashour Clinical Instructor, Medical Surgical Nursing Department, Faculty of Nursing, Damanhur University, Egypt

DOI:

https://doi.org/10.53555/hsn.v4i2.1223

Keywords:

Joint Replacement, Nursing Practices, Post Hip Replacement, Patients, Needs, Safety

Abstract

improving the safety of healthcare delivery saves lives. Nurses are in a key position to improve patient safety in hip replacement which considered one of the most successful orthopaedic procedures performed today. Aim: the current study was aimed to assess safe nursing practices applied for patients post hip joint replacement. Design: A descriptive research design was used. Study setting: This study was conducted at inpatient orthopaedic units of El-Hadara Orthopaedic and Traumatology University Hospital. Sample: all (52) available nurses who were involved in providing direct care for patients post hip joint replacement was included. They were classified according to level of education into 2 technical and 50 diploma nurses. One tool was used titled "Safe nursing practices applied for patients post hip joint replacement observational checklist" in addition to nurses' socio demographic data. Results: the study revealed that all the studied nurses had poor unsafe nursing practices in relation to  postoperative care applied for patients post hip joint replacement. The mean and standard deviation of safe hospital environment maintained by nurses during day one postoperative were higher (42.84 ± 4.84) than the pre discharge day (40.49 ± 4.84). Conclusion: There was significant relation between the nurses' safety practices and their age, years of experience; as the practice level increased with increasing age and years of experience. Recommendations: Improving nurses' practices through encouraging them to participate in educational programs through workshops, lectures and recent researches related to safety postoperative hip replacement.

Downloads

Download data is not yet available.

References

Malak T, Beard D, Glyn-Jones S. Total hip arthroplasty: recent advances and controversies. Reports on the Rheumatic Diseases. Topical reviews, England UK, Arthritis Res 2014; (4):1-9.

Woolf A. The bone and joint decade 2000-2010. Annals of Rheumatic Diseases 2000; 59(2): 81–2.

National Joint Registry (NJR). National Joint Registry for England and Wales 9th Annual Report 2012. Hemel, Hempstead, National Joint Registry 2012; 212.

Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. Am J Bone Joint Surgery 2007; 89(4):780-5.

National Hip Fracture Database (NHFD). Annual report 2015. NHFD 2015. Available at: www.nhfd.co.uk. Retrieved on 04/03/2016.

National Joint Registry of England and Wales. The management of hip fracture in adults. London: National Joint Registry of England and Wales 2015; 664.

Statistical Records. El Hadara Orthopedic and Trumatology University Hospital. Alexandria, Egypt 2014-2015.

Smeltzer S, Bare B, Hinkle J, Cheever K, Brunner L. Textbook of Medical Surgical Nursing. 10th Ed. Philadelphia: Mosby Co 2010; 182 -207.

Schmitz M, Busch V, Gardeniers J, Hendriks J, Veth R, Schreurs B. Long term results of cemented total hip arthroplasty in patients younger than 30 years and the outcome of subsequent revisions. Bio Med Central Musculoskeletal Disorders 2013; 14:1-9.

Yates P, Burston B, Whitley E, Bannister G. Collarless polished tapered stem: clinical and radiological results at a minimum of ten years’ follow up. J Bone Joint Surgery 2008; 90(1):16-22.

Hook S, Moulder E, Yates P, Burston B, Whitley E, Bannister G. The exeter universal stem: a minimum ten year review from an independent centre. Brit J Bone Joint Surgery 2006; 88 (12):1584-90.

Hailer N, Garellick G, Kärrholm J. Uncemented and cemented primary total hip arthroplasty in the Swedish hip arthroplasty register. Acta Orthopaedica 2010; 81(1):34- 41.

Mäkelä K, Eskelinen A, Pulkkinen P, Paavolainen P, Remes V. Cemented total hip replacement for primary osteoarthritis in patients aged 55 years or older: results of the 12 most common cemented implants followed for 25 years in the Finnish Arthroplasty Register. J Bone Joint Surgery 2008; 90 (12):1562-9.

Cushner F, Agnelli G, Fitz G. Complications and functional outcomes after total hip replacement and total knee arthroplasty: results from the Global Orthopedic Registry (GLORY). Am J Orthopedics 2010; 39(9):22–8.

Wheeless C, Nunley J, Urbaniak J. Wheeless' Textbook of Orthopaedics. Wheeless online 2013. Available at: http://www.wheelessonline.com. Retrieved on 05/05/2015.

Hughes R. patient safety and quality: an evidenced based handbook for nurses, Agency for Healthcare Res and Qual 2008; 08-0043.

Mitchell P. Defining patient safety and quality care. Patient safety and quality: an evidenced based handbook for nurses. AHRQ Rockville. Agency for Healthcare Res Qual 2008; 8 (43):1-5.

Ashish J, Arnold E. Hospital governance and the quality of care. Health Affairs (Millwood) 2010; 29(1):182-7.

Barnsteiner J, Disch J, Johnson J, McGuinn K, Chappell K, Swartwout E. Diffusing Quality and Safety Education for Nurses (QSEN) competencies across schools of nursing. J Prof Nurs 2013; 29 (2): 68-74.

The Joint Commission. National quality forum safe practices for better healthcare. Washington: National Qual Forum 2010; 5.

Adolph V, Lombardi K, Berend T. Perioperative Management-Rapid Recovery Protocol. Clinical Orthopaedics Related Res 2006; 452:117-22

Crowe J, Henderson J. Pre arthroplasty rehabilitation is effective in reducing hospital stay. Canadian J Occupational Therapy 2003; 70 (2):88-96.

Kishor G, Eugene V. Multimodal pain management techniques in hip and knee arthroplasty. Department of Anesthesiology, Thomas Jefferson University, Philadelphia, New York school of regional anesthesia 2009; 12:1-10

Association of Perioperative Registered Nurses (AORN). Recommended practices for a safe environment of care: perioperative standards and recommended practices. Denver: AORN 2010; 220-1

Lin Y, Tsai Y. Maintaining patients' dignity during clinical care: a qualitative interview study in Taiwan. J Advanced Nurs 2011; 67(2):340-8.

Paul P, Williams B. Brunner and Suddarth's Textbook of Medical Surgical Nursing. 1st Ed. Philadelphia: Lippincott William &Wilkins Co 2010; 553-85.

UK Essays. Discussion of management for hip replacement surgery patients. Nursing Essay. Available at: https://www.ukessays.com/essays/nursing/discussion-ofmanagement-for-hip-replacement-surgery-patients-nursing-essay.php?cref=1. Retrieved on 06/04/2016.

Hip replacement surgery. A patient’s guide. Available at http://www.timocarrigan.com.au/pdf/hip-patient-booklet.pdf. Retrieved on 15/06/2016

Smith T, Jepson P, Beswick A, Sands G, Drummond A, Davis E, Sackley C. Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty. Cochrane Database Systematic Review 2016; 7: CD010815.

Acta P, Enferm D, Alcalá P. Nurses' performance on hospital discharge: patients' point of view. Acta Paulista De Enfermagem 2007; 20(3):345-50.

Mary N, Stacen A. Transitional care: moving patients from one care setting to another. Am J Nurs 2008; 108(9 Suppl): 58–63.

Mohammed A, Philip H, Richard D, Brenda L. Continuity of Care. Literature review and implications. Sultan Qaboos University Med J. 2007; 7(3): 197–206

Joan D , Kenneth S, Ann L, Jay M, Edward L, Ethan A. Physical therapy and mobility 2 and 6 months after hip fracture. J Am Geriatrics Society. 2004; 52(7): 1114–20.

Heime J, Koch S, Goldie P. Patients' experiences of readiness for discharge following a total hip replacement. Australian J physiotherapy 2004; 50 (4):227-33.

Shojania K, Duncan B, McDonald K, Wachter R, Markowitz A. Making health care safer: a critical analysis of patient safety practices. Evidence Report Technology Assessment (Summary) 2001 ;(43):1-668.

Reis C, Martins M, Laguardia J. Patient safety as a dimension of the quality of healthcare a look at the literature. Ciencia Saude Coletiva 2013; 18(7):2029-36.

Ashish J, Arnold E. Hospital governance and the quality of care. Health Affairs (Millwood) 2010; 29(1):182-7.

Stone P. Nurse working conditions and patient safety outcomes. Med Care 2007; 45 (6): 571- 8.

Murphy L, Helmick C, Schwartz T, Renner J, Tudor G, Koch G. One in four people may develop symptomatic hip osteoarthritis in his or her lifetime. Osteoarthritis Cartilage 2010; 18 (11):1372-9.

Yates P, Burston B, Whitley E, Bannister G. Collarless polished tapered stem: clinical and radiological results at a minimum of ten years’ follow up. J Bone Joint Surgery 2008; 90(1):16-22.

Sam W, John N. Essentials of orthopedic surgery. 4th Ed Springer New York DordrechtHeidelberg

London 2010; 431-2.

Mohan K. Orthopedics of the upper and lower limb. Springer Verlag London 2013; 57- 85.

Gaylene A, Patricia B, Valerie C. Delmar’s fundamental and advanced nursing skills. Canadian Delmar’s Thomson Learning Co. 2000; Available at http://www.thomsonrights.com. Retrieved on 30/09/2015.

Rosemary P. Nursing the surgical patient. Elsevier Health Sci 2005; 480-524. Available at: https://books.google.com.eg/books?isbn=070202757X. Retrieved on 30/09/2015.

Joan D , Kenneth S, Ann L, Jay M, Edward L, Ethan A. Physical therapy and mobility 2 and 6 months after hip fracture. J Am Geriatrics Society. 2004; 52(7): 1114–20.

Kirkpatrick A, Feeney C. A Simple Guide to IBM SPSS Statistics for Version 20.0. Belmont: Cengage Learning Co.2013.

Neeleman J, Buerhaus P. Nursing staffing and patient safety: Current knowledge and implication for action. International J Qual Healthcare 2003; 15 (4):275-7.

Lawson P, lankshear A. Making patients safer: nurses' responses to patient safety alerts. J Advanced Nurs 2008; 63(6): 567- 75.

World Health Organization (WHO). A world alliance for safer healthcare. Human factors in patient safety: review of topics and tool. Geneva: WHO; 2009. 15-37.

Lawrence T. Hip replacement surgery. J Advanced Nurs 2010; 12: 28-32.

Oladimeji B, Adekunle S, Sunday A, Omotoso M, Tanimola A, James B. Injection safety practices among primary health care workers in Ilorin, kwara state of Nigeria. Health Sci J 2012; 6 (3): 496-508.

Labrague L, Rosales R, Tizon M. Knowledge of and compliance with standard precautions among student nurses. International J Advanced Nurs Studies 2012; 1 (2): 84-97.

Vaz K, McGrowder D, Lindo R, Gordon L, Britown P, Irving R. Knowledge, awareness and compliance with universal precautions among healthcare workers at the university hospital of the west Indies, Jamaica. International J Occupational Environmental Medicine 2010; 1(4):171-81.

Hamid M, Aziz N, Anita A, Norlijah O. Knowledge of blood borne infectious diseases and the practice of universal precautions amongst healthcare workers in a tertiary hospital in Malaysia. Southeast Asian J Tropical Medicine Public Health 2010; 41 (5): 1192-9.

Alwutaib A, Abdulghafour Y, Alfadhli A, Makboul G, El-Shazly M. Knowledge and attitude of the physicians and nurses regarding blood borne infections in primary healthcare, Kuwait. Greener J Med Sci 2012; 2(4): 107-14.

Aderaw Z. Assessment on magnitude of needle stick and sharp injuries and associated factors among healthcare workers in East Gojjam zone health institutions, Amahara Regional State, Ethiopia. Global J Med Res 2013; 13 (3): 41-9.

Chowdhury A, Roy T, Faroque A, Bachar S, Asaduzzaman M, Nasrin N. A comprehensive situation assessment of injection practices in primary healthcare hospitals in Bangladesh. Bio Med Central Public Health 2011; 11(779):1-13.

Lavery I. Infection control in IV therapy: a review of the chain of infection. Brit J Nurs 2010; 19(19): 6-14.

Ramadan S. Nurses' compliance with standard precautions in intensive care units. Unpublished Master Thesis. Faculty of Nursing, Alexandria University, Alexandria, Egypt 2016.

Shehata A. Assessment of nurses 'knowledge and practice related to safety measures during IV therapy administration. Unpublished Master Thesis. Faculty of Nursing, Alexandria University, Alexandria, Egypt 2015.

World Health Organization (WHO). Guidelines on hand hygiene in healthcare. Geneva: WHO 2009; 270.

Nursing and Midwifery Council (NMC). The code: Standards for conduct, performance and ethics for nurses and midwives. London: Nurse and Midwifery Council 2008; 9.

Saad A. Devoloping standard of intraoperative nursing interventions for general surgery. Unpublished Doctorate Thesis. Faculty of Nursing, Alexandria University, Alexandria, Egypt 2007.

Royal College of Nursing (RCN).Standards for infusion therapy. London, UK: Royal College Nursing 2003; 102.

Mahmood A, Chaudhury H, Gaumont A. Environmental issues related to medication errors in long term care: lessons from the literature. International J Healthcare Qual Assurance 2012; 25 (5):431-41.

Eskander M. Intensive care nurses’ knowledge & practices regarding infection control standard precautions at a selected Egyptian Cancer Hospital. J Education Practice 2013; 4(19):160-74.

Santy J. An investigation of the reality of nursing work with orthopedic patients. J Orthopedic Nurs 2001; (5):22–9.

Hassan A. Assessment of an educational training program for nurses working in maternal

and child health (MCH) centers in Assiut City regarding infection control. Assiut University Bulletin Environmental Res 2004; 7(2): 91-105.

Johnston E, Hardcastle J. Neurovascular assessment in the critically ill patient. J Critical Care 2011; 16(4):170-7.

Judge N. Neurovascular assessment. Nurs Standard 2007;21 (45):39-44.

Yang D, Vandongen Y, Stacey M. Effect of exercise on calf muscle pump function in patients with chronic venous disease. Brit J Surgery 2000; 86:338–41.

Kwon O, Jung D, Kim Y, Cho S, Yi C. Effects of ankle exercise combined with deep Breathing on blood flow velocity in the femoral vein. Physiotherapy 2003; 49 (4):253-8.

Lewis S, Heitkemper M, Dirksen S. Medical Surgical Nursing: assessment and management of clinical problems. 6th Ed. St. Louis, MO: Mosby Co 2004; 401-7.

Wendy A, Michelle M. Promoting safety and function through home assessments. Topics Geriatric Rehabilitation 1999; 15 (1):26–55.

Fielden J, Scott S, Horne J. An investigation of patient satisfaction following discharge after total hip replacement surgery. Orthopedic Nurs 2003; 22(6):429-36.

Lee T, Bokovoy J. Understanding discharge instructions after vascular surgery: an observational study. J Vascular Nurs 2005; 23 (1):25-9.

Philips C, Palmer C, Zimmarman B, Mayfield M. Professional development: assuring growth of RN to BSN students. J Nurs Education 2002; 41 (6):282-4.

Shahin M. Impact of a designed instructional program about enteral nutrition on the nurses' knowledge and practices at the Critical Care. Doctorate Thesis. Faculty of Nursing, Cairo University, Cairo, Egypt 2012.

Downloads

Published

2018-02-28

How to Cite

Weheida, S. M., Abou-Zeid, N. A.-M., El Abassy, E. M. K., & Ashour, M. F. (2018). Safe Nursing Practices Applied for Patients Post Hip Joint Replacement. International Journal For Research In Health Sciences And Nursing, 4(2), 64–86. https://doi.org/10.53555/hsn.v4i2.1223