International Journal of Orthopaedic and Trauma Nursing (2013) 17, 159–161
International Journal of Orthopaedic and Trauma Nursing ORTHOPAEDIC & TRAUMA NURSING INTERNATIONAL FOCUS This international focus section of the International Journal of Orthopaedic and Trauma Nursing aims to inform practitioners of recent events, publications, policies and research of interest to orthopaedic and trauma practitioners on an international basis. If you have items you feel would be relevant to the journal’s readership across the world, please contact Elaine Collins at [email protected]
AUSTRALIA AND NEW ZEALAND Australia & New Zealand Orthopaedic Nurses Association (ANZONA) Improving Orthopaedic Nurse Education and Communication As part of addressing the issues associated with living in a large country, with many members who live in rural areas, ANZONA is gradually introducing a Webinar program where local education sessions are streamed on-line in real time. The sessions are presented live and in person to the local group, but are also available on-line for any member of ANZONA to access in real time. This means that any member of ANZONA can click on a link and listen to the presentation as it is being given anywhere in Australia or New Zealand via their computer. They are able to hear the presenter, see the PowerPoint slides and are able to ask questions of the presenter. The sessions are recorded and are available for download from the ANZONA website.
International Collaboration ANZONA continues to contribute to international collaborative projects on hip fracture care and orthopaedic nursing competencies along with other international organisations. For more information on these projects please go to www.orthopaedicnursing.org
Australia New Zealand Hip Fracture Registry (ANZHFR) Australia and New Zealand is in the early stages of developing a national hip fracture registry. ANZONA representative on the Steering group of the Australia New Zealand Hip Fracture Registry (ANZHFR) is Anita Taylor, a Hip Fracture Nurse practitioner working in South Australia. This group aims to develop a national
Hip Fracture Registry to compare outcomes, develop guidelines for hip fracture care, define standards of care, measure quality indicators and share best practice. The ANZHFR Guideline Adaptation Committee will meet in Sydney to review progress with the hip fracture registry and review the NICE recommendations having just completed a review of the evidence up to Oct 2012 in order to ensure that all recommendations are appropriate for the Australian and New Zealand context. For more information:http://anzhfr.org For further information on the work of ANZONA please go to www.anzona.net
EUROPE Ireland www.myorthoclinic.com is Ireland’s first website for patients with injuries to their bones and joints. This initiative specialises in providing medical and practical information for all patients outside of the hospital environment. The website allows patients to freely access reliable information without having to contact their local fracture clinic. Clinical follow up is essential in ensuring adequate healing after a musculoskeletal injury. However patients often forget to ask or have problems retaining the information that they receive before leaving the hospital. This can be due to many factors: limited contact with doctors, time constraints, post-operative challenges and fatigue. A better knowledge of their own injury leads to better compliance with their healing programme. This website recognises this issue and aims to bridge the information gap between the hospital setting and follow up care. Since its launch in October 2011 the web site has witnessed a very encouraging response. Piloted in the North East HSE region, the site attracted 900 individual users over an initial 6 month period. A Google survey of the website found that 8 out of 10 patients with musculoskeletal injuries listed the website as a ‘‘favourite,’’ while 6 out of 10 patients revisited the website within the same month. These findings reflect the healing process; as more time passes, more questions and challenges arise for the patient. The website was also highlighted for its potential at the Irish Orthopaedic Association’s annual meeting, held in Fermanagh in June 2012. Supported by orthopaedic professionals, the site is available to any patient seeking information and is promoted through 16 fracture clinics nationally.
Irish Hip Fracture Data Base The Irish Hip Fracture Database (IHFD) held its inaugural meeting in March 2013. The IHFD is a collaborative venture developed to focus attention on hip fracture care at a local and national level. It aims to promote best practice standards for care in this area by providing continuous comparative data on care outcomes allowing health care institutions to benchmark their care and identify areas for development and improvement.
Irish Nursing and Midwifery Board The Irish Nursing and Midwifery board continue to identify and develop projects in order to implement the provisions of the nurses and midwives act (2011). The act aims to enhance the protection of the public in its dealings with the profession, while ensuring the integrity of nursing and midwifery practice. For further information go to http://www.inmo.ie
Irish National Early Warning System The National Early Warning System and associated education programme was launched in many regional hospitals throughout the country. Ireland is the first country to launch a national early warning system. Early warning score systems such as this have become increasingly popular internationally for the identification and monitoring of critically ill patients. The National Early Warning Score Conference is planned for June 2013, where it is expected the new health care assistant training program will be introduced. For more information see http://www.hse.ie/eng/about/Who/ONMSD/practicedevelopment/MEWS/
Sweden ¨dersjukhuset , Sweden: Negative Pressure Wound Department of Clinical Science and Education, So Therapy. Treatment outcomes and the impact on the patient´s health-related quality of life Throughout history wounds have been a cause of great distress to the sufferer and a major burden to society. Slow to heal wounds have been a particular issue and in order to facilitate healing, complementary methods have been developed. Negative pressure wound therapy (NPWT) is one such method. The overall aim of this thesis was to study if NPWT is an effective and safe method for wound treatment and to enhance knowledge of the patients’ experience of the treatment and the impact on his/her health- related quality of life (HRQoL). The Swedish version of the Center for World Indigenous Studies (CWIS) was shown to be useful for assessment. For further information go to http://hdl.handle.net/10616/41375
United Kingdom Royal College of Nursing Nursing on the move – specialist nursing for patients requiring repatriation and retrieval. RCN guidance This RCN Publication outlines recommendations about educational preparation for repatriation and retrieval nursing. It reinforces the role that nurses have at the forefront of patient transportation – especially in the context of increasing centralisation of care and worldwide travel. The document covers four main areas of repatriation and retrieval nursing and is designed for use by nurses, managers and commissioners of services. Publication Date: 22nd April 2013 ISBN: 978-1908782-34-2 http://www.rcn.org.uk/ __data/assets/pdf_file/0008/518075/004364.pdf Administering subcutaneous methotrexate for inflammatory arthritis. RCN guidance This evidence-based guidance has been developed to help support practitioners in the safe and confident administration of subcutaneous methotrexate for a number of rheumatological conditions, in a variety of health care settings, community environments and at home. The publication contains separate guidance for adults and children and covers some key areas such as risk management, supply, storage and disposal and patient education and training. It also has a comprehensive framework to help patients administer treatment at home. Publication Date: 28th March 2013 ISBN: 978-1-908782-35-9 http:// www.rcn.org. uk/__data/assets/pdf_file/0006/513339/004377. pdf Scoping the role of the dementia nurse specialist in acute care This report was developed in response to the Prime Minister’s Challenge on Dementia to scope the role of dementia nurse specialists working in the acute care setting and develop recommendations for future developments. The research report forms part of on-going work at the RCN focusing on dementia care. This report highlights the significant contribution dementia nurse specialists could make in the acute care setting to deliver benefits for people with dementia and their families/carers. This includes improving patient and family experiences, optimising patient outcomes, including reducing length of stay and preventing adverse events such as falls and readmissions and providing education and leadership to other staff. Publication Date: 26th March 2013 http://www. rcn.org.uk/__data/assets/pdf_file/0009/512847/004429. pdf Elaine Collins Nuffield Health Bristol Hospital, Upper Byron Place, Clifton, Bristol BS8 1JU, United Kingdom E-mail address: [email protected]