Klinik Araştırma
BibTex RIS Kaynak Göster

Orthopedic and Trauma Nurses' Experiences of Caring for Patients Undergoing Extremity Surgery Due to Trauma: A Qualitative Study

Yıl 2025, Cilt: 28 Sayı: 3, 294 - 302, 24.09.2025
https://doi.org/10.17049/jnursology.1542753

Öz

Objective: This study investigated orthopedic and trauma nurses' experiences of caring for patients undergoing extremity surgery due to trauma.

Methods: This study adopted a descriptive and qualitative research design. The sample consisted of 11 nurses working in the Orthopedic and Traumatology Clinic of a public hospital in Ankara, where trauma patients are primarily admitted. The determination of the sample size was based on data saturation. Data were collected online (Zoom) using a semi-structured interview guide. Thematic content analysis was used for data analysis.

Results: The data were grouped under four themes. The themes were Differences in Care, Competencies in Care, Areas of Improvement in Care, and Challenges Faced by Patients in the Eyes of Nurses.

Conclusion: The results showed that our participants were aware of the care needs of patients after trauma surgery. Especially, nurses emphasized that nursing care of orthopedic trauma patients is more complex than that of other orthopedic patients. These results suggest that nurses need training specifically for the care of trauma patients and that different studies should be conducted to evaluate patient outcomes and nurse experiences after training.

Kaynakça

  • 1. Cogan CJ, Kandemir U. Role of peripheral nerve block in pain control for the management of acute traumatic orthopaedic injuries in the emergency department: Diagnosis-based treatment guidelines. Injury 2020; 51-7:1422–1425. https://doi.org/10.1016/j.injury.2020.04.016
  • 2. Gelaw AY, Gabbe BJ, Simpson PM, Ekegren CL. Pre-injury health status of major trauma patients with orthopaedic injuries. Injury. 2020;51-2:243–251. https://doi.org/10.1016/j.injury.2019.12.016
  • 3. Klunder-Rosser J, Pennington N. Does a specialised orthopaedic trauma module utilising high fidelity simulation improve student nurses' perceptions of their competence? A pilot study. Int J Orthop Trauma Nurs. 2021;41:100800. https://doi.org/10.1016/j.ijotn.2020.100800
  • 4. Biz C, Buffon L, Marin R, Petrova N. Orthopaedic nursing challenges in poly-traumatised patient management: A critical analysis of an Orthopaedic and Trauma Unit. Int J Orthop Trauma Nurs. 2016;23:60–71. https://doi.org/10.1016/j.ijotn.2016.04.003
  • 5. Parker M. Magnusson C. Assessment of trauma patients. Int J Orthop Trauma Nurs. 2016; 21:21–30. https://doi.org/10.1016/j.ijotn.2015.10.002
  • 6. No authors listed. Istituto Nazionale Di Statistica, Road Accidents-Preliminary Estimates. https://www.istat.it/en/archivio/277705 (date last accessed 23 May 2023).
  • 7. Wu JC, Chen YC, Huang WC. Ossification of the posterior longitudinal ligament in cervical spine: prevalence, management, and prognosis. Neurospine. 2018;15-1:33-41. https://doi.org/10.14245/ns.1836084.042
  • 8. No authors listed. World Health Organization, Road Traffic Injuries. https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries (date last accessed 25.05.2025).
  • 9. No authors listed. World Health Organization, WHO/ILO: Almost 2 million people die from work-related causes each year. https://www.who.int/news/item/17-09-2021-who-ilo-almost-2-million-people-die-from-work-related-causes-each-year (date last accessed 25.05.2025).
  • 10. No authors listed. Republic of Türkiye General Directorate of Security Traffic Bulletin. https://www.trafik.gov.tr/istatistikler37 (date last accessed 13 May 2023).
  • 11. Bérubé M, Choinière M, Laflamme YG, Gélinas C. Acute to chronic pain transition in extremity trauma: A narrative review for future preventive interventions (part 1). Int J Orthop Trauma Nurs. 2016;23:47–59. https://doi.org/10.1016/j.ijotn.2016.04.002
  • 12. Ma Y, Wu H, Wang Y, Guo L. A feasibility study of modified self-efficacy for the improvement of adverse emotions and quality of life in traumatic fracture patients. Am J Transl Res. 2021;13-6:6507–6515. https://pubmed.ncbi.nlm.nih.gov/34306391/
  • 13. No authors listed. Statistical Yearbooks of the Social Security Institution of the Republic of Türkiye. http://eski.sgk.gov.tr/wps/portal/sgk/tr/kurumsal/istatistik/sgk_istatistik_yilliklari (date last accessed 13 May 2023)
  • 14. Ekegren CL, Braaf S, Ameratunga S, et al. Adaptation, self-motivation and support services are key to physical activity participation three to five years after major trauma: a qualitative study. J Physiother. 2020;66-3:188–195. https://doi.org/10.1016/j.jphys.2020.06.008
  • 15. Nasiri M, Farsi Z, Habibi H, Fournier A, Rajai N. Effects of light stroking massage with olive oil on acute pain severity and number of taken non-steroidal anti-inflammatory drugs among outpatients with extremities trauma: A double-blind, placebo-controlled superiority trial. Int J Orthop Trauma Nurs. 2022; 46:100953. https://doi.org/10.1016/j.ijotn.2022.100953
  • 16. Aitken LM, Chaboyer W, Jeffrey C, et al. Indicators of injury recovery identified by patients, family members and clinicians. Injury. 2016; 47-12:2655–2663. https://doi.org/10.1016/j.injury.2016.10.006
  • 17. Sandström L, Engström Å, Nilsson C, Juuso P. Experiences of suffering multiple trauma: A qualitative study. Intensive Crit Care Nurs. 2019;54:1–6. https://doi.org/10.1016/j.iccn.2019.07.006
  • 18. Alzghoul MM. The experience of nurses working with trauma patients in critical care and emergency settings: A qualitative study from Scottish nurses’ perspective. Int J Orthop Trauma Nurs. 2014;18-1:13-22. https://doi.org/10.1016/j.ijotn.2013.04.004
  • 19. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 8th Edition. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008: 199-333.
  • 20. Van Manen M. Researching lived experience: Human science for an action sensitive pedagogy. Routledge, 2016: 95-169.
  • 21. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19-6:349–357. https://doi.org/10.1093/intqhc/mzm042
  • 22. Glesne C. Öykünüzü keşfetmek: veri analizi [Exploring your story: data analysis]. A. Ersoy, (Çev.) [A. Ersoy, (Trans.)]. A. Ersoy ve P. Yalçınoğlu, (Çev. Ed.), Nitel araştırmaya giriş içinde (s. 255-300). [In A. Ersoy ve P. Yalçınoğlu, (Trans. Ed.), Introduction to qualitative research (pp. 255-300)]. Ankara: Anı,2015.
  • 23. Merriam SB, Tisdell EJ. Qualitative Research: A Guide to Design and Implementation. San Francisco, CA: Wiley, 2015. https://repository.act.ac.rw/server/api/core/bitstreams/323490a5-4e3f-4cd1-ab1a-8ec2ec2e1a21/content
  • 24. Miles MB, Huberman AM. Veri toplamaya odaklanmak ve veri toplamayı sınırlamak: anlamlı bir başlangıç [Focus on data collection and limit data collection: a meaningful start]. D. Örücü (Çev.), [D. Örücü (Trans.)]. S. Akbaba Altun, ve A. Ersoy, (Çev. Ed.), Nitel veri analizi içinde (s. 16-39). [In S. Akbaba Altun, and A. Ersoy, (Trans. Ed.), Qualitative data analysis (pp. 16-39)]. Ankara: PegemA, 2015.
  • 25. Lincoln YS, Guba EG. Naturalistic inquiry. London: Sage publication, 1995.
  • 26. Osterhoff G, Noser J, Held U, Werner CML, Pape HC, Dietrich M. Early Operative Versus Nonoperative Treatment of Fragility Fractures of the Pelvis: A Propensity-Matched Multicenter Study. J Orthop Trauma. 2019;33-11:410–415. https://doi.org/10.1097/BOT.0000000000001584
  • 27. Sandström L, Nilsson C, Juuso P, Engström Å. Experiences of nursing patients suffering from trauma - preparing for the unexpected: A qualitative study. Intensive Crit Care Nurs. 2016; 36:58–65. https://doi.org/10.1016/j.iccn.2016.04.002
  • 28. Fuzier R, Rousset J, Bataille B, Salces-y-Nédéo A, Maguès JP. One half of patients reports persistent pain three months after orthopaedic surgery. Anaesth Crit Care Pain Med. 2015;34-3:159–164. https://doi.org/10.1016/j.accpm.2014.09.006
  • 29. Claydon J, Maniatopoulos G, Robinson L, Fearon P. Challenges experienced during rehabilitation after traumatic multiple rib fractures: a qualitative study. Disabil Rehabil. 2018;40-23:2780–2789. https://doi.org/10.1080/09638288.2017.1358771
  • 30. Phelps EE, Tutton E, Griffin X, Baird J. TrAFFix research collaborators. A qualitative study of patients' experience of recovery after a distal femoral fracture. Injury. 2019;50-10:1750–1755. https://doi.org/10.1016/j.injury.2019.07.021
  • 31. Andersson V, Bergstrand J, Engström Å, Gustafsson S. The Impact of Preoperative Patient Anxiety on Postoperative Anxiety and Quality of Recovery After Orthopaedic Surgery. J Perianesth Nurs. 2020;35-3:260–264. https://doi.org/10.1016/j.jopan.2019.11.008
  • 32. Tutton E, Achten J, Lamb SE, Willett K, Costa ML. A qualitative study of patient experience of an open fracture of the lower limb during acute care. Bone Joint J. 2018;100-B(4):522-526. https://doi.org/10.1302/0301-620x.100b4.bjj-2017-0891.r1

Ortopedi ve Travmatoloji Hemşirelerinin Travma Nedeniyle Ekstremite Cerrahisi Uygulanan Hastalara Bakım Verme Deneyimleri: Nitel Bir Çalışma

Yıl 2025, Cilt: 28 Sayı: 3, 294 - 302, 24.09.2025
https://doi.org/10.17049/jnursology.1542753

Öz

Amaç: Bu çalışma, travma nedeniyle ekstremite cerrahisi geçiren hastalara bakım veren ortopedi ve travma hemşirelerinin deneyimlerini incelemiştir.

Yöntem: Tanımlayıcı nitel araştırma deseni kullanılmıştır. Örneklem, travma hastalarının öncelikli olarak kabul edildiği Ankara’daki bir devlet hastanesinin Ortopedi ve Travmatoloji Kliniğinde çalışan 11 hemşireden oluşmuştur. Örneklem büyüklüğü veri doygunluğuna göre belirlenmiştir. Veriler, yarı yapılandırılmış görüşme formu kullanılarak çevrim içi (Zoom) ortamında toplanmış; analizde tematik içerik analizi yöntemi uygulanmıştır.

Bulgular: Veriler dört tema altında toplanmıştır: Bakımda Farklılıklar, Bakımda Yetkinlikler, Bakımda Gelişim Alanları ve Hemşirelerin Gözünden Hastaların Karşılaştığı Zorluklar.

Sonuç: Bulgular, hemşirelerin travma cerrahisi sonrası hastaların bakım gereksinimlerinin farkında olduklarını göstermiştir. Özellikle, ortopedik travma hastalarının hemşirelik bakımının diğer ortopedi hastalarına kıyasla daha karmaşık olduğunun altı çizilmiştir. Sonuçlar, travma hastalarının bakımına yönelik özel hemşirelik eğitimine gereksinim olduğunu ve bu eğitimin ardından hasta sonuçları ile hemşire deneyimlerinin değerlendirilmesine yönelik farklı çalışmalar yapılması gerektiğini ortaya koymaktadır.

Destekleyen Kurum

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Teşekkür

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Kaynakça

  • 1. Cogan CJ, Kandemir U. Role of peripheral nerve block in pain control for the management of acute traumatic orthopaedic injuries in the emergency department: Diagnosis-based treatment guidelines. Injury 2020; 51-7:1422–1425. https://doi.org/10.1016/j.injury.2020.04.016
  • 2. Gelaw AY, Gabbe BJ, Simpson PM, Ekegren CL. Pre-injury health status of major trauma patients with orthopaedic injuries. Injury. 2020;51-2:243–251. https://doi.org/10.1016/j.injury.2019.12.016
  • 3. Klunder-Rosser J, Pennington N. Does a specialised orthopaedic trauma module utilising high fidelity simulation improve student nurses' perceptions of their competence? A pilot study. Int J Orthop Trauma Nurs. 2021;41:100800. https://doi.org/10.1016/j.ijotn.2020.100800
  • 4. Biz C, Buffon L, Marin R, Petrova N. Orthopaedic nursing challenges in poly-traumatised patient management: A critical analysis of an Orthopaedic and Trauma Unit. Int J Orthop Trauma Nurs. 2016;23:60–71. https://doi.org/10.1016/j.ijotn.2016.04.003
  • 5. Parker M. Magnusson C. Assessment of trauma patients. Int J Orthop Trauma Nurs. 2016; 21:21–30. https://doi.org/10.1016/j.ijotn.2015.10.002
  • 6. No authors listed. Istituto Nazionale Di Statistica, Road Accidents-Preliminary Estimates. https://www.istat.it/en/archivio/277705 (date last accessed 23 May 2023).
  • 7. Wu JC, Chen YC, Huang WC. Ossification of the posterior longitudinal ligament in cervical spine: prevalence, management, and prognosis. Neurospine. 2018;15-1:33-41. https://doi.org/10.14245/ns.1836084.042
  • 8. No authors listed. World Health Organization, Road Traffic Injuries. https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries (date last accessed 25.05.2025).
  • 9. No authors listed. World Health Organization, WHO/ILO: Almost 2 million people die from work-related causes each year. https://www.who.int/news/item/17-09-2021-who-ilo-almost-2-million-people-die-from-work-related-causes-each-year (date last accessed 25.05.2025).
  • 10. No authors listed. Republic of Türkiye General Directorate of Security Traffic Bulletin. https://www.trafik.gov.tr/istatistikler37 (date last accessed 13 May 2023).
  • 11. Bérubé M, Choinière M, Laflamme YG, Gélinas C. Acute to chronic pain transition in extremity trauma: A narrative review for future preventive interventions (part 1). Int J Orthop Trauma Nurs. 2016;23:47–59. https://doi.org/10.1016/j.ijotn.2016.04.002
  • 12. Ma Y, Wu H, Wang Y, Guo L. A feasibility study of modified self-efficacy for the improvement of adverse emotions and quality of life in traumatic fracture patients. Am J Transl Res. 2021;13-6:6507–6515. https://pubmed.ncbi.nlm.nih.gov/34306391/
  • 13. No authors listed. Statistical Yearbooks of the Social Security Institution of the Republic of Türkiye. http://eski.sgk.gov.tr/wps/portal/sgk/tr/kurumsal/istatistik/sgk_istatistik_yilliklari (date last accessed 13 May 2023)
  • 14. Ekegren CL, Braaf S, Ameratunga S, et al. Adaptation, self-motivation and support services are key to physical activity participation three to five years after major trauma: a qualitative study. J Physiother. 2020;66-3:188–195. https://doi.org/10.1016/j.jphys.2020.06.008
  • 15. Nasiri M, Farsi Z, Habibi H, Fournier A, Rajai N. Effects of light stroking massage with olive oil on acute pain severity and number of taken non-steroidal anti-inflammatory drugs among outpatients with extremities trauma: A double-blind, placebo-controlled superiority trial. Int J Orthop Trauma Nurs. 2022; 46:100953. https://doi.org/10.1016/j.ijotn.2022.100953
  • 16. Aitken LM, Chaboyer W, Jeffrey C, et al. Indicators of injury recovery identified by patients, family members and clinicians. Injury. 2016; 47-12:2655–2663. https://doi.org/10.1016/j.injury.2016.10.006
  • 17. Sandström L, Engström Å, Nilsson C, Juuso P. Experiences of suffering multiple trauma: A qualitative study. Intensive Crit Care Nurs. 2019;54:1–6. https://doi.org/10.1016/j.iccn.2019.07.006
  • 18. Alzghoul MM. The experience of nurses working with trauma patients in critical care and emergency settings: A qualitative study from Scottish nurses’ perspective. Int J Orthop Trauma Nurs. 2014;18-1:13-22. https://doi.org/10.1016/j.ijotn.2013.04.004
  • 19. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 8th Edition. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008: 199-333.
  • 20. Van Manen M. Researching lived experience: Human science for an action sensitive pedagogy. Routledge, 2016: 95-169.
  • 21. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19-6:349–357. https://doi.org/10.1093/intqhc/mzm042
  • 22. Glesne C. Öykünüzü keşfetmek: veri analizi [Exploring your story: data analysis]. A. Ersoy, (Çev.) [A. Ersoy, (Trans.)]. A. Ersoy ve P. Yalçınoğlu, (Çev. Ed.), Nitel araştırmaya giriş içinde (s. 255-300). [In A. Ersoy ve P. Yalçınoğlu, (Trans. Ed.), Introduction to qualitative research (pp. 255-300)]. Ankara: Anı,2015.
  • 23. Merriam SB, Tisdell EJ. Qualitative Research: A Guide to Design and Implementation. San Francisco, CA: Wiley, 2015. https://repository.act.ac.rw/server/api/core/bitstreams/323490a5-4e3f-4cd1-ab1a-8ec2ec2e1a21/content
  • 24. Miles MB, Huberman AM. Veri toplamaya odaklanmak ve veri toplamayı sınırlamak: anlamlı bir başlangıç [Focus on data collection and limit data collection: a meaningful start]. D. Örücü (Çev.), [D. Örücü (Trans.)]. S. Akbaba Altun, ve A. Ersoy, (Çev. Ed.), Nitel veri analizi içinde (s. 16-39). [In S. Akbaba Altun, and A. Ersoy, (Trans. Ed.), Qualitative data analysis (pp. 16-39)]. Ankara: PegemA, 2015.
  • 25. Lincoln YS, Guba EG. Naturalistic inquiry. London: Sage publication, 1995.
  • 26. Osterhoff G, Noser J, Held U, Werner CML, Pape HC, Dietrich M. Early Operative Versus Nonoperative Treatment of Fragility Fractures of the Pelvis: A Propensity-Matched Multicenter Study. J Orthop Trauma. 2019;33-11:410–415. https://doi.org/10.1097/BOT.0000000000001584
  • 27. Sandström L, Nilsson C, Juuso P, Engström Å. Experiences of nursing patients suffering from trauma - preparing for the unexpected: A qualitative study. Intensive Crit Care Nurs. 2016; 36:58–65. https://doi.org/10.1016/j.iccn.2016.04.002
  • 28. Fuzier R, Rousset J, Bataille B, Salces-y-Nédéo A, Maguès JP. One half of patients reports persistent pain three months after orthopaedic surgery. Anaesth Crit Care Pain Med. 2015;34-3:159–164. https://doi.org/10.1016/j.accpm.2014.09.006
  • 29. Claydon J, Maniatopoulos G, Robinson L, Fearon P. Challenges experienced during rehabilitation after traumatic multiple rib fractures: a qualitative study. Disabil Rehabil. 2018;40-23:2780–2789. https://doi.org/10.1080/09638288.2017.1358771
  • 30. Phelps EE, Tutton E, Griffin X, Baird J. TrAFFix research collaborators. A qualitative study of patients' experience of recovery after a distal femoral fracture. Injury. 2019;50-10:1750–1755. https://doi.org/10.1016/j.injury.2019.07.021
  • 31. Andersson V, Bergstrand J, Engström Å, Gustafsson S. The Impact of Preoperative Patient Anxiety on Postoperative Anxiety and Quality of Recovery After Orthopaedic Surgery. J Perianesth Nurs. 2020;35-3:260–264. https://doi.org/10.1016/j.jopan.2019.11.008
  • 32. Tutton E, Achten J, Lamb SE, Willett K, Costa ML. A qualitative study of patient experience of an open fracture of the lower limb during acute care. Bone Joint J. 2018;100-B(4):522-526. https://doi.org/10.1302/0301-620x.100b4.bjj-2017-0891.r1
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi Hastalıklar Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Sevil Güler 0000-0002-4312-560X

Kamile Akarsu 0000-0001-5616-3499

Hülya Bulut 0000-0001-8241-989X

Erken Görünüm Tarihi 17 Eylül 2025
Yayımlanma Tarihi 24 Eylül 2025
Gönderilme Tarihi 3 Eylül 2024
Kabul Tarihi 30 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 28 Sayı: 3

Kaynak Göster

AMA Güler S, Akarsu K, Bulut H. Orthopedic and Trauma Nurses’ Experiences of Caring for Patients Undergoing Extremity Surgery Due to Trauma: A Qualitative Study. Journal of Nursology. Eylül 2025;28(3):294-302. doi:10.17049/jnursology.1542753

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