Academia Open
Vol 9 No 1 (2024): June
Medicine

Bridging the Gap: Enhancing Open Fracture Care in Emergency Nursing
Menjembatani Kesenjangan: Meningkatkan Perawatan Fraktur Terbuka dalam Keperawatan Gawat Darurat


Article View
  • Ali A. Ahmed Al-Iedan,
  • Mohamad A. Akber,
  • Sundus Baqer Dawood,
  • Ahmed Ibrahim Habib Alobaidi,
  • Sajjad S. Issa,
  • Husham Hussain Abdul Raaoof,
  • Ahmed Ziarra Khalaf,
  • Ali Malik Tiryag*
Ali A. Ahmed Al-Iedan
Departement Orthopaedic Surgery, College of Medicine, University of Basrah, Iraq
Mohamad A. Akber
Departement Orthopaedic, College of Nursing, University of Basrah, Iraq
Sundus Baqer Dawood
Departement Maternity Nursing, College of Nursing, University of Basrah, Iraq
Ahmed Ibrahim Habib Alobaidi
Departement Orthopaedic Surgery, Alzahraa Medical College, University of Basrah, Iraq
Sajjad S. Issa
Departement Family Medicine, College of Nursing, University of Basrah, Iraq
Husham Hussain Abdul Raaoof
Departement Radiology, College of Nursing, University of Basrah, Iraq
Ahmed Ziarra Khalaf
College of Nursing, University of Basrah, Iraq
Ali Malik Tiryag
Fundamentals of Nursing Departments, College of Nursing, University of Basrah, Iraq *

(*) Corresponding Author
Picture in here are illustration from public domain image or provided by the author, as part of their works
DOI: https://doi.org/10.21070/acopen.9.2024.8847
Published June 1, 2024
Keywords
  • Open Fractures,
  • Emergency Nursing,
  • Knowledge Gap,
  • Nurse Training,
  • Patient Outcomes
How to Cite
Al-Iedan, A. A. A., Akber, M. A., Dawood, S. B., Alobaidi, A. I. H., Issa, S. S., Raaoof, H. H. A., Khalaf, A. Z., & Tiryag, A. M. (2024). Bridging the Gap: Enhancing Open Fracture Care in Emergency Nursing. Academia Open, 9(1), 10.21070/acopen.9.2024.8847. https://doi.org/10.21070/acopen.9.2024.8847

Copyright (c) 2024 Ali A. Ahmed Al-Iedan, Mohamad A. Akber, Sundus Baqer Dawood, Ahmed Ibrahim Habib Alobaidi, Sajjad S. Issa, Husham Hussain Abdul Raaoof, Ahmed Ziarra Khalaf, Ali Malik Tiryag

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

This study assesses the knowledge and practices of emergency department nurses regarding the care of open fractures, highlighting significant disparities in competence. Conducted across five hospitals, the descriptive, cross-sectional survey included 103 nurses, analyzed using SPSS with results expressed through frequencies, percentages, and Chi-squared tests. Findings reveal that 42.7% of nurses, predominantly females, lack adequate knowledge and care skills, whereas 57.3%, mostly males, are proficient. The study suggests an urgent need for focused training programs to standardize and elevate emergency care for open fractures, aiming to improve patient outcomes through enhanced nursing education.

Highlights:

  • Discrepancy in Knowledge: Significant variations in the knowledge and care practices for open fractures among emergency nurses, with nearly 43% lacking sufficient skills.
  • Gender Differences: A notable gender-based disparity in knowledge, with a higher proficiency observed among male nurses compared to female nurses.
  • Need for Training: The urgent requirement for specialized training programs to address gaps and improve overall patient care in emergency situations.

Keywords:  Open Fractures, Emergency Nursing, Knowledge Gap, Nurse Training, Patient Outcomes

Article View

Downloads

Download data is not yet available.

References

  1. R. Morris, N. C. Jones, and I. Pallister, "The Use of Personalised Patient Information Leaflets to Improve Patients' Perceived Understanding Following Open Fractures," Eur. J. Orthop. Surg. Traumatol., vol. 29, no. 3, pp. 537-543, Apr. 2019.
  2. R. V. Mebert, J. Klukowska-Roetzler, S. Ziegenhorn, and A. K. Exadaktylos, "Push Scooter-Related Injuries in Adults: An Underestimated Threat? Two Decades Analysed by an Emergency Department in the Capital of Switzerland," BMJ Open Sport Exerc. Med., vol. 4, no. 1, e000428, 2018.
  3. A. H. R. W. Simpson and S. T. J. Tsang, "Non-Union After Plate Fixation," Injury, vol. 49, Suppl 1, pp. S78-S82, Jun. 2018.
  4. H. S. Haeberle, S. M. Navarro, E. J. Power, M. S. Schickendantz, L. D. Farrow, and P. N. Ramkumar, "Prevalence and Epidemiology of Injuries Among Elite Cyclists in the Tour de France," Orthop. J. Sports Med., vol. 6, no. 9, 2325967118793392, Sep. 2018.
  5. C. D. Weber, F. Hildebrand, P. Kobbe, R. Lefering, R. M. Sellei, and H. C. Pape, "Epidemiology of Open Tibia Fractures in a Population-Based Database: Update on Current Risk Factors and Clinical Implications," Eur. J. Trauma Emerg. Surg., vol. 45, no. 3, pp. 445-453, Jun. 2019.
  6. M. Lovalekar, J. P. Abt, T. C. Sell, S. M. Lephart, E. Pletcher, and K. Beals, "Accuracy of Recall of Musculoskeletal Injuries in Elite Military Personnel: A Cross-Sectional Study," BMJ Open, vol. 7, no. 12, e017434, Dec. 14, 2017.
  7. R. Miller, "A Multidisciplinary Approach to Treating Traumatic Pelvic Fractures," AORN J., vol. 108, no. 1, pp. 13-22, Jul. 2018.
  8. A. R. Elniel and P. V. Giannoudis, "Open Fractures of the Lower Extremity: Current Management and Clinical Outcomes," EFORT Open Rev., vol. 3, no. 5, pp. 316-325, May 2018.
  9. B. Ali, "Assessment of Nurses’ Knowledge Concerning Management of Fractures in Orthopedic Wards," Indian J. Public Health Res. Dev., vol. 10, no. 6, pp. 1022, 2019.
  10. A. Thani Radhi and Dr. Narmeen B. Tawfiq, "Assessment of Postoperative Nurses' Practices Concerning Care of Fracture Treated by External Fixation," Kufa J. Nurs. Sci., vol. 6, Aug. 2016.
  11. S. S. Ahmed and K. D. Carmichael, "Plaster and Synthetic Cast Temperatures in a Clinical Setting: An In Vivo Study," Orthopedics, vol. 34, no. 2, pp. 99, 2011.
  12. M. Drozd, S. Miles, and J. Davies, "Casting: Complications and After Care," Emergency Nurse, vol. 17, no. 3, pp. 26-27, 2009.
  13. J. Agel, K. Akkesson, and M. Anderson, "The Burden of Musculoskeletal Conditions at the Start of the New Millennium," J. Bone Joint Surg., vol. 82, no. 1, pp. 82-90, 2010.
  14. A. S. Boyd and H. J. Benjamin, "Principles of Casting and Splinting," Am. Acad. Fam. Physicians, vol. 79, no. 1, pp. 16-22, 2009.
  15. K. Sathiya, M. Kumar, P. Baby, and J. Michael, "A Study to Assess the Effectiveness of Laptop Assisted Nursing Strategies on Knowledge Regarding Prevention of Complications of Immobility Among Patients with Major Orthopedic Trauma," J. Sci., vol. 5, no. 3, pp. 185-188, 2015.
  16. N. El Enein, A. El Ghany, and A. Zaghloul, "Knowledge and Performance Among Nurses Before and After a Training Programme on Patient Falls," Open J. Nurs., vol. 2, pp. 358-364, 2012.
  17. W. D. Abid Ali, L. A. Shihab, M. A. A. Abdulrazaq, N. S. Daif, and N. M. Hassan, "Assessment of Teachers' Knowledge About First Aid in Some Basrah City Schools," BEST: Int. J. Humanities, Arts, Med. Sci., vol. 9, no. 02, pp. 7-12, Feb. 2021.