anzona conference perth 2017 susan hull€¢ skin traction application and maintenance •...
TRANSCRIPT
![Page 1: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/1.jpg)
ANZONACONFERENCE
PERTH2017
SusanHull
![Page 2: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/2.jpg)
THISWASMEDURINGTHEFIRSTYEARINORTHO!!!
LACKINGCONFIDENCEØ ABILITYØ KNOWLEDGE
FEARFULIWOULDHARMAPATIENT
![Page 3: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/3.jpg)
ISTHISWHATITISSTILLLIKETOSTARTINORTHOPAEDICS?????
![Page 4: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/4.jpg)
LASTESTEVIDENCEINORTHOPAEDICS
• Relativelylight• Noarticlesfocusingonconfidenceforadvancedbeginnersinthespecialty
• Literature• Musculoskeletalassessment,knowledgeandeducationalrequirements(Flynn,Pugh&Jester2015)
• Gainingofconfidenceinmusculoskeletalassessmentsfornursepractitioners(Benham&Geier 2014)
• Developmentofeducationalprogramstoassistinincreasingknowledgeeg Paediatrics(Griffiths&Houghton2013)
![Page 5: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/5.jpg)
CONFIDENCE
• ‘Afeelingoftrustinone'sabilities,qualities,andjudgment’(OxfordDictionary)
• ’Essentialcomponenttodecisionmakingandjudgement’(Drugoswitch2016)
• Maytakeuptooneyeartodevelopconfidencetoalevelofconsistency’(Oritz 2016)
• Confidentpractitionersmakegooddecisions (White(2013),Drugoswitch(2016)andOritz (2016)
![Page 6: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/6.jpg)
TRANSITIONTOPRACTICE
AdvancedBeginners
DreyfusmodelofskillacquisitioninterpretedbyPatriciaBenner(1984)
•Minimalexperience• Anxioustodowellbypatients• Anxioustoimpresscolleagues• Gainconfidenceinprofessionalidentity• Ifnotsupportedcanfreeze/failtofunction
![Page 7: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/7.jpg)
DoesanOrthopaedicWorkshopimprovetheConfidenceofNursesTransitioningtotheSpecailty of
Orthopaedics?
Intervention: OrthopaedicworkshopInclusion: RN/EN< than2yearsexperienceExclusion: RN/EN>than2yearsexperienceMethodology: Quantitativestudy,quasiexperimental
pre-test/post-test designMethod: Questionnaire– 26closedquestions,
LikertscalePopulation: Twelve- Sample10Where: AcuteRegionalFacility
32bedAdultOrthopaedicUnit
![Page 8: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/8.jpg)
DEMOGRAPHICS
FREQUENCY NUMBER
AGE 21-25 426-30 2
31-35 236-40 1>45 1
GENDER Male 1Female 9
FREQUENCY NUMBER
LevelofEducation DipNursing 2
BNSc 8
ExperienceinOrtho 0-12months 713-24months
3
ExperienceinNursing 0-5years10
6-10/15-20/>20yrs 0
![Page 9: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/9.jpg)
ORTHOPAEDICWORKSHOP
• LECTURECONTENT
• Musculoskeletalanatomyandphysiology
• Fractures– fragilityandtrauma
• Complications– CS,VTE,FES
• Spinalassessmentandmanagement
• Painmanagement
• Jointreplacements
• Communicationandcollaboration
PRACTICALCOMPONENT
• Skintractionapplicationandmaintenance
• Neurovascularassessment
• Careandapplicationoforthoticdevices
• Mobility
• Cryotherapy
![Page 10: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/10.jpg)
QUESTIONNAIRE
• 26Closedquestions• Samequestionnaire– pre/post/12weeks• Tool– pilotpriortoimplementation
LIKERTSCALE• Noconfidence 1• Alittleconfidence 2• Averageconfidence 3• Confident 4• Veryconfident 5
![Page 11: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/11.jpg)
QUESTIONNAIRETHEME
• Mobility• Assess,Plan,Manage• Education• Tractionapplication• Orthopaediccomplications• Communication• ApplicationOrthotics• ManagingSpinalInjuries
QUESTIONS• Q1,Q2• Q3,Q4,Q24• Q5Q18• Q6,Q7,Q8,Q9• Q10,Q19,Q20• Q11,Q12,Q13,Q14,Q25,Q26• Q15,Q16,Q17• Q21,Q22,Q23
![Page 12: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/12.jpg)
WHATCOULDBE
ACHIEVED?
• Improvenursesconfidenceduringtheirtransition
• Improveconfidence– betterdecisionmakingskills–betterpatientcare
§Undertakefullscopeofskillsforthespecialty
§ReduceSeniornursesworkload
§ Encouragelifelonglearning
§ Provideevidenceformanagementtorecognisetheimportanceofsupporttospecialtyenvironments
![Page 13: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/13.jpg)
![Page 14: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/14.jpg)
OVERALLRESULTS
2.5
3.25 3.35
0
0.5
1
1.5
2
2.5
3
3.5
4
Pre Post 12week
QuestionnaireMean
![Page 15: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/15.jpg)
TRACTIONRESULTSQ6ANDQ7
Q6PREPOST12WEEKS
Q7PRE.POST12WEEKS
Q6:HOWCONFIDENTAREYOUTOASSEMBLEATRACTIONFRAME?Q7:HOWCONFIDENCEAREYOUTOAPPLYSKINTRACTION
![Page 16: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/16.jpg)
RESULTSQUESTIONS10,19,20COMPLICATIONSASSESSMENT
Q10PREPOST12WEEKS
Q20PREPOST12WEEKS
Q19PREPOST12WEEKS
Q10HOWCONFIDENTAREYOUINIDENTIFYINGCOMPLICATIONSASSOCIATEDWITHACAST?Q19HOWCONFIDENTAREYOUINASSESSINGPATIENTSWITHCOMPARTMENTS
SYNDROME?Q20HOWCONFIDENTAREYOUINASSESSINGPATIENTSFORVENOUSTHROMBOEMBOLISM?
![Page 17: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/17.jpg)
WHERETONOW?
![Page 18: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/18.jpg)
PATHWAYTOCONFIDENCE
§Management/organisational recognition
§Educationcanimproveconfidence
§Consistentandspecificeducationforadvancedbeginners
![Page 19: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/19.jpg)
PATHWAYTOCONFIDENCE
• Induction– comprehensiveorientation
• Workshop1:1-3months• applicationorthotics,basicskills,assessment,fragilityfractures
• Workshop2:6months• Complications,skin/skeletaltraction
• Workshop3:12months• consolidationbasicskills
• Workshop4:18months• spinalinjuries,trauma
• Workshop5:24months• consolidationcomplexassessment/management
![Page 20: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/20.jpg)
WHATCANWEDOTOSUPPORTTHENURSESOFOURSPECIALTYTOGAINCONFIDENCE
§Expandtowiderpopulation
§Mixedmethodsandaddqualitativeperspective
§Getthelivedexperienceadvancedbeginnerassiststrategies
![Page 21: ANZONA CONFERENCE PERTH 2017 Susan Hull€¢ Skin traction application and maintenance • Neurovascular assessment • Care and application of orthotic devices • Mobility • Cryotherapy](https://reader031.vdocument.in/reader031/viewer/2022020412/5ae45e337f8b9a90138edc9c/html5/thumbnails/21.jpg)