The investigation on current situation of position management for orthopaedic nurses in 27 tertiary first-class hospitals

LIU Dongjiao; ZENG Jing

doi:10.3969/j.issn.1674-666X.2024.02.009

Abstract：Objective To investigate the current status of position management for orthopaedic nurses in tertiary first-class hospitals in China,and to provide the countermeasures focus on the existing problems in orthopaedic position management.Methods A survey of current status of position management was performed from August 2023 to October 2023 on 968 orthopaedic nurses from 13 provinces,27 domestic tertiary first-class hospitals according to a self-designed questionnaire.Results In 27 hospitals,there were 59%hospitals with lack of specialized position management guidance,30%hospitals with incomplete position management guidance,only 26%hospitals carried out the training of position management.Average cognitive score of posture management was(3.5±0.6)point;only 5.8%could master position management principles,and the score of mastering the method of normal upper limb positioning was 0.A total of 76.3%of orthopaedic nurses thought that inadequate knowledge of position management was the major factor affecting orthopaedic nurses'implementation of posture management.As for training requirements,the most urgent needs of orthopaedic nurses were to make health pamphlets of posture management(78.9%)and to demonstrate standardized clinical operations(76.3%).Conclusions The current situation of position management for orthopaedic nurses in tertiary first-class hospital in our country was not optimistic,attention from nursing managers is not enough,and the mastery of position management knowledge is relative low.It is necessary to formulate well-established position management system for orthopaedic patients,enhance special training focus on orthopaedic nurses'needs,and develop and apply position nursing appliances actively,so as to help nurses to implement systematic position management better.