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Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences

BACKGROUND: Periprosthetic joint infection represents a major complication in orthopaedics and trauma surgery. For an ideal management approach, it is important to understand the distinct challenges for all persons involved in the treatment. Therefore, it was aimed at investigating (1) the impact of...

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Autores principales: Walter, Nike, Wimalan, Bravena, Baertl, Susanne, Lang, Siegmund, Hinterberger, Thilo, Alt, Volker, Rupp, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9294832/
https://www.ncbi.nlm.nih.gov/pubmed/35850726
http://dx.doi.org/10.1186/s12912-022-00978-z
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author Walter, Nike
Wimalan, Bravena
Baertl, Susanne
Lang, Siegmund
Hinterberger, Thilo
Alt, Volker
Rupp, Markus
author_facet Walter, Nike
Wimalan, Bravena
Baertl, Susanne
Lang, Siegmund
Hinterberger, Thilo
Alt, Volker
Rupp, Markus
author_sort Walter, Nike
collection PubMed
description BACKGROUND: Periprosthetic joint infection represents a major complication in orthopaedics and trauma surgery. For an ideal management approach, it is important to understand the distinct challenges for all persons involved in the treatment. Therefore, it was aimed at investigating (1) the impact of periprosthetic joint infection (PJI) on the well-being of nursing staff to (2) identify challenges, which could be improved facilitating the management of PJI. METHODS: This is a qualitative interview study. In total, 20 nurses of a German university orthopedic trauma center specialized on infectious complications were recruited using a purposive sampling strategy. Content analysis was performed on transcripts of individual in-person interviews conducted between March 2021 and June 2021. RESULTS: Three major themes could be extracted including (i) feelings associated with the management of PJI and the need for emotional support, illustrating the negative emotional impact on nurses, whereby receiving collegial support was perceived as an important coping strategy, (ii) patients’ psychological burden, highlighting the nurses’ lack of time to address mental issues adequately and, (iii) realization of the severity of PJI and compliance problems. CONCLUSION: Identified facilitating factors for PJI management include strengthening of mental care in the treatment of PJI, providing opportunities for exchange among multidisciplinary team members and implementing compliance-enhancing strategies. The findings of this study can be beneficial for improving professionals’ satisfaction, optimising the work environment, creating organizational structures which enhance opportunities for exchange and preventing mental health issues among the nursing team.
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spelling pubmed-92948322022-07-19 Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences Walter, Nike Wimalan, Bravena Baertl, Susanne Lang, Siegmund Hinterberger, Thilo Alt, Volker Rupp, Markus BMC Nurs Research BACKGROUND: Periprosthetic joint infection represents a major complication in orthopaedics and trauma surgery. For an ideal management approach, it is important to understand the distinct challenges for all persons involved in the treatment. Therefore, it was aimed at investigating (1) the impact of periprosthetic joint infection (PJI) on the well-being of nursing staff to (2) identify challenges, which could be improved facilitating the management of PJI. METHODS: This is a qualitative interview study. In total, 20 nurses of a German university orthopedic trauma center specialized on infectious complications were recruited using a purposive sampling strategy. Content analysis was performed on transcripts of individual in-person interviews conducted between March 2021 and June 2021. RESULTS: Three major themes could be extracted including (i) feelings associated with the management of PJI and the need for emotional support, illustrating the negative emotional impact on nurses, whereby receiving collegial support was perceived as an important coping strategy, (ii) patients’ psychological burden, highlighting the nurses’ lack of time to address mental issues adequately and, (iii) realization of the severity of PJI and compliance problems. CONCLUSION: Identified facilitating factors for PJI management include strengthening of mental care in the treatment of PJI, providing opportunities for exchange among multidisciplinary team members and implementing compliance-enhancing strategies. The findings of this study can be beneficial for improving professionals’ satisfaction, optimising the work environment, creating organizational structures which enhance opportunities for exchange and preventing mental health issues among the nursing team. BioMed Central 2022-07-18 /pmc/articles/PMC9294832/ /pubmed/35850726 http://dx.doi.org/10.1186/s12912-022-00978-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Walter, Nike
Wimalan, Bravena
Baertl, Susanne
Lang, Siegmund
Hinterberger, Thilo
Alt, Volker
Rupp, Markus
Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences
title Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences
title_full Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences
title_fullStr Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences
title_full_unstemmed Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences
title_short Managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences
title_sort managing periprosthetic joint infection—a qualitative analysis of nursing staffs’ experiences
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9294832/
https://www.ncbi.nlm.nih.gov/pubmed/35850726
http://dx.doi.org/10.1186/s12912-022-00978-z
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