Evidence map›Paper›PMID 34671438›Full record

ArticleKansas journal of medicine2021

Creating and Implementing a Protocol for the Management of Patients in Skeletal Traction: A Quality Improvement Project.

Justin A Cline, Jack A Nolte, Gregory M Mendez, Jordan T Willis, Andrew J Bachinskas, Clint L Benge, Bradley R Dart

Open access · diamondAbstract read
In one paragraph

Article in Kansas journal of medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 78% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Justin A ClineUniversity of Kansas School of Medicine-Wichita, Wichita, KS.
Jack A NolteUniversity of Kansas School of Medicine-Wichita, Wichita, KS.
Gregory M MendezUniversity of Kansas School of Medicine-Wichita, Wichita, KS.
Jordan T WillisUniversity of Kansas School of Medicine-Wichita, Wichita, KS.
Andrew J BachinskasUniversity of Kansas School of Medicine-Wichita, Wichita, KS.
Clint L BengeUniversity of Kansas School of Medicine-Wichita, Wichita, KS.
Bradley R DartUniversity of Kansas School of Medicine-Wichita, Wichita, KS.
Wichita State University · USUniversity of Kansas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSkeletal traction use generally has decreased over generations and is used most often for temporary fracture stabilization. Proper nursing management of patients in skeletal traction is crucial. A hospital protocol was created and implemented to educate and direct registered nurses (RNs) in the care of patients requiring skeletal traction.

methodsA skeletal traction management protocol was drafted and implemented as hospital policy. Twenty-nine RNs from an orthopaedic unit at a level 1 trauma center attended a financially compensated, 45-minute, in-person, off-shift educational session. An anonymous pre-test utilizing a 5-point Likert scale was completed to assess RN knowledge and comfort regarding the following topics of traction care: pin care, manual traction, frame assembly, weight application and removal, skin evaluation, neurovascular checks, and reporting issues. The RNs were provided with a copy of the new hospital policy and key points were highlighted and demonstrated. After the demonstration, the RNs were given a post-test to assess their perceived knowledge and comfort with traction care.

resultsStatistically significant improvements in RN knowledge and comfort were seen in six of the seven evaluated topics. The greatest increase was seen in the manual traction topic. No significant change regarding neurovascular checks was observed with this topic having the highest pre-test scores.

conclusionsA hospital protocol was created successfully and implemented that significantly improved the level of RN knowledge and comfort with the management of patients requiring skeletal traction. Future studies should assess the effectiveness of annual education regarding the traction policy.

Indexed as

orthopedicspolicyquality improvementtractiontrauma center

Identifiers

PMID34671438
PMCPMC8523113
OpenAlexW3206794681

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.