Establishing a practice guide for visualizing and sharing musculoskeletal nursing: Assessment perspectives of postoperative excretory care for patients with proximal femur fractures viewed through nurses’ narratives

• Published in: Journal of Japan Society for Musculoskeletal Nursing Vol. 20; pp. 67 - 74
• Main Authors: Saito, Takako, Sano, Kaori, Sasamori, Masako, Nishihara, Sayaka, Satoh, Masae, Yanagimoto, Yuko, Iijima, Yuriko
• Format: Journal Article
• Language: Japanese
• Published: Japan Society for Musculoskeletal Nursing 28.02.2025; 日本運動器看護学会
• Subjects: assessment perspective; nurses' narratives; practice guide; アセスメントの視点; 実践ガイド; 看護師の語り
• ISSN: 2186-635X; 2435-001X
• DOI: 10.34324/jsmn.20.0_67

This study aimed to establish a practice guide for visualizing and sharing assessment perspectives in musculoskeletal nursing according to the results of interviews with nurses regarding postoperative excretory care for patients with proximal femur fractures. The contents corresponding to the nurses' assessment perspectives from the coded and categorized data were extracted, classified, and organized based on commonality and similarity and further illustrated as a framework for practice guides. The 44 perspectives on excretory care assessment were organized into five categories: general condition, pain, motivation, muscle strength/body movement, and cognitive ability/comprehension. Pain and motivation were key factors in assessing a patient' s ability to move. Further, the entire movement was evaluated from both muscular/physical and cognitive/comprehension aspects to ensure safe movements in the toilet. The drafted practice guide included nurses' discursive reasoning, which is challenging to verbalize in daily practice. Thus, this draft is considered an effective teaching tool that represents practical nursing knowledge.