An audit of spica cast guidelines for parents and professionals caring for children with developmental dysplasia of the hip

Sonya Clarke, Mary McKay

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Inadequate literary evidence, derisory spica cast information for the parent and a lack of information for the health professional was identified by Clarke and Dowling [Clarke, S.E., Dowling, M., 2003. Spica cast guidelines for parents and health professionals. Journal of Orthopaedic Nursing (7), 184-191.]. The paucity of literature and inadequate information [Cuddy, C.M., 1986. Caring for the child in spica cast: a parent's perspective. Orthopaedic Nursing 5(3), 22-23; Benz, J., 1986. The adolescent in a spica cast. Orthopaedic Nursing 5(3), 22-23; Newman, D.M.L., Fawcett, J., 1995. Caring for a young child in a body cast: impact on the care giver. Orthopaedic Nursing 14(1), 41-46.], supports the development of new and innovative guidelines. New general and troubleshooting spica cast information leaflets were created for the parent of a child with developmental dysplasia of the hip treated with a spica cast and for the health professional who offers support and parental advice on spica cast management [Clarke, S.E., Dowling, M., 2003. Spica cast guidelines for parents and health professionals. Journal of Orthopaedic Nursing (7), 184-191.]. This paper audits these guidelines and measures their effect in response to Governance recommendations [Governance in the HPSS-Clinical Social Care Governance, 2003. Guidelines for Implementation, HSS (PPM), Belfast, pp. 1-433.]. Northern Ireland's regional orthopaedic unit, Musgrave Park Hospital and the School of Nursing at Queen's University Belfast, generated a convenience sample of parents (n = 44) and health professionals (n = 44). Consensus methods using retrospective questionnaires and telephone interviews obtained information from the sample groups. Findings suggest the parent and health professional need spica cast information, firstly as a contact source and secondly as a guide when problems arise such as plaster care. Pertinent issues were raised by both groups and recommendations were made as a result of the audit.

Original languageEnglish
Pages (from-to)128-137
Number of pages10
JournalJournal of Orthopaedic Nursing
Volume10
Issue number3
DOIs
StatePublished - Aug 2006
Externally publishedYes

Keywords

  • Audit
  • Developmental dysplasia of the hip
  • Health professional
  • Parent
  • Quality
  • Spica cast

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