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Education

Research Grant Initiative

2022

NAON announces a Research Grant Opportunity. The Letter of Intent (LOI) to apply for this grant opportunity was due by midnight CDT on January 24, 2022. If you have any questions regarding your LOI submission, please contact scoman@orthonurse.org.

The purpose of this initiative is to promote and support orthopaedic nursing research to advance the specialty of orthopaedic nursing. Research is encouraged to provide evidence and further expertise in orthopaedic nursing practice with the goal of improving patient outcomes. Funding preference is given to research that promotes the strategic plan of NAON. Areas of research focus may include the following, although all areas of disparity in orthopaedic nursing will be considered: Strategies to reduce racial or ethnic inequities in orthopaedic care, disproportionate outcomes or access to care issues for orthopaedic patients who are members of diverse/vulnerable populations, diversity in orthopaedic nursing, or use of social determinants of health to improve health outcomes in orthopaedic patients. This research focus centered around diversity, equity, and inclusion, aligns with NAON’s new strategic plan.

NAON does not support research for independent manufacturers, industry development or personal business financial gain.

NAON research committee members offer assistance to prospective applicants with developing all of the required sections of the LOI, but also with their research project. This assistance is offered on a first come first serve basis. To let NAON know about a project you think would be of interest, please contact our Research Committee chair. 

Questions? Contact Sam Coman at scoman@orthonurse.org.

2021

The NAON Research Committee awarded Karen M. Myrick, DNP, APRN a research grant to examine whether physical examination technique, the Myrick THIRD (The Hip Internal Rotation with Distraction), is reliable and valid. The study aims to demonstrate stability reliability (test-retest) of the THIRD test when the study is conducted in a newly trained setting. The researcher hypothesizes the THIRD will demonstrate stability reliability when studied across settings with several providers and have acceptable external validity when the THIRD test is implemented by multiple researcher-trained examiners at a new setting when compared to previous work.   

2019 & 2020

There were no grant recipients in 2019 or 2020.

2018

The NAON Research Committee awarded Candy Mori, PhD(c), APRN, ACNS-BC, ONC, a research grant to examine the lived experience of osteoporosis risk in people who have had bariatric surgery. Grant abstract is available here. Despite what is known about risk factors, preventive treatment, and increased prevalence of fragility fractures in post-bariatric surgical patients, little is known about how patient views of osteoporosis inform their commitment to bone health. Individuals who receive bariatric surgery face many challenges, such as depression, medication adherence, malnutrition/malabsorption, and body image disturbance. 

The specific aim of this study is to understand what it means for people to live with the risk of osteoporosis after bariatric surgery and the perceptions of osteoporosis risks postoperatively. This study will use interpretive phenomenology to explore osteoporosis from the perspective of bariatric surgery patients. Recruitment will take place at one bariatric and one orthopedic center in Northeast Ohio, and participants will be recruited directly by the investigator and by staff referrals. All participants will be asked open-ended questions about perceptions of living with the risk of osteoporosis, awareness of risks, and attitudes and beliefs toward prevention. At the conclusion of interviews, participants will be asked if they are feeling distressed, and appropriate referrals will be provided as needed.

Of specific interest to NAON members will be the potential implications for practice by understanding the patient experience from the patient perspective. The researchers will be better positioned to develop more effective osteoporosis prevention strategies preoperatively and support the medically complex orthopaedic patient postoperatively after bariatric surgery.

2017

The NAON Research Committee awarded their inaugural research grant to NAON member, Deborah Witting-Wells, PhD, RN, NE-BC. Deborah and her team are using their funding to explore the use of available technology and an existing app to promote adherence to ASA in order to prevent deep vein thrombosis (DVT) in post-orthopaedic surgery patients. 

The specific aim of this study is to evaluate the impact of using a smartphone app reminder on medication adherences twice daily in 200 adults prescribed 81 milligrams of aspirin for 35 days as anti-thrombotic therapy after knee or hip arthroplasty. After screening and informed consent and baseline assessment, participants will be randomized using a 1:1 allocation to either the control or intervention group. Both will receive education and the intervention will also have an app downloaded onto their phone, pre-set with twice daily reminders and instructions on how to use with return demonstration. The in-person follow up assessment will occur on day 36. 

This study is significant to NAON and its members as orthopaedic surgical procedures have some of the highest rates for post-operative DVT. Anticoagulant treatment is critical for these patients and ASA is an effective treatment for this particular patient population. While medication adherence is known to be of critical importance, adherence rates are typically low. Poor rates of adherence have been linked to the need for more medical treatment, greater expenses for the patients, and a greater financial burden on the healthcare system, less optimal health care outcomes, and increased morbidity and mortality. Reminders are critical for individuals to help prevent DVTs and improve outcomes. 

The results of this study will be translatable to clinical practice and used to address ongoing adherence of aspirin (ASA). If found efficacious, the app could easily be used to promote medication adherence self-management by reminding patients to take medications for other chronic health conditions, specifically when forgetfulness is an issue.

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