Nursing in fast-track total hip and knee arthroplasty: A retrospective study

Specht, Kirsten; Kjærsgaard‐Andersen, Per; Kehlet, Henrik; Pedersen, Birthe D.

doi:10.1016/j.ijotn.2014.10.001

Cited by 37 publications

(31 citation statements)

References 29 publications

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“…The study was undertaken in a Danish orthopaedic department where fast‐track was introduced in 2002 (Specht et al . ). This study was a qualitative, explorative study using participant observation and interviews.…”

Section: Methodsmentioning

confidence: 97%

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Patient experience in fast‐track hip and knee arthroplasty – a qualitative study

Specht

Kjærsgaard‐Andersen

Pedersen

2015

Journal of Clinical Nursing

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Section: Methodsmentioning

confidence: 97%

“…Fast‐track has resulted in increased effectiveness and a median length of stay (LOS) of two days after THA/TKA, along with improved usage of funding (Specht et al . ). However, there might be a risk that patients find it difficult to cope with the substantial amount of information they receive during their short hospital stay.…”

Section: Introductionmentioning

confidence: 97%

Patient experience in fast‐track hip and knee arthroplasty – a qualitative study

Specht

Kjærsgaard‐Andersen

Pedersen

2015

Journal of Clinical Nursing

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“…Patients were not included if they could not read or rite in Danish, if they were cognitively impaired, or if they had received simultaneous bilateral surgery. Patients undergoing THR or TKR in the department were all allocated to the same ward and treated according to the same fast-track program (Specht et al 2015). …”

Section: Methodsmentioning

confidence: 99%

High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement

et al. 2015

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Background and purpose — Patient satisfaction is important in fast-track total hip and knee replacement (THR, TKR). We assessed: (1) how satisfied patients were with the treatment; (2) factors related to overall satisfaction; and (3) whether there was a difference between THR and TKR regarding length of stay (LOS) and patient satisfaction.Patients and methods — In this follow-up study, a consecutive series of 445 patients undergoing THR and TKR completed a questionnaire 2 weeks after discharge. LOS and short-term patient satisfaction with the fast-track management were measured. Patient satisfaction was measured using a numerical rating scale (NRS; 0–10).Results — For THR, the median satisfaction score was 9–10 and for TKR it was 8.5–10 in all parameters. Older THR patients had higher overall satisfaction. No association was found between overall satisfaction following THR or TKR and sex comorbidity, or LOS. THR patients had shorter mean LOS than TKR patients, even though the median LOS was 2 days for both groups. THR patients were more satisfied than TKR patients in the first weeks after discharge.Interpretation — Patient satisfaction is high following fast-track THR and TKR, with scores ranging from 8.5 to 10 on the NRS. A qualitative investigation of the first weeks after discharge is required to learn more about how to improve the experience of recovery.

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“…At the same time, the number of total hip arthroplasties (THA) and total knee arthroplasties (TKA) have increased threefold, while staffing levels have remained unchanged (Specht, Kjaersgaard‐Andersen, Kehlet, & Pedersen, ). In addition, access to healthcare services has been a critical issue, while long waiting times for core specialised healthcare services have consistently been identified as a key barrier to access to care (Pomey et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…The pressure on health budgets, reductions in hospital beds and patient expectations have changed the nature of nursing care to be more communicative, including teaching, information‐giving and motivation (Jakobsen, Rud, Kehlet, & Egerod, ; Specht et al, ). Consequently, patients need to be more involved in their own treatment and rehabilitation to manage the situation at home after discharge (Specht et al, ). There is an urgent need for focused, proactive care to improve patient satisfaction, long‐term recovery and avoid unnecessary hospital days.…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ proposed eHealth needs in elective primary fast‐track hip and knee arthroplasty journey: A qualitative interview study

Jansson

Harjumaa

Puhto

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To examine the lived experience of healthcare professionals providing care for patients with total hip and knee arthroplasty and to understand healthcare professionals’ proposed eHealth needs in elective primary fast‐track hip and knee arthroplasty journey. Background There is little evidence in nursing literature to indicate how to develop new eHealth services to support surgical care journeys. Evidence is particularly lacking regarding the development of eHealth solutions. Design This was a qualitative interview study. Methods Semi‐structured interviews were conducted with four surgeons, two anaesthesiologists, ten nurses and four physiotherapists in a single joint replacement centre during autumn 2018. The data were analysed using an inductive content analysis method. NVivo qualitative data analysis software was used. The COREQ checklist for qualitative studies was followed. Results Our research addressed the gap in evidence by focusing on the four main parts of the patient journey in the selected context. Analysis of the data revealed nine main categories for the proposed eHealth needs: eligibility criteria, referrals, meeting the Health Care Guarantee, patient flow, postdischarge care, patient counselling, communication, transparency of the journey and receiving feedback. In addition, the requirements and further development needs for eHealth solutions were generally identified. Conclusions From the point of view of healthcare professionals, eHealth solutions have huge potential in supporting the elective primary fast‐track hip and knee arthroplasty journey. However, it is important to acknowledge that these needs may be very different depending on the technological and organisational environment in question. Relevance to clinical practice More effective use of information and communication technologies is needed for organisational optimisation resulting in a streamlined pathway, better access to healthcare services, improved outcomes and an improved patient experience. These results can be used in the development of new eHealth solutions to support surgical care journeys and patient education.

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Nursing in fast-track total hip and knee arthroplasty: A retrospective study

Cited by 37 publications

References 29 publications

Patient experience in fast‐track hip and knee arthroplasty – a qualitative study

Patient experience in fast‐track hip and knee arthroplasty – a qualitative study

High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement

Healthcare professionals’ proposed eHealth needs in elective primary fast‐track hip and knee arthroplasty journey: A qualitative interview study

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