University of Oulu

Jansson, MM, Harjumaa, M, Puhto, A‐P, Pikkarainen, M. Healthcare professionals’ proposed eHealth needs in elective primary fast‐track hip and knee arthroplasty journey: A qualitative interview study. J Clin Nurs. 2019; 28: 4434– 4446. https://doi.org/10.1111/jocn.15028

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

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Author: Jansson, Miia Marika1,2; Harjumaa, Marja3; Puhto, Ari‐Pekka4;
Organizations: 1Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland
2Oulu University Hospital, Oulu, Finland
3VTT Technical Research Centre of Finland, Oulu, Finland
4Division of Operative Care, Department of Orthopaedic and Trauma Surgery, Oulu University Hospital, Oulu, Finland
5Martti Ahtisaari Institute, Oulu Business School, Oulu University, Oulu, Finland
6VTT, Technical Research Centre of Finland, Oulu, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe2019090226394
Language: English
Published: John Wiley & Sons, 2019
Publish Date: 2020-08-13
Description:

Abstract

Aims and objectives: This study examined the lived experience of healthcare professionals providing care for patients with total hip and knee arthroplasty. The aim of this study is 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, post‐discharge 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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Series: Journal of clinical nursing
ISSN: 0962-1067
ISSN-E: 1365-2702
ISSN-L: 0962-1067
Volume: 28
Issue: 23-24
Pages: 4434 - 4446
DOI: 10.1111/jocn.15028
OADOI: https://oadoi.org/10.1111/jocn.15028
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Subjects:
Funding: This study was financially supported by the Business Finland which is alsogratefully acknowledged.
Copyright information: © 2019 Wiley & Sons. This is the peer reviewed version of the following article: Jansson, MM, Harjumaa, M, Puhto, A‐P, Pikkarainen, M. Healthcare professionals’ proposed eHealth needs in elective primary fast‐track hip and knee arthroplasty journey: A qualitative interview study. J Clin Nurs. 2019; 28: 4434– 4446, which has been published in final form at https://doi.org/10.1111/jocn.15028. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.