University of Oulu

Jansson, MM, Harjumaa, M, Puhto, A‐P, Pikkarainen, M. Patients’ satisfaction and experiences during elective primary fast‐track total hip and knee arthroplasty journey: A qualitative study. J Clin Nurs. 2020; 29: 567– 582. https://doi.org/10.1111/jocn.15121

Patients’ satisfaction and experiences during elective primary fast‐track total hip and knee arthroplasty journey : a qualitative study

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Author: Jansson, Miia Marika1; Harjumaa, Marja2; Puhto, Ari-Pekka3;
Organizations: 1Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland. Oulu University Hospital, Oulu, Finland
2VTT Technical Research Centre of Finland, Oulu Finland
3Division of Operative Care, Department of Orthopaedic and Trauma Surgery, Oulu University Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe2019120545854
Language: English
Published: John Wiley & Sons, 2020
Publish Date: 2020-11-26
Description:

Abstract

Aims and objectives: To explore how satisfied patients are with the process of treatment and care, and to identify the experiences that patients perceive during elective primary fast‐track total hip and knee arthroplasty journey.

Background: Greater satisfaction with care has predicted better quality of recovery, and patient experience has been positively associated with patient safety and clinical effectiveness. However, little is still known about how patients experience their treatment and care.

Design: A qualitative interview study.

Methods: The study was conducted among 20 patients in a single joint replacement centre during 2018. Patient satisfaction was measured using a numerical rating scale. Patients’ experiences were identified through qualitative semi‐structured interviews which were analysed using an inductive content analysis method. The COREQ checklist was used (Supplementary File 1).

Results: The mean numerical rating scale score for overall satisfaction was 9.0 (SD 1.1) on a scale from 0 to 10. The patients’ experiences were grouped under eight main categories that were derived from the qualitative data in the analysis: 1) patient selection, 2) meeting the Health Care Guarantee, 3) patient flow, 4) post‐discharge care, 5) patient counselling, 6) transparency of the journey, 7) communication and 8) feedback.

Conclusions: The findings suggest that patients are highly satisfied after an elective primary fast‐track total hip and knee arthroplasty. However, closer analysis of the patients’ experiences reveals challenges and suggestions on how they could be solved, often involving digital technologies.

Relevance to clinical practice: As the number of total joint arthroplasties grows, patients and their families need to take ever greater responsibility, for their own care from advance preparation to rehabilitation. The findings of the study can be used to organise work, improving patient‐clinical communication, fostering engagement, and improving patient centredness. In addition, the results pinpoint the issues on how the patient experience could be improved.

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Series: Journal of clinical nursing
ISSN: 0962-1067
ISSN-E: 1365-2702
ISSN-L: 0962-1067
Volume: 29
Issue: 3-4
Pages: 567 - 582
DOI: 10.1111/jocn.15121
OADOI: https://oadoi.org/10.1111/jocn.15121
Type of Publication: A1 Journal article – refereed
Field of Science: 3121 General medicine, internal medicine and other clinical medicine
316 Nursing
Subjects:
Copyright information: © 2019 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Jansson, MM, Harjumaa, M, Puhto, A‐P, Pikkarainen, M. Patients’ satisfaction and experiences during elective primary fast‐track total hip and knee arthroplasty journey: A qualitative study. J Clin Nurs. 2020; 29: 567– 582. doi:10.1111/jocn.15121, which has been published in final form at https://doi.org/10.1111/jocn.15121. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving."