Health Care Professionals' Perceptions of the Arthroplasty Patient Experience: Planning Phase in the Development of a Patient-Reported Outcome Measure

J Perianesth Nurs. 2019 Apr;34(2):376-385. doi: 10.1016/j.jopan.2018.05.018. Epub 2018 Oct 15.

Abstract

Purpose: The aim of this study was to explore health care professionals' perceptions and perspectives of surgery and early recovery for patients undergoing lower limb arthroplasty.

Design: Thematic analysis with semi-structured qualitative interviews.

Methods: Following ethical approval, interviews were performed with recovery room nurses (n=3), ward nurses (n=2), surgeons (n=5), anesthesiologists (n=5), physiotherapists (n=5), and occupational therapists (n=2). Data were analyzed using an in-depth narrative thematic analysis method. NVivo qualitative data analysis software was used.

Findings: Three main themes evolved from the interviews: immediate patient recovery issues, discharge criteria, and priorities during hospitalization from health care providers' perspectives.

Conclusions: The early postoperative recovery period can be a challenging time for health care providers and patients alike. However, identifying key areas of importance can provide insight and guide focus in clinical practice, thus improving patient recovery.

Keywords: orthopaedics; patient care team; perioperative period; qualitative nursing research.

MeSH terms

  • Arthroplasty / methods*
  • Attitude of Health Personnel*
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Interviews as Topic
  • Lower Extremity / surgery
  • Male
  • Patient Discharge / standards
  • Patient Reported Outcome Measures*
  • Personnel, Hospital / statistics & numerical data*
  • Postoperative Period