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

Jansson, Miia; Harjumaa, Marja; Puhto, Ari‐Pekka; Pikkarainen, Minna

doi:10.1111/jocn.15121

Cited by 35 publications

(111 citation statements)

References 48 publications

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“…This secondary analysis is a part of a larger R&D project that co-develops a digital patient journey solution into an elective primary fast-track THA/TKA journey together with patients undergoing THA/TKA, patients who have undergone THA/TKA, healthcare professionals, researchers and health tech companies. Previously, we have examined the needs of healthcare professionals (Jansson, Harjumaa, Puhto, & Pikkarainen, 2019) and patients (Jansson, Harjumaa, Puhto, & Pikkarainen, 2020), and modified and integrated the existing eHealth solutions to meet the needs of different stakeholders. In this secondary analysis, however, we concentrate only on the identified opportunities for gamification in the selected context in order to support patients' health-related behaviour through gameful experiences.…”

Section: Introductionmentioning

confidence: 99%

Identified opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey: Secondary analysis of healthcare professionals’ interviews

Jansson

Koivisto

Pikkarainen

2020

Journal of Clinical Nursing

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Aims and objectives To identify opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey in order to support patients’ health‐related behaviour. Background Gamification provides an opportunity to increase engagement in a given health behaviour and, eventually, the possibility of reaching improved outcomes through continued or consistent behaviour. Design A secondary analysis. Methods Semi‐structured interviews were conducted with 20 healthcare professionals in a single joint‐replacement centre in Finland during autumn 2018. NVivo software was used for deductive and inductive coding. The open codes were also calculated. The consolidated criteria for reporting qualitative research were followed. Results Gamification opportunities were identified related to six dimensions: accomplishment, challenge, competition, guided, playfulness and social experience. Based on the frequencies of the coded content, most opportunities for gamification can be identified in the context of personalised counselling, monitoring and social support. Conclusions Several opportunities for gamification were identified and quantified. While various needs and limitations need to be considered when developing digital gamified solutions and more research into the effectiveness of such solutions will be required, the current study opens possible future avenues for exploring the use of gamification in lower limb joint replacement journey and other specialisms. Relevance to clinical practice This study provides an important insight into healthcare professionals’ views of the current state of the total hip and knee arthroplasty journey and the potential for its development. In addition, it pinpoints the biggest opportunities for gamified services in the context of personalised counselling, monitoring and social support. Despite the focus of this secondary analysis being on the arthroplasty journey, the findings can also be generalised in other surgical journeys.

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Section: Introductionmentioning

confidence: 99%

Identified opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey: Secondary analysis of healthcare professionals’ interviews

Jansson

Koivisto

Pikkarainen

2020

Journal of Clinical Nursing

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“…The “postoperative pain and medication” category seems to reflect the increasing importance for pain management due to the increasing outpatient joint replacement surgeries. A recent study on patients with THA/TKA reveals that patients expressed concerns about under‐treated postoperative pain and the difficulty in weaning from multimodal analgesic strategies (Jansson et al, 2019). Their study also suggests the information given preoperatively was inadequate for dealing with post‐discharge problems.…”

Section: Discussionmentioning

confidence: 99%

Review and synthesis of the experience of patients following total hip or knee arthroplasty in the era of rapidly decreasing hospital length of stay

Makimoto

Fujita

Konno³

2020

Japan Journal Nursing Sci

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Aim: The hospital length of stay for orthopedic surgery has been decreasing during the last couple of decades. Therefore, this study was performed to explore the postoperative experiences of adult/older patients (age ≥20 years) with osteoarthritis who underwent total hip or knee arthroplasty, focusing on the first 6 weeks following discharge. Methods: A systematic literature search on qualitative studies was conducted using six databases, such as Medline, CINAHL and Mednar. Verbatim interview data and themes or subthemes related to the patients' experience after discharge were extracted. Content analysis was used to code interview data. Codes similar in meaning were grouped, and subcategories were formed. These subcategories were then grouped into categories. Results: Sixteen qualitative studies with 253 participants were analyzed. In total, 136 codes were generated and formed 29 subcategories. Six categories were generated: (a) postoperative pain and medication; (b) difficulty in performing activities of daily living; (c) appreciation for support and difficulties associated with receiving support; (d) variability in recovery process and information-seeking; (e) lack of patient-centered care; and (f) transportation problems and social isolation. Conclusion: Our review suggests that prospective patients and their caregivers need individually tailored presurgical education and advanced planning for postsurgical reduced mobility.

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“…The current standard clinical pathway involves 12 to 60 face-to-face visits over a period of three months [4]. This is not only costly and difficult to manage, especially for isolated and disadvantaged populations [4], but if not done successfully leads to poor clinical outcomes and low patient satisfaction [5]. Moreover, clinical best practice notes that this 5-month window post-surgery is imperative for optimal recovery and best results [6].…”

Section: Introductionmentioning

confidence: 99%

Assessing the Benefits of a Teleassessment Solution Using a FVM Perspective

Tirosh¹,

Andargoli²,

Wickramasinghe³

2022

Proceedings of the Annual Hawaii International Conference on System Sciences

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The recent COVID-19 pandemic has served to highlight the benefits of digital health in general and telehealth in particular. One area of telehealth that is particularly important is that of teleassessment. Currently, we are witnessing an exponential growth in total knee and total hip replacements (TKR) (THR) due to an aging population coupled with longer life expectancy which is leading to a high likelihood of an unsustainable burden for healthcare delivery in Australia. To address this imminent challenge, the following proffers a tele-assessment solution, ARIADNE (Assist foR hIp AnD kNEe), that can provide high quality care, with access for all and support for high value outcomes. A fit viability assessment is provided to demonstrate benefits of the proffered solution.

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

Cited by 35 publications

References 48 publications

Identified opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey: Secondary analysis of healthcare professionals’ interviews

Identified opportunities for gamification in the elective primary fast‐track total hip and knee arthroplasty journey: Secondary analysis of healthcare professionals’ interviews

Review and synthesis of the experience of patients following total hip or knee arthroplasty in the era of rapidly decreasing hospital length of stay

Assessing the Benefits of a Teleassessment Solution Using a FVM Perspective

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