Orthopaedic Nurses' Perceptions of Preoperative Education for Total Knee Replacement. 2020

Renee Causey-Upton, and Dana M Howell, and Patrick H Kitzman, and Melba G Custer, and Emily V Dressler
Renee Causey-Upton, PhD, OTD, MS, OTR/L, Associate Professor and BSOS Program Coordinator, Department of Occupational Science and Occupational Therapy, Eastern Kentucky University, Richmond. Dana M. Howell, PhD, OTD, OTR/L, FAOTA, Full Professor and Chair, Department of Occupational Science and Occupational Therapy, Eastern Kentucky University, Richmond. Patrick H. Kitzman, PhD, PT, Full Professor, Department of Physical Therapy and Rehabilitation Sciences, University of Kentucky, Lexington. Melba G. Custer, PhD, OT/L, Professor, Occupational Therapy Department, Spalding University, Louisville, KY. Emily V. Dressler, PhD, Associate Professor, Department of Biostatistical Sciences, Wake Forest University, Winston-Salem, NC.

BACKGROUND Limited descriptions of preoperative education programs for total knee replacement (TKR) surgery are provided in the literature, and the most effective program design is currently unknown. OBJECTIVE The purpose of this qualitative study is to describe orthopaedic nurses' perceptions of preoperative education prior to TKR surgery. METHODS Ten participants completed phone interviews and transcripts were analyzed qualitatively for themes among participants. RESULTS Participants believed that preoperative education was a significant component impacting patient outcomes following surgery. Interprofessional preoperative education was valued, but pragmatic factors were identified as barriers to the inclusion of other disciplines within these programs. Education programs were constantly evolving on the basis of evidence-based practice and changes to orthopaedic protocols. Pragmatic factors influenced all aspects of program design, such as the timing and length of education sessions. CONCLUSIONS Results from this study provide descriptions of factors that influence program design and can be used to restructure education programs for improved patient outcomes.

UI MeSH Term Description Entries
D007407 Interviews as Topic Works about conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes works about school admission or job interviews. Group Interviews,Interviewers,Interviews, Telephone,Oral History as Topic,Group Interview,Interview, Group,Interview, Telephone,Interviewer,Interviews, Group,Telephone Interview,Telephone Interviews
D008297 Male Males
D010353 Patient Education as Topic The teaching or training of patients concerning their own health needs. Education of Patients,Education, Patient,Patient Education
D010465 Perception The process by which the nature and meaning of sensory stimuli are recognized and interpreted. Sensory Processing,Processing, Sensory
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016530 Orthopedic Nursing The specialty or practice of nursing in the care of the orthopedic patient. Nursing, Orthopedic
D055317 Evidence-Based Practice A way of providing health care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement. Evidence-Based Health Care,Evidence Based Health Care Management,Evidence Based Healthcare Management,Evidence Based Management, Health Care,Evidence Based Management, Healthcare,Evidence-Based Healthcare,Evidence Based Health Care,Evidence Based Healthcare,Evidence Based Practice,Evidence-Based Health Cares,Evidence-Based Healthcares,Health Care, Evidence-Based,Health Cares, Evidence-Based,Healthcare, Evidence-Based,Healthcares, Evidence-Based
D019645 Arthroplasty, Replacement, Knee Replacement of the knee joint. Knee Replacement, Total,Arthroplasties, Knee Replacement,Arthroplasties, Replacement, Knee,Arthroplasty, Knee Replacement,Arthroplasty, Replacement, Partial Knee,Knee Arthroplasty,Knee Arthroplasty, Total,Knee Replacement Arthroplasties,Knee Replacement Arthroplasty,Partial Knee Arthroplasty,Partial Knee Replacement,Replacement Arthroplasties, Knee,Replacement Arthroplasty, Knee,Replacement, Total Knee,Total Knee Replacement,Unicompartmental Knee Arthroplasty,Unicompartmental Knee Replacement,Unicondylar Knee Arthroplasty,Unicondylar Knee Replacement,Arthroplasty, Knee,Arthroplasty, Partial Knee,Arthroplasty, Total Knee,Arthroplasty, Unicompartmental Knee,Arthroplasty, Unicondylar Knee,Knee Arthroplasty, Partial,Knee Arthroplasty, Unicompartmental,Knee Arthroplasty, Unicondylar,Knee Replacement, Partial,Knee Replacement, Unicompartmental,Knee Replacement, Unicondylar,Total Knee Arthroplasty

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