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Published on: September 7, 2022
Orthopaedic Nurses' Perceptions of Preoperative Education for Total Knee Replacement
Renee Causey-Upton1, Dana M Howell, Patrick H Kitzman
1Renee 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.
Preoperative education significantly impacts total knee replacement (TKR) outcomes. Nurses identified practical barriers and evolving evidence-based practices influencing TKR program design for better patient results.
Area of Science:
- Orthopaedic nursing
- Patient education
- Surgical outcomes
Background:
- Preoperative education programs for total knee replacement (TKR) lack detailed descriptions in current literature.
- The optimal design for TKR preoperative education remains undetermined.
Purpose of the Study:
- To explore orthopaedic nurses' perceptions of preoperative education for total knee replacement (TKR) surgery.
- To identify key factors influencing the design of TKR preoperative education programs.
Main Methods:
- Qualitative study involving ten participants.
- Data collected through phone interviews.
- Thematic analysis of interview transcripts.
Main Results:
- Nurses perceive preoperative education as crucial for patient outcomes after TKR.
- Interprofessional education is valued but faces pragmatic barriers.
- Program design is influenced by evidence-based practice, evolving protocols, and practical considerations like session timing and duration.
Conclusions:
- Understanding factors influencing TKR preoperative education program design is essential.
- Study findings can inform the restructuring of education programs to enhance patient outcomes.
- Orthopaedic nurses' insights are vital for optimizing TKR preoperative care.
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