Healthcare professionals' proposed eHealth needs in elective primary fast-track hip and knee arthroplasty journey: A qualitative interview study

Miia Jansson, Marja Harjumaa, Ari-Pekka Puhto, Minna Pikkarainen

    Research output: Contribution to journalArticleScientificpeer-review

    6 Citations (Scopus)

    Abstract

    Design This was a qualitative interview study. Methods Semi‐structured interviews were conducted with four surgeons, two anaesthesiologists, ten nurses, and four physiotherapists in a single joint replacement centre during autumn 2018. The data were analysed using an inductive content analysis method. NVivo qualitative data analysis software was used. The COREQ checklist for qualitative studies was followed. Results Our research addressed the gap in evidence by focusing on the four main parts of the patient journey in the selected context. Analysis of the data revealed nine main categories for the proposed eHealth needs: eligibility criteria, referrals, meeting the Health Care Guarantee, patient flow, post‐discharge care, patient counselling, communication, transparency of the journey, and receiving feedback. In addition, the requirements and further development needs for eHealth solutions were generally identified. Conclusions From the point of view of healthcare professionals, eHealth solutions have huge potential in supporting the elective primary fast‐track hip and knee arthroplasty journey. However, it is important to acknowledge that these needs may be very different depending on the technological and organisational environment in question. Relevance to clinical practice More effective use of information and communication technologies is needed for organisational optimisation resulting in a streamlined pathway, better access to healthcare services, improved outcomes, and an improved patient experience. These results can be used in the development of new eHealth solutions to support surgical care journeys and patient education.
    Original languageEnglish
    Pages (from-to)4434-4446
    Number of pages13
    JournalJournal of Clinical Nursing
    Volume28
    Issue number23-24
    DOIs
    Publication statusPublished - 1 Dec 2019
    MoE publication typeA1 Journal article-refereed

    Keywords

    • Care Pathways
    • Hip Replacement
    • Knee Replacement
    • Qualitative study

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