TY - JOUR
T1 - Healthcare professionals' proposed eHealth needs in elective primary fast-track hip and knee arthroplasty journey
T2 - A qualitative interview study
AU - Jansson, Miia
AU - Harjumaa, Marja
AU - Puhto, Ari-Pekka
AU - Pikkarainen, Minna
N1 - Funding Information:
Funding information This research has been supported by a grant from Business Finland as part of a project called ?Intelligent Customer-driven Solution for Orthopedic and Pediatric Surgery Care?. The funder has not influenced the design, conduct, analysis or reporting of the study. The authors thank the ward managers of the study wards for helping to facilitate the interviews. In addition, the authors thank all the caregivers who participated in this study. This study was financially supported by the Business Finland, which is also gratefully acknowledged.
Publisher Copyright:
© 2019 John Wiley & Sons Ltd
PY - 2019/12/1
Y1 - 2019/12/1
N2 - 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.
AB - 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.
KW - Care Pathways
KW - Hip Replacement
KW - Knee Replacement
KW - Qualitative study
UR - http://www.scopus.com/inward/record.url?scp=85073992847&partnerID=8YFLogxK
U2 - 10.1111/jocn.15028
DO - 10.1111/jocn.15028
M3 - Article
SN - 0962-1067
VL - 28
SP - 4434
EP - 4446
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 23-24
ER -