Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview study
Abstract Background Fast-track and outpatient arthroplasty methodologies combine evidence-based clinical features with organizational optimization resulting in a streamlined pathway from admission to discharge and beyond. This qualitative study explored perceived problems of healthcare professionals...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-09-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1334-3 |
| _version_ | 1828349951830130688 |
|---|---|
| author | Miia Marika Jansson Marja Harjumaa Ari-Pekka Puhto Minna Pikkarainen |
| author_facet | Miia Marika Jansson Marja Harjumaa Ari-Pekka Puhto Minna Pikkarainen |
| author_sort | Miia Marika Jansson |
| collection | DOAJ |
| description | Abstract Background Fast-track and outpatient arthroplasty methodologies combine evidence-based clinical features with organizational optimization resulting in a streamlined pathway from admission to discharge and beyond. This qualitative study explored perceived problems of healthcare professionals during fast-track hip and knee arthroplasty. Methods Semi-structured interviews were conducted with four surgeons, two anesthesiologists, ten nurses, and four physiotherapists. An inductive content analysis was used to analyze the data. NVivo qualitative data analysis software was used. Results Analysis of the data revealed eight main categories of problems: patient selection, referrals, meeting the Health Care Guarantee, patient flow, homecare, patient counseling, transparency of the journey, and receiving feedback. In addition, problems related to information flows and communication, responsibilities between different stakeholders, and existing information systems were identified. Conclusions The study revealed that healthcare professionals perceived several problems during the fast-track journey that reduce its effectiveness and make it more difficult to meet the Health Care Guarantee. Problems could be alleviated by changing internal and external organizational practices, as well as by developing new information and communication technologies that would provide up-to-date communication channels for healthcare professionals and patients. In addition, new collaboration mechanisms should be developed in order to solve the problems that occur across different organizations. |
| first_indexed | 2024-04-14T01:17:26Z |
| format | Article |
| id | doaj.art-023cf54165514863a8f08e6caac8dfd4 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T01:17:26Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-023cf54165514863a8f08e6caac8dfd42022-12-22T02:20:47ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-09-0114111210.1186/s13018-019-1334-3Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview studyMiia Marika Jansson0Marja Harjumaa1Ari-Pekka Puhto2Minna Pikkarainen3Research Group of Medical Imaging, Physics and Technology, University of OuluVTT Technical Research Centre of FinlandDivision of Operative Care, Department of Orthopaedic and Trauma Surgery, Oulu University HospitalResearch Group of Medical Imaging, Physics and Technology, University of OuluAbstract Background Fast-track and outpatient arthroplasty methodologies combine evidence-based clinical features with organizational optimization resulting in a streamlined pathway from admission to discharge and beyond. This qualitative study explored perceived problems of healthcare professionals during fast-track hip and knee arthroplasty. Methods Semi-structured interviews were conducted with four surgeons, two anesthesiologists, ten nurses, and four physiotherapists. An inductive content analysis was used to analyze the data. NVivo qualitative data analysis software was used. Results Analysis of the data revealed eight main categories of problems: patient selection, referrals, meeting the Health Care Guarantee, patient flow, homecare, patient counseling, transparency of the journey, and receiving feedback. In addition, problems related to information flows and communication, responsibilities between different stakeholders, and existing information systems were identified. Conclusions The study revealed that healthcare professionals perceived several problems during the fast-track journey that reduce its effectiveness and make it more difficult to meet the Health Care Guarantee. Problems could be alleviated by changing internal and external organizational practices, as well as by developing new information and communication technologies that would provide up-to-date communication channels for healthcare professionals and patients. In addition, new collaboration mechanisms should be developed in order to solve the problems that occur across different organizations.http://link.springer.com/article/10.1186/s13018-019-1334-3ArthroplastyNew information and communication technologiesPatient journeyQualitative research |
| spellingShingle | Miia Marika Jansson Marja Harjumaa Ari-Pekka Puhto Minna Pikkarainen Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview study Journal of Orthopaedic Surgery and Research Arthroplasty New information and communication technologies Patient journey Qualitative research |
| title | Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview study |
| title_full | Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview study |
| title_fullStr | Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview study |
| title_full_unstemmed | Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview study |
| title_short | Healthcare professionals’ perceived problems in fast-track hip and knee arthroplasty: results of a qualitative interview study |
| title_sort | healthcare professionals perceived problems in fast track hip and knee arthroplasty results of a qualitative interview study |
| topic | Arthroplasty New information and communication technologies Patient journey Qualitative research |
| url | http://link.springer.com/article/10.1186/s13018-019-1334-3 |
| work_keys_str_mv | AT miiamarikajansson healthcareprofessionalsperceivedproblemsinfasttrackhipandkneearthroplastyresultsofaqualitativeinterviewstudy AT marjaharjumaa healthcareprofessionalsperceivedproblemsinfasttrackhipandkneearthroplastyresultsofaqualitativeinterviewstudy AT aripekkapuhto healthcareprofessionalsperceivedproblemsinfasttrackhipandkneearthroplastyresultsofaqualitativeinterviewstudy AT minnapikkarainen healthcareprofessionalsperceivedproblemsinfasttrackhipandkneearthroplastyresultsofaqualitativeinterviewstudy |