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Pre-operative preparation of patients for total knee replacement: an action research study

Pre-operative preparation of patients for total knee replacement: an action research study
Pre-operative preparation of patients for total knee replacement: an action research study
Abstract Aims and objectives: To examine the development and impact of a multidisciplinary preparation clinic for patients undergoing total knee replacement (TKR) surgery.

Background: There is evidence to suggest that patients’ preoperative characteristics such as pain and mental state impact the long term results of TKR surgery. Preparation sessions may help in identifying and working with those patients whose preoperative status could reduce the benefits of surgery.

Design: Action research.

Method: Actions cycles were carried out to develop an information booklet and multidisciplinary Knee Clinic at an acute Trust in outer London, UK. A sample(n = 23) of patients was recruited to test changes as they were implemented.

Results: The Knee Clinic involved nurse practitioners, occupational therapists, physiotherapists and service users (patients recovered from TKR surgery). Elements of physical and social assessment and interventions were carried out using a Social Cognitive Theory framework. Patients reported they benefitted from the information booklet and attendance at the Knee Clinic.

Conclusion: A structured pre-operative information and assessment clinic can be developed using a Social Cognitive Theory framework for the benefit of patients. Further studies are required to examine and utilise psychological assessment of patients at such clinics.
action research, Social Cognitive Theory, total knee replacement, service user involvement, pre-operative assessment, practice development
1878-1241
79-90
Lucas, Brian
22080125-d3d2-42cf-ac5e-35fecef782f0
Cox, Carol
13bfd493-50f6-44e2-a4e6-0e6640720d43
Perry, Lin
9607ac5a-c5af-4f1f-90c8-27a5c72cde20
Bridges, J.
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Lucas, Brian
22080125-d3d2-42cf-ac5e-35fecef782f0
Cox, Carol
13bfd493-50f6-44e2-a4e6-0e6640720d43
Perry, Lin
9607ac5a-c5af-4f1f-90c8-27a5c72cde20
Bridges, J.
57e80ebe-ee5f-4219-9bbc-43215e8363cd

Lucas, Brian, Cox, Carol, Perry, Lin and Bridges, J. (2013) Pre-operative preparation of patients for total knee replacement: an action research study. International Journal of Orthopaedic and Trauma Nursing, 17 (2), 79-90. (doi:10.1016/j.ijotn.2012.08.005).

Record type: Article

Abstract

Abstract Aims and objectives: To examine the development and impact of a multidisciplinary preparation clinic for patients undergoing total knee replacement (TKR) surgery.

Background: There is evidence to suggest that patients’ preoperative characteristics such as pain and mental state impact the long term results of TKR surgery. Preparation sessions may help in identifying and working with those patients whose preoperative status could reduce the benefits of surgery.

Design: Action research.

Method: Actions cycles were carried out to develop an information booklet and multidisciplinary Knee Clinic at an acute Trust in outer London, UK. A sample(n = 23) of patients was recruited to test changes as they were implemented.

Results: The Knee Clinic involved nurse practitioners, occupational therapists, physiotherapists and service users (patients recovered from TKR surgery). Elements of physical and social assessment and interventions were carried out using a Social Cognitive Theory framework. Patients reported they benefitted from the information booklet and attendance at the Knee Clinic.

Conclusion: A structured pre-operative information and assessment clinic can be developed using a Social Cognitive Theory framework for the benefit of patients. Further studies are required to examine and utilise psychological assessment of patients at such clinics.

Full text not available from this repository.

More information

Published date: May 2013
Keywords: action research, Social Cognitive Theory, total knee replacement, service user involvement, pre-operative assessment, practice development
Organisations: Bio-Behavioural Sciences

Identifiers

Local EPrints ID: 351688
URI: https://eprints.soton.ac.uk/id/eprint/351688
ISSN: 1878-1241
PURE UUID: 9cbc8d02-4000-4918-b86a-a07adcd55b5d
ORCID for J. Bridges: ORCID iD orcid.org/0000-0001-6776-736X

Catalogue record

Date deposited: 23 Apr 2013 11:51
Last modified: 08 Oct 2019 00:40

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