Assessment of the patient-centered and family-centered care experience of total joint replacement patients using a shadowing technique

Ulanda Marcus-Aiyeku, Margaret De Bari, Susan Salmond

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

In 2030, when baby boomers reach 65 years of age and represent 18% of the population, it is anticipated that 67 million adults will have a diagnosis of arthritis increasing the demand for total hip and knee arthroplasty. With the growing emphasis on patient- and family-centered care, the aim of this project was to assess the patient experience of patients and families throughout the entire spectrum of the total joint replacement service line care at a university regional trauma hospital. A shadowing methodology as defined by the Institute for Health Improvement was utilized. Eight patient/family groups undergoing total joint replacements were shadowed. The mapped care experience included time, caregiver, activity, shadower observations, and impressions. Findings revealed inconsistencies in the delivery of patient- and family-centered care. Communication and interactions were predominantly provider-centric, with a focus on care routines versus the patient and family, and anticipation that care would be medically directed.

Original languageEnglish (US)
Pages (from-to)269-277
Number of pages9
JournalOrthopaedic Nursing
Volume34
Issue number5
DOIs
StatePublished - Sep 1 2015

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Advanced and Specialized Nursing

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