Orthopaedic Nurses' Perceptions of Preoperative Education for Total Knee Replacement

Renee Causey-Upton, Dana M. Howell, Patrick H. Kitzman, Melba G. Custer, Emily V. Dressler

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


BACKGROUND: Limited descriptions of preoperative education programs for total knee replacement (TKR) surgery are provided in the literature, and the most effective program design is currently unknown. PURPOSE: The purpose of this qualitative study is to describe orthopaedic nurses' perceptions of preoperative education prior to TKR surgery. METHODS: Ten participants completed phone interviews and transcripts were analyzed qualitatively for themes among participants. RESULTS: Participants believed that preoperative education was a significant component impacting patient outcomes following surgery. Interprofessional preoperative education was valued, but pragmatic factors were identified as barriers to the inclusion of other disciplines within these programs. Education programs were constantly evolving on the basis of evidence-based practice and changes to orthopaedic protocols. Pragmatic factors influenced all aspects of program design, such as the timing and length of education sessions. CONCLUSIONS: Results from this study provide descriptions of factors that influence program design and can be used to restructure education programs for improved patient outcomes.

Original languageEnglish
Pages (from-to)227-237
Number of pages11
JournalOrthopaedic Nursing
Issue number4
StatePublished - Jul 2020

Bibliographical note

Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Advanced and Specialized Nursing


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