None listed
Conditions
Brief summary
The proposed study has as its focus, the important shared role patients can have in determining the outcomes of their healthcare in the context of postoperative recovery after orthopaedic surgery, specifically, total hip replacement (THR). The research program has two major aims: 1) to test a multimedia intervention to improve patients’ participation in their postoperative care; and 2) to model various patient processes of care and system factors that may impact on patients’ overall experience and satisfaction with hospital care after surgery. A nurse-led, multimedia intervention expected to increase both the capability (through information) and opportunity (through facilitation) of patients to participate in their goals of care will be introduced during the immediate postoperative period after elective THR surgery. Advances in information technology, hand held devices and multimedia techniques provide innovative ways to embed nurse-led approaches into the processes of care that can facilitate patients’ participation in their care. A cluster randomised, crossover designed study will be implemented in conjunction with mixed-methods data collection and analysis. The setting will be orthopaedic wards located at a major, private, metropolitan hospital. Patients undergoing primary THR surgery and able to provide consent will be recruited to the study, patients in the cross over groups will receive usual care as per the THR pathway. The intervention will be the application of the nurse-led, multimedia goals of care education package designed to be delivered daily to patients at the bedside by nurses in order to improve patient participation during their recovery. Data collection methods will include patient interviews and patient questionnaires.
Interventions
The multimedia intervention comprises modules in a chapter based format that combines text, sound, graphics and animation to provide information to patients in relation to postoperative recovery and goals of care.
The multimedia intervention is designed to be a nurse-led intervention that is delivered to patients as a stand-alone program packaged for iPad presentation where the patient can navigate through the program daily. On Day 1 the nurses will discuss the program with the patients and help
The multimedia intervention comprises modules in a chapter based format that combines text, sound, graphics and animation to provide information to patients in relation to postoperative recovery and goals of care. The multimedia intervention is designed to be a nurse-led intervention that is delivered to patients as a stand-alone program packaged for iPad presentation where the patient can navigate through the program daily. On Day 1 the nurses will discuss the program with the patients and help them navigate through, it is expected this will take approximately 5 minutes with each patient. Monitoring of the intervention application and adherence to the intervention will be by direct observation daily by the nurse researcher who will visit the study wards each day. The multimedia package has tailored information about expected recovery on each day from Day 1 to 5 after THR surgery. The THR the multimedia program runs for approximately: * Day 1 - 10 minutes * Day 2 - 5 minutes * Day 3, 4 & 5 - 3-5 minutes Patients will have the iPad with them for the duration of their stay and will be able to access the information as many times as they would like. They can also stop and start the program based on their needs. The iPad will be locked securely to the patients bedside. The package provides information from Day 1 - Day 5 after THR surgery. It is expected that this multimedia intervention will facilitate an interaction between patients and nurses about goals and plans of care for the day based on the goals of recovery after THR surgery. This trial will cross over when patient numbers have been reached in each cluster (approximately 6 weeks). The wash out period between intervention and control will be 4 weeks. Participants in the intervention group will receive usual/standard/routine care in addition to the intervention.
Sponsors
Epworth HealthCare
Study design
Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Elective admission for primary, unilateral, total hip replacement surgery.
Exclusion criteria
Cognitive impairment or lack of proficiency in English language that would interfere with informed consent or ability to complete questionnaires.
Outcome results
None listed