title: Assessment of the Patient-Centered and Family-Centered Care Experience of Total Joint Replacement Patients Using a Shadowing Technique.
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.
authors.affiliation: Ulanda Marcus-Aiyeku, DNP, MSN, NE-BC, RN, Clinical Program Manager, Total Joint Replacement Service Line, Jersey Shore University Medical Center, Neptune, NJ. Margaret DeBari, DNP, MSN, MA, RN-BC, NE-BC, Nurse Manager, Orthopedics, Jersey Shore University Medical Center, Neptune, NJ. Susan Salmond, EdD, RN, ANEF, FAAN, Executive Vice Dean and Professor, Office of the Dean, Division of Nursing Science, Rutgers School of Nursing, Newark, NJ.
authors.forename: Ulanda
authors.initials: U
authors.lastname: Marcus-Aiyeku
authors.forename: Margaret
authors.initials: M
authors.lastname: DeBari
authors.forename: Susan
authors.initials: S
authors.lastname: Salmond
mesh_terms: D019643:Arthroplasty, Replacement / Q000451:nursing* / Q000523:psychology; D003142:Communication; D006801:Humans; D010003:Osteoarthritis / Q000534:rehabilitation / Q000601:surgery; D010351:Patient Discharge; D010353:Patient Education as Topic; D018802:Patient-Centered Care