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Nurse‐led telephone follow‐up after total knee arthroplasty – content and the patients’ views

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  • Kirsten Szöts
  • Hanne Konradsen
  • Søren Solgaard
  • Stina Bogø
  • Birte Østergaard

Abstract

Aim and objectives To generate information on how telephone follow‐up consultations, structured by nursing status according to the VIPS‐model, functioned after total knee arthroplasty. The objectives were to unfold the content of the telephone follow‐ups according to the structure for nursing status and to explore the patients’ views of the telephone follow‐ups. Background The length of stay in hospital following total knee arthroplasty has fallen markedly, and patients now have to be responsible for their recovery from a very early stage. After discharge, patients may experience a variety of health problems. A clinical trial was conducted to evaluate the effect of telephone follow‐up, and information on how the telephone follow‐ups functioned is relevant for implementation into clinical practice. Design A qualitative design was used. Method One hundred and four case reports from telephone follow‐up consultations and individual interviews with 10 patients formed the data material. Content analysis was used for the analysis. Results The content of the telephone follow‐ups included dialogues relating to all key subjects for nursing status except ‘culture/spirituality’. The structured Telephone follow‐up was valued by total knee arthroplasties patients as representing a holistic approach and providing adequate information, counselling and support after discharge to home. Three categories were identified with regard to the patients’ views: ‘A means for reflection and provision of adequate information and counselling’, ‘Supportive’ and ‘Not the only resource for support and counselling’. Conclusion Nursing status according to the VIPS model is a comprehensive structure to identify the need for counselling, information and support after total knee arthroplasty. The structured telephone follow‐ups were valued for representing a holistic approach and providing adequate information, counselling and support after discharge to home. Conducting telephone follow‐up with a holistic approach demands specialised and broad nursing experience. Relevance to clinical practice Postdischarge follow‐up is important.

Suggested Citation

  • Kirsten Szöts & Hanne Konradsen & Søren Solgaard & Stina Bogø & Birte Østergaard, 2015. "Nurse‐led telephone follow‐up after total knee arthroplasty – content and the patients’ views," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(19-20), pages 2890-2899, October.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:19-20:p:2890-2899
    DOI: 10.1111/jocn.12905
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    1. Kinta Beaver & Susan Williamson & Karen Chalmers, 2010. "Telephone follow‐up after treatment for breast cancer: views and experiences of patients and specialist breast care nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(19‐20), pages 2916-2924, October.
    2. Hsiu‐Hui Su & Yun‐Fang Tsai & Wen‐Jen Chen & Min‐Chi Chen, 2010. "Health care needs of patients during early recovery after total knee‐replacement surgery," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(5‐6), pages 673-681, March.
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