PICOT Question: For adult orthopedic total knee and total hip surgery patients w

PICOT Question: For adult orthopedic total knee and total hip surgery patients would the implementation of an outpatient total joint program reduce recovery time and costs, and increase positive outcomes of total joint surgery compared to patients who did not participate in a total joint program over one year
Rubric:
Introduction
The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.
PICOT Question
A PICOT question is presented and provides a clear framework for the capstone project change proposal.
PICOT Problem
The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is described. Some minor detail is needed for clarity.
Nursing Intervention
A nursing intervention used to address the problem is clearly presented. A comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process, are thoroughly discussed.
Clinical Problem and Patient Outcome
The clinical problem and how it can result in a positive patient outcome are thoroughly discussed. Strong rationale is offered for support.
Conclusion
Step 1: Create PICOT question; A PICOT question is presented and provides a clear framework for the capstone project change proposal. Your PICOT question should clearly outline all of these elements: patient, intervention, comparison, outcome and time.
Step 2: PICOT Problem: Identify the PICOT problem, what clinical problems or issues may arise from clinical care? The PICOT problem as it relates to evidence-based solution, nursing intervention, patent care, health care agency, and nursing practice is thoroughly described.
Step 3: Describe nursing intervention: A nursing intervention used to address the problem. Compare the nursing intervention to a patient population not currently receiving the nursing intervention, and timeframe needed to implement the change process.
Step 4: Summarize Clinical Problem and Patient Outcome: The clinical problem and how it can result in a positive patient outcome.
Reference to use:
Drosos, G. I., Kougioumtzis, I. E., Tottas, S., Ververidis, A., Chatzipapas, C., Tripsianis, G., & Tilkeridis, K. (2020). The results of a stepwise implementation of a fast-track program in total hip and knee replacement patients. Journal of Orthopaedics, 21, 100–108. https://doi-org.lopes.idm.oclc.org/10.1016/j.jor.2020.03.004
GITTLEN S. Outpatient Joint Replacement Surgery: It’s Ready, but Are You? The procedures are becoming more viable in an outpatient setting, but only if the right patients and resources are involved. HealthLeaders Magazine. 2016;19(7):36-38. Accessed May 30, 2022. https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=134706654&site=eds-live&scope=site
Gromov, K., Jørgensen, C. C., Petersen, P. B., Kjaersgaard-Andersen, P., Revald, P., Troelsen, A., Kehlet, H., & Husted, H. (2019). Complications and readmissions following outpatient total hip and knee arthroplasty: a prospective 2-center study with matched controls. Acta Orthopaedica, 90(3), 281–285. https://doi-org.lopes.idm.oclc.org/10.1080/17453674.2019.1577049
Gromov, K., Kjærsgaard-Andersen, P., Revald, P., Kehlet, H., & Husted, H. (2017). Feasibility of outpatient total hip and knee arthroplasty in unselected patients. Acta Orthopaedica, 88(5), 516–521. https://doi-org.lopes.idm.oclc.org/10.1080/17453674.2017.1314158
Husted, C. E., Husted, H., Ingelsrud, L. H., Nielsen, C. S., Troelsen, A., & Gromov, K. (2021). Are functional outcomes and early pain affected by discharge on the day of surgery following total hip and knee arthroplasty? Acta Orthopaedica, 92(1), 62–66. https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148980652&site=ehost-live&scope=site
Husted, C., Gromov, K., Hansen, H. K., Troelsen, A., Kristensen, B. B., & Husted, H. (2020). Outpatient total hip or knee arthroplasty in ambulatory surgery center versus arthroplasty ward: a randomized controlled trial. Acta Orthopaedica, 91(1), 42–47. https://doi-org.lopes.idm.oclc.org/10.1080/17453674.2019.1686205
L. R. (2020). Outpatient Joint Replacement? MEDICARE NOW COVERS THIS SURGERY, BUT IT’S NOT RIGHT FOR EVERYONE. Arthritis Today, 34(2), 32. https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142976829&site=eds-live&scope=site
Lovasz, G., Aros, A., Toth, F., Va Faye, J., & La Malfa, M. (2021). The introduction of a day case hip and knee replacement program at an inpatient ward is safe and may expedite the shortening of hospital stays of traditional arthroplasties. Journal of Orthopaedic Surgery & Research, 16(1), 1–7. https://doi-org.lopes.idm.oclc.org/10.1186/s13018-021-02737-3
Stauber, A., Schüßler, N., Palmdorf, S., Schürholz, N., Bruns, D., Osterbrink, J., & Nestler, N. (2020). RECOVER-E – a mobile app for patients undergoing total knee or hip replacement: study protocol. BMC Musculoskeletal Disorders, 21(1), 1–10. https://doi-org.lopes.idm.oclc.org/10.1186/s12891-020-3090-2