Evidence map›Paper›PMID 35588363›Full record

ArticleJMIR human factors2022

A Nurse-Led Multimedia Intervention to Increase Patient Participation in Recovery After Knee Arthroplasty: Hybrid Type II Implementation Study.

Jo McDonall, Bernice Redley, Patricia Livingston, Ana Hutchinson, Richard de Steiger, Mari Botti

Open access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jo McDonall *School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia.ORCID https://orcid.org/0000-0001-6696-6316
Bernice RedleySchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia.ORCID https://orcid.org/0000-0002-2376-3989
Patricia LivingstonSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia.ORCID https://orcid.org/0000-0001-6616-3839
Ana HutchinsonSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia.ORCID https://orcid.org/0000-0002-0014-689X
Richard de SteigerEpworth HealthCare, Epworth Victor Smorgon Chair of Surgery, Department of Surgery, Richmond, Australia.ORCID https://orcid.org/0000-0002-1276-2040
Mari BottiSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Australia.ORCID https://orcid.org/0000-0002-2782-0987
Deakin University · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvances in digital technology and the use of multimedia platforms to deliver information provide clinicians with a unique opportunity to develop innovative ways to consistently provide high-quality, accessible, and evidence-based information to support patient participation. Introducing new technologies into everyday acute care clinical practice can be difficult.

objectiveThe aim of this paper was to provide a description of an implementation strategy and the subsequent evaluation undertaken to examine the contextual factors important to the successful adoption of new technology by nurses in the context of acute postoperative care.

methodsImplementation of the intervention and process evaluation was undertaken in 3 phases: phase 1, preimplementation stakeholder engagement and identification of barriers and enablers to implementation; phase 2, supported implementation of the intervention; and phase 3, evaluation of uptake, usability, and acceptability of the intervention in clinical practice.

resultsThe outcomes of the implementation of the multimedia intervention in the context of acute postoperative care were positive. Of the 104 patients in the intervention group, 103 (99%) received the intervention. All 103 patients completed the 8-item intervention questionnaire and 93.3% (97/103) were interviewed on day 3 to evaluate usability, uptake, and acceptability. Of these 97 patients, almost all (n=94, 91%) found the program easy to use and most (n=64, 62%) could view the MyStay Total Knee Replacement program as often as they wanted. The findings also suggest that the time to implement the program was minimal (5-10 minutes). Collaboration with nurses and patients before and during implementation to identify potential barriers to successful implementation of the intervention was essential to develop timely strategies to overcome these barriers. To ensure end-user engagement, careful consideration was given to nurses' views on who was responsible for facilitating this intervention.

conclusionsThe findings provide evidence that the structured implementation of the multimedia intervention was robust and successful in terms of patient participant recruitment and application; however, it was difficult to assess the level of engagement by nurse clinicians with the program.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12614000340639; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000340639.

Indexed as

acute caredigital technologyknee arthroplastymultimedianursenurse-facilitatedorthopedic surgeryparticipatory medicinepatient participation

Identifiers

PMID35588363
PMCPMC9164095
OpenAlexW4225997491

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.