assig EV
Clinical Inquiry
1
Clinical Issue
Clinical issue: patient outcomes after surgical procedure (arthroplasty)
The procedure used for the restoration of the deformed arms.
Based on the personal experience of arthroplasty, the patients appears to be satisfied after the procedure
They give positive feedback.
It is important not to judge about the effectiveness of the procedure based on patients’ satisfaction and positive feedback
There is a concern whether their arms can function well after surgical procedure.
It is also a concern whether the satisfaction is due to less deformation of their hands after the procedure (Bloch et al., 2018).
2
PICOT Question
PICOT Question: For the patients undergoing surgical procedure, what is the effectiveness of the arthroplasty procedure on better patients’ outcomes (satisfaction and positive feedback) compared to no surgery within 2 months of treatment?
Population: patients undergoing surgical procedure
Intervention: arthroplasty procedure
Compared: nor surgery
Outcome: patient satisfaction and the positive feedback
Time: two months of implementation (Bloch et al., 2018).
Research Database
The search for the relevant literature articles for this topic is done using the relevant databases.
The databases include:
ProQuest
Science Direct
PubMed
Medline
Located Articles
Cox, A. M. (2022). Nonpharmacological Pain Control Following Hip and Knee Replacements in Older Adults (Doctoral dissertation, Walden University). https://doi.org/10.1093/ptj/pzac008
Filbay, S. R., Judge, A., Delmestri, A., Arden, N. K., Altman, D., Beard, D., ... & Prieto-Alhambra, D. (2018). Evaluating patients' expectations from a novel patient-centered perspective predicts knee arthroplasty outcome. The Journal of arthroplasty, 33(7), 2146-2152. Doi: 10.2106/JBJS.18.00695
Jansson, M. M., Harjumaa, M., Puhto, A. P., & Pikkarainen, M. (2020). Patients’ satisfaction and experiences during elective primary fast‐track total hip and knee arthroplasty journey: A qualitative study. Journal of clinical nursing, 29(3-4), 567-582. https://doi.org/10.1111/jocn.15121
Kohring, J. M., Pelt, C. E., Anderson, M. B., Peters, C. L., & Gililland, J. M. (2018). Press Ganey outpatient medical practice survey scores do not correlate with patient-reported outcomes after primary joint arthroplasty. The Journal of Arthroplasty, 33(8), 2417-2422. https://doi.org/10.1016/j.arth.2018.03.044
Levels of the Evidence
Cox (2022)-Level IV (evidence from literature reviews).
Filbay et al. (2018)- Level II (evidence from the quasi-experimental study)
Jansonn et al. (2020)-Level III (Non-experimental study)
Kohring et al. (2018): Level III (systematic review of a combination of random controlled trials) (Dang & Dearholt, 2018)
The strengths of using systemic review for clinical research
It has the characteristic of narrow focusing of the question
There is comprehensive search for the evidence
The criteria adopted is based on the selection of the relevant evidence
There is rigorous assessment of the validity
It is based on the objective or the quantitative summary
There is evidence-based inferences
References
Bloch, J. R., Courtney, M. R., & Clark, M. L. (2018). Practice-based clinical inquiry in nursing for DNP and PhD research: Looking beyond traditional methods.
Cox, A. M. (2022). Nonpharmacological Pain Control Following Hip and Knee Replacements in Older Adults (Doctoral dissertation, Walden University). https://doi.org/10.1093/ptj/pzac008
Dang, D., & Dearholt, S.L. (2018). Johns Hopkins nursing evidence-based practice : Model & guidelines (3rd ed). Sigma Theta Tau International.
Filbay, S. R., Judge, A., Delmestri, A., Arden, N. K., Altman, D., Beard, D., ... & Prieto-Alhambra, D. (2018). Evaluating patients' expectations from a novel patient-centered perspective predicts knee arthroplasty outcome. The Journal of arthroplasty, 33(7), 2146-2152. Doi: 10.2106/JBJS.18.00695
Jansson, M. M., Harjumaa, M., Puhto, A. P., & Pikkarainen, M. (2020). Patients’ satisfaction and experiences during elective primary fast‐track total hip and knee arthroplasty journey: A qualitative study. Journal of clinical nursing, 29(3-4), 567-582. https://doi.org/10.1111/jocn.15121
Kohring, J. M., Pelt, C. E., Anderson, M. B., Peters, C. L., & Gililland, J. M. (2018). Press Ganey outpatient medical practice survey scores do not correlate with patient-reported outcomes after primary joint arthroplasty. The Journal of Arthroplasty, 33(8), 2417-2422. https://doi.org/10.1016/j.arth.2018.03.044