Journal of Multidisciplinary Healthcare (Feb 2023)

Nursing Care and Barriers for Prevention of Venous Thromboembolism in Total Knee and Hip Arthroplasty Patients: A Qualitative Study

  • Al-Mugheed K,
  • Totur Dikmen B,
  • Bayraktar N,
  • Farghaly Abdelaliem SM,
  • Ahmed Alsenany S

Journal volume & issue
Vol. Volume 16
pp. 547 – 556

Abstract

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Khalid Al-Mugheed,1 Burcu Totur Dikmen,2 Nurhan Bayraktar,3 Sally Mohammed Farghaly Abdelaliem,4 Samira Ahmed Alsenany5 1Adult Health Nursing Department, College of Nursing, Riyadh Elm University, Riyadh, 12734, Saudi Arabia; 2Surgical Nursing Department, Faculty of Nursing, Near East University, Nicosia, Cyprus; 3Nursing Department, School of Health Sciences, Atılım University, Golbasi, Ankara, Turkey; 4Department of Nursing Management and Education, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, 11671, Saudi Arabia; 5Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh, 11671, Saudi ArabiaCorrespondence: Khalid Al-Mugheed, Adult Health Nursing Department, College of Nursing, Riyadh Elm University, Riyadh, 12734, Saudi Arabia, Email [email protected]: To determine barriers to preventing venous thromboembolism in total knee and hip arthroplasty patients by surgical nurses.Methods: This qualitative study used a phenomenological approach. The semi-structured interview questionnaire included two questions focused on nursing care practices for VTE prevention and barriers faced during VTE prophylaxis in total knee and hip arthroplasty patients. Study data were collected from 10 surgical nurses through semi-structured interviews in July 2021.Results: After analyzing the data, two main themes, five categories, and fourteen subcategories were developed. The main themes included “Nursing care” and “Barriers.” Two categories were reflected in terms of nursing care: general care and mechanical prophylaxis. Regarding barriers, the analysis of the interview reflected three main categories: “lack of professional competence”, “work conditions challenges”, and “resistance from patients”.Conclusion: Educational institutions must play a critical role in preparing surgical nurses by establishing clinical nurse specialist programs and post-graduate diplomas programs that sufficiently prepare nurses for clinical settings.Keywords: venous thromboembolism, nursing care, barriers, surgical nurses

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