Enhanced recovery after surgery in total joint arthroplasty: Nurses experiences of a pilot model of care

Background

Implementation of a fast-track model of care to support next-day discharge in joint arthroplasty can enhance the patient journey, improve nurses’ job satisfaction while also reducing length of stay.

Objectives

The objectives of this study were to explore nurses' experiences and perceptions of an Enhanced Recovery Program and develop an understanding of the contribution of the program to the delivery of care. The research question was: what are nurses’ experiences and perceptions of an enhanced recovery program?

Methods

A multidisciplinary team developed, piloted, and evaluated an Enhanced Recovery Program for hip and knee arthroplasty patients. Nurses’ experiences and perceptions of using an Enhanced Recovery Program were explored through semi-structured focus group discussion. Data were inductively thematically analysed through an iterative and reflexive process.

Findings

Eight nurses participated in the focus group in February 2025. Three themes became apparent: (1) Patient preparedness which encompassed patient education and goal setting expectations, (2) Nurses leading care including early mobilisation, multimodal analgesia, and use of a clinical pathway and (3) Nurse satisfaction resulting in perceived increased collaboration amongst the multidisciplinary team and positive workload impacts.

Conclusions

There was a consensus amongst participants that the enhanced recovery program had a positive impact on participants’ working lives and supported high quality and safe patient care.