Effect of Educational Program on Nurses' Performance Post Arthroscopic Anterior Cruciate Ligament Reconstruction and Patients' Outcomes

Document Type : Original Article

Authors

1 Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt.

2 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt.

Abstract

Arthroscopic Anterior Cruciate Ligament Reconstruction (ACLR) is recognized as the gold standard treatment in restoring static joint stability. Aim: This study aimed to evaluate the effect of educational program on nurses' performance post arthroscopic anterior cruciate ligament reconstruction and patients' outcomes. Design: A quasiexperimental research design was used. Setting: This study was conducted in Orthopedic Department, Arthroscopy Unit and Outpatient Arthroscopy Clinic attached to Zagazig University Hospitals. Subjects: A convenience sample of 30 nurses and a purposive sample of 60 patients. Tools: Nurses' structured interview questionnaire, Nurses' practice observational checklists, Patients' structured interview questionnaire, Patients' complications assessment questionnaire, and Patients' knee outcomes survey-activities of daily living scale. Results: There was a significant enhancement of nurses' knowledge and practice mean scores after program implementation than before with highly statistically significant differences as (P<0.01). There was a significant decrease in mean scores of complications post arthroscopic ACLR among study group patients after 2 and 4 weeks post program implementation than those in control group, with highly statistically significant differences between both groups with (P<0.01). There was a significant improvement in mean scores concerning knee symptoms and functional limitations with activities of daily living among study group patients after 2 and 4 weeks post program implementation than those in control group with highly statistically significant differences between both groups with (P<0.01). Conclusion: There was a statistically significant improvement of nurses' knowledge and practice post program implementation, which reflected on patients' outcomes improvement. Recommendations: Specialized nurses should be available in the outpatient arthroscopy clinic to provide patients with the needed instructions.

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