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Table 2 Summary of patients’ experiences in the care of total hip and knee replacement

From: Fast-track program of elective joint replacement in hip and knee—patients’ experiences of the clinical pathway and care process

Clinical pathway

Generic categories

Subcategories

Phase 1: preparation—from surgery decision until hospital admission

1.1 Confirmation that surgery is needed

1.1.1 Fear of not being accepted for surgery

1.1.2 Satisfaction when decision was made

1.1.3 Importance of shared decision-making

1.2 Planning the date of surgery

1.2.1 Frustration when not knowing the date, and satisfaction when knowing it

1.2.2 Desire to influence the timing of surgery

1.2.3 Fear that the operation may be canceled

1.3 Planning the anesthesia

1.3.1 Fear of being awake and having unpleasant experiences during surgery

1.3.2 Fear of complications of spinal anesthesia

1.3.3 Importance of shared decision-making

1.4 Information about care and outcome of surgery

1.4.1 Diversity in information needs

1.4.2 Scanty information about the recovery

1.4.3 Influenced by information from other sources

Phase 2: hospital stay for surgery

2.1 Admission on the day of surgery

2.1.1 Recognition and a feeling of familiarity

2.1.2 Affirmation and seen by the staff

2.2 Early mobilization after surgery

2.2.1 Mentally prepared and safe to be mobilized

2.2.2 Hesitation but ready to cooperate

2.3 Early discharge

2.3.1 Acceptance and satisfaction

2.3.2 Objections and worries

Phase 3: recovery—after discharge from hospital

3.1 Managing daily life

3.1.1 Safety when having support at home

3.1.2 Diversity in pain control

3.2 Rehab program and recovery

3.2.1 Different needs for personal coaching

3.2.2 Uncertainty about progress

3.3 Feedback and follow-up

3.3.1 Concerns about unfulfilled expectations

3.3.2 Need for further explanations from the surgeon