Other Titles
Rising Star Poster/Presentation
Abstract
Preoperative anxiety is a prevalent and clinically significant concern among patients undergoing elective hip and knee arthroplasty, affecting up to 69.4% of surgical patients and contributing to poorer perioperative outcomes, including increased pain, delayed recovery, and decreased patient satisfaction. Despite routine preoperative education, many patients remain unprepared for the surgical experience, particularly due to unfamiliarity with the perioperative environment.
This Doctor of Nursing Practice (DNP) quality improvement project evaluates the effectiveness of a virtual surgical center tour in reducing preoperative anxiety among adult patients undergoing elective joint replacement surgery at an outpatient orthopedic center in Chicago, Illinois. Guided by Dorothea Orem’s Self-Care Deficit Nursing Theory and implemented using the Plan-Do-Study-Act (PDSA) framework, this intervention aims to enhance patient preparedness through accessible, patient-centered education.
The intervention consists of a 5-minute video delivered one day prior to surgery, providing a virtual walkthrough of the surgical environment, including the preoperative area, operating room, and recovery space, as well as introductions to the surgical team and explanations of perioperative processes. The video is designed using health literacy principles and multimedia learning strategies to improve comprehension and reduce uncertainty.
A pre- and post-intervention design will be used to measure changes in anxiety levels using the State-Trait Anxiety Inventory-State (STAI-S) subscale. Additional qualitative feedback will assess patient perceptions of preparedness and satisfaction with the intervention. Statistical analysis will include paired-sample testing to evaluate changes in anxiety scores.
This project supports the integration of scalable, low-cost digital education into preoperative workflows to improve emotional readiness and patient experience. Findings have the potential to inform broader implementation across surgical specialties and contribute to improved perioperative outcomes through enhanced patient-centered care.
Notes
Reference list included as separate file.
Sigma Membership
Nu Omicron at-Large
Type
Poster
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Replacement Arthroplasty, Replacement Arthroplasty--Psychosocial Factors, Anxiety, Preoperative Period, Anticipatory Anxiety, Anticipatory Anxiety--Prevention and Control
Recommended Citation
Fialkowski, Rose C. and Keresztes, Patricia A., "Impact of a Video Surgical Tour on Preoperative Anxiety in Joint Arthroplasty Patients" (2026). International Nursing Research Congress (INRC). 133.
https://www.sigmarepository.org/inrc/2026/posters_2026/133
Conference Name
37th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Toronto, Ontario, Canada
Conference Year
2026
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Invited Presentation
Acquisition
Proxy-submission
Date of Issue
2026-10-01
Impact of a Video Surgical Tour on Preoperative Anxiety in Joint Arthroplasty Patients
Toronto, Ontario, Canada
Preoperative anxiety is a prevalent and clinically significant concern among patients undergoing elective hip and knee arthroplasty, affecting up to 69.4% of surgical patients and contributing to poorer perioperative outcomes, including increased pain, delayed recovery, and decreased patient satisfaction. Despite routine preoperative education, many patients remain unprepared for the surgical experience, particularly due to unfamiliarity with the perioperative environment.
This Doctor of Nursing Practice (DNP) quality improvement project evaluates the effectiveness of a virtual surgical center tour in reducing preoperative anxiety among adult patients undergoing elective joint replacement surgery at an outpatient orthopedic center in Chicago, Illinois. Guided by Dorothea Orem’s Self-Care Deficit Nursing Theory and implemented using the Plan-Do-Study-Act (PDSA) framework, this intervention aims to enhance patient preparedness through accessible, patient-centered education.
The intervention consists of a 5-minute video delivered one day prior to surgery, providing a virtual walkthrough of the surgical environment, including the preoperative area, operating room, and recovery space, as well as introductions to the surgical team and explanations of perioperative processes. The video is designed using health literacy principles and multimedia learning strategies to improve comprehension and reduce uncertainty.
A pre- and post-intervention design will be used to measure changes in anxiety levels using the State-Trait Anxiety Inventory-State (STAI-S) subscale. Additional qualitative feedback will assess patient perceptions of preparedness and satisfaction with the intervention. Statistical analysis will include paired-sample testing to evaluate changes in anxiety scores.
This project supports the integration of scalable, low-cost digital education into preoperative workflows to improve emotional readiness and patient experience. Findings have the potential to inform broader implementation across surgical specialties and contribute to improved perioperative outcomes through enhanced patient-centered care.
Description
This DNP quality improvement project evaluates the impact of a virtual surgical center tour on reducing preoperative anxiety in adults undergoing elective hip and knee replacement surgery. Using a brief, evidence-based video intervention and pre/post anxiety measurement with the STAI-S, the project aims to improve patient preparedness, reduce anxiety, and enhance perioperative outcomes through scalable, patient-centered education.