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Figure 4. Press Ganey patient satisfaction overall nursing score Press Ganey Patient Satisfaction Overall Nursing Score 95 90 85 80 Trend Line 75 Score CY 11 CY 12 CY 13 CY 14 CY 15 CY 16 CY 17 87.6 89.1 92.2 93.3 91.3 91.8 91 impact the patient experience for knee and hip TJR illustrates all three of these components. The specific concepts and interventions can inform nursing prac- tice in almost any care setting. REFERENCES American Nurses Credentialing Center. (2017). 2019 Magnet® application manual. Silver Spring, MD: Commission on Magnet® Recognition. Bernasek, T. L., Thatimatla, N. K., Levering, M., & Haidukewych, G. J. (2013). Effect of immediate weight bearing on abductor repair and clinical function after THA through a modified Hardinge approach. Orthopedics, 36(3), e266-e270. doi:10.3928/01477447-20130222-12 Brennan, C., & Parsons, G. (2017). Enhanced recovery in orthopedics: A prospective audit of an enhanced recovery program for patients undergo- ing hip or knee arthroplasty. Medsurg Nursing, 26(2), 99-104. Christelis, N., Wallace, S., Sage, C. E., Babitu, U., Liew, S., Dugal, J., … Myles, P. S. (2015). An enhanced recovery after surgery program for hip and knee arthroplasty. The Medical Journal of Australia, 202(7), 363-368. Gwynne-Jones, D., Martin, G., & Crane, C. (2017). Enhanced recovery after surgery for hip and knee replacements. Orthopaedic Nursing, 36(3), 203-210. doi:10.1097/NOR.0000000000000351 Ibrahim, M. S., Alazzawi, S., Nizam, I., & Haddad, F. (2013). An evidence-based review of enhanced recovery interventions in knee replacement surgery. Annals of the Royal College of Surgeons of England, 95(6), 386-389. doi:10.1308/003588413X13629960046435 McCann-Spry, L., Pelton, J., Grandy, G., & Newell, D. (2016). An inter- disciplinary approach to reducing length of stay in joint replacement patients. Orthopaedic Nursing, 35(5), 279-298. Raut, S., Mertes, S. C., Muniz-Terrera, G., & Khanduja, V. (2012). Factors associated with prolonged length of stay following a total knee replacement in patients aged over 75. International Orthopaedics, 36, 1601-1608. Susan Gross is the director of a 30-bed orthopedic unit at Lehigh Valley Health Network (LVHN), Al- lentown. Susan has been in the nursing profession for 28 years, spending all 28 years in orthopedic nursing. Susan holds a Master in Health Care Administration from Walden University and a BSN from DeSales University. She is a member of the National Orga- nization and local chapter #177 of the Academy of Medical/Surgical Nurses (AMSN), as well as the As- sociation for Orthopedic Nurses (NAON). Sharon Benko is the LVHN patient care coordi- nator. Sharon has 15 years of orthopedic nursing experience. Currently pursuing her BSN, she and is certified in Medical -Surgical Nursing and Niche Certification. Sharon is a member Academy of Medical-Surgical Nurses. Scott Croonquist, DNP, RN is the Vice President for Patient Care Services at Lehigh Valley Health Network at the Cedar Crest campus. Scott was a Magnet Appraiser for the ANCC Magnet Recognition program for 15 years. Scott has been a nurse for 24 years, and most of his professional career has been spent in Academic/teaching Medical Centers. He has strong leadership skills and strong supporter of shared governance. Scott holds a Doctor of Nursing Issue 73, 2 2018 Pennsylvania Nurse 9