• patients undergoing total knee replacement surgery

• patients undergoing total hip replacement surgery

The Orthopedics Ward 12 of Tri-Service General Hospital has pioneered the Enhanced Recovery After Surgery (ERAS) based "3E-JOINT" nursing care model. This model provides continuous, full-term care for joint replacement patients. Accelerating post-operative recovery in three stages: pre-operative, intra-operative, and post-operative. Pre-operatively, nurses consult with physical therapists, pharmacists, and nutritionists to form a cross-disciplinary team, providing technologically advanced health education and guidance. Patients learn rehabilitation exercises before surgery and are assessed on medication to maintain appropriate blood sugar levels and reduce bleeding risk. On the day of surgery, following a "no solid food after midnight, drink clear liquids 2 hours before surgery" fasting strategy to avoid prolonged hunger. Antibiotics and hemostatic agents are administered. Post-operatively, nurses use the nationwide originality "SafeEAT Countdown" app for post-operative guidance, individualized pain management strategies, early rehabilitation and early ambulation, and early removal of drainages.

• Nationwide originality nurse-led "3E-JOINT" nursing care model.

• Nationwide originality "SafeEAT Countdown" app for post-operative guidance.

• First institution in the country to include nurses in the ERAS care plan, and to launch cross-professional care teams through nursing consultations.

More than 200 patients have received the 3E-JOINT nursing care model.

• The average length of stay (LOS) decreased by 0.8 to 1.1 days.

• The average pain score decreased by 1.4 points.

• The rehabilitation rate was 100%, and the average number of days to get out of bed was 1.3 days.

• Fall rate: 0%.

• Surgical site infection (SSI) rate: 0%.

• Postoperative complications rate: 5.1%.

• Patients hospitalization satisfaction rate: 96%

• SafeEAT Countdown app satisfaction rate: 92.5%.

International journals publication.

• Established nationwide originality nurse-led ERAS based nursing care model.

• Reduce pain scores in joint replacement patients, shorten the time to get out of bed and the length of hospital stay.

• Improve patient satisfaction during joint replacement surgery and hospital stay.