Difference Between Received and Expected Knowledge of Patients Undergoing Knee or Hip Replacement in Seven European Countries

Abstract

The purpose of the study was to examine received and expected knowledge of patients with knee/hip arthroplasty in seven European countries. The goal was to obtain information for developing empowering patient education. The data were collected (during 2009-2012) from patients (n = 943) with hip/knee arthroplasty prior to scheduled preoperative education and before discharge with the Received Knowledge of hospital patient scale (RKhp) and Expected Knowledge of hospital patient scale (EKhp). Patients' knowledge expectations were high but the level of received knowledge did not correspond to expectations. The difference between received and expected knowledge was higher in Greece and Sweden compared with Finland (p < .0001, p < .0001), Spain (p < .0001, p = .001), and Lithuania (p = .005, p = .003), respectively. Patients' knowledge expectations are important in tailoring patient education. To achieve high standards in the future, scientific research collaboration on empowering patient education is needed between European countries.

Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study

“…This issue is compounded by a lack of information provided to patients [19], either as a result of limited resources or a lack of understanding of what is needed by patients for recovery or lack of patient engagement (or some combination). As demonstrated in our results misinformation can further exacerbate disengagement from one's recovery [20, 21].…”

“…The use of a preoperative classification system has been suggested as a way to assess patients' characteristics as a means of supporting practitioners to obtain a more personalized projection of the expected recovery timeline for their patients; therefore improving their ability to engage patients appropriate and plan rehabilitative services accordingly [22]. This approach serves to manage patients' expectations and empower them to increase adherence to a rehabilitation program, even when progress may be slower than anticipated [19, 23]. An enhanced understanding of the patient experience may further increase the capacity of health care practitioners to address questions patients do not know to ask, increasing the likelihood that the information they receive is accurate and applicable to their specific condition and fracture.…”

Development, Usability, and Efficacy of a Serious Game to Help Patients Learn About Pain Management After Surgery: An Evaluation Study

“…The knowledge expectations of surgical patients are high [26,27] but are insufficiently met [27,28], and patients have requested improvements in this area [29]. They need to understand why managing pain is important and how they can be active participants in their own treatment [17,30].…”

Validación de la versión española: Expectativa y conocimiento recibido del paciente hospitalizado

“…Este doble instrumento surge de las teorías sociales-psicológicas y constructivas aplicadas al empoderamiento de los pacientes a través de la educación (27). La ECPH/CRPH fue creada originalmente en Finlandia, para pacientes con esclerosis múltiple (25), y más tarde fue utilizada para pacientes quirúrgicos (28)(29)(30). La validez y la fiabilidad han sido demostradas en los diversos estudios previos.…”