Empowering education of arthroplasty patients' significant others in three Southern European countries

Copanitsanou, Panagiota; Sourtzi, Panayota; Cano, Sara; Cabrera, Esther; Charalambous, Andreas; Katajisto, Jouko; Leino‐Kilpi, Helena; Papastavrou, Evridiki; Valkeapää, Kirsi; Zabalegui, Adelaida; Lemonidou, Chryssoula

doi:10.1111/opn.12193

Cited by 5 publications

(5 citation statements)

References 42 publications

(88 reference statements)

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“…Estimated internal consistency was high for both scales, with values in line with those reported for the original instrument; Cronbach's alpha 0.98 for the KESO and 0.99 for the RKSO [42], measured through the intraclass correlation coefficient, which showed stable scores over time. The availability of a valid, reliable tool for the measurement of expected and received knowledge in caregivers of people with dementia allows an approach based on the real needs of the family and which is adapted to the patient's stage of illness.…”

Section: Discussionsupporting

confidence: 75%

Validation of the Spanish Version of the Double Knowledge Expectations and Received Knowledge Significant Other Scale for Informal Caregivers of People with Dementia (KESO-DEM/RKSO-DEM)

Frías

Casafont

Cabrera

et al. 2022

IJERPH

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Dementia is associated with cognitive decline. Becoming an informal caregiver raises questions, requiring information and support from health professionals to guide home care. A multicenter, longitudinal study was carried out to validate the Spanish version of the double scale of expected and received knowledge for informal caregivers of people with dementia (KESO-DEM/RKSO-DEM), the analysis of the dimensional structure of the instrument, its validity and reliability, and temporary stability was carried out. An analysis of criterion and construct validity, internal consistency, and test–retest stability was performed. The evaluation of the interrelation between dimensions was statistically significant. Regarding internal consistency, the scale values were good both for the scale totals and for each dimension of knowledge, with Cronbach’s alpha coefficients of 0.97. For criterion validity, all items showed temporal stability for both questionnaires (p < 0.05). The availability of a valid, reliable tool for the measurement of expected and received knowledge in caregivers of people with dementia allows an approach based on the real needs of the family and the patient. It is important to design care protocols for people with dementia that are adapted to their needs and expectations and to their non-curative treatment, to improve the emotional well-being of patients and informal caregivers.

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Section: Discussionsupporting

confidence: 75%

Validation of the Spanish Version of the Double Knowledge Expectations and Received Knowledge Significant Other Scale for Informal Caregivers of People with Dementia (KESO-DEM/RKSO-DEM)

Frías

Casafont

Cabrera

et al. 2022

IJERPH

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“…The biophysiological area has been reported to be the most frequently expected and delivered in empowering patient education studies. 12 , 24 , 25 This is not surprising, especially in the hospital environment, as visits are often related to somatic illnesses and symptoms. As for the cognitive area, one possible implication is that service users actively evaluate their knowledge and knowledge processing in the care and service.…”

Section: Discussionmentioning

confidence: 99%

“…Service users expect empowering knowledge concerning the costs, benefits, and other financial issues as out-of-pocket payments are increasing in many countries, including Finland. 26 The low evaluation can be due to insufficient knowledge among patients 25 and significant others 24 as negative feedback can associate with poor quantity and quality of the knowledge processed in care and services. 27 Furthermore, unmet expectations for financial knowledge have been reported in earlier studies as well.…”

Section: Discussionmentioning

confidence: 99%

Empowering Healthcare Through User Feedback: A Multidimensional Analysis of the Knowledge

Richards,

Inkeroinen,

Katajisto

et al. 2023

PPA

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Purpose Feedback from service users is a valuable source for improving the quality of care and services, potentially reflecting the successes and failures in providing empowering healthcare. In supporting empowerment, the multidimensionality of knowledge of service users is assumed to be a crucial factor, yet feedback has not been explored from the perspective of empowering knowledge. In this study, the aim was to analyze the knowledge areas expressed in the service users’ feedback from the point of view of empowering knowledge. Patients and Methods This was a retrospective study utilizing systematically collected service-user feedback from a feedback register of one university hospital district in Finland. Free-form feedback (n = 26,374) along with structured evaluative feedback was given by the patients themselves or their significant others, either by text message or using a feedback form, in 2019. The content of the feedback was analyzed according to the empowering knowledge areas (biophysiological, cognitive, functional, experiential, ethical, social, and financial), quantified, and analyzed statistically in relation to the background characteristics of service users. Results Service users gave multidimensional free-form feedback about the knowledge and educational practices in care and services. In the free-form feedback, the most common empowering knowledge areas were biophysiological and cognitive ones, whilst experiential, ethical, social, and financial areas were the least common. The highest ratings of structured evaluative feedback were associated with the cognitive and ethical areas. Conclusion Register-based feedback is systematic data for quality evaluation. In this study, service users seem to actively evaluate the knowledge procession in care and services, and therefore, they can be actors involved in developing the quality of educational practices. It does, however, indicate a need to add multidimensionality and improve the quality of the knowledge, and by that, advance the potential of empowerment among diverse service users.

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“…61 Two parallel instruments to EKhp and RKhp have been used to discover expected knowledge (EKso) and received knowledge of significant others (RKso) ( Table 1). [64][65][66][67][68] The respondents in the national studies (n=53-480, Table 2) were adult surgical patients, representing both genders, with a mean age of 44-72 years (SD 9-17), mostly employed (12-77%) or retired (17-85%). 16,[28][29][30][31][32][57][58][59][60]62,63 In all of the studies, validity and reliability of EKhp and RKhp have been evaluated, content validity has been confirmed by experts, and internal consistency of the instruments has been sufficient.…”

Section: Dovepressmentioning

confidence: 99%

“…Data collection was performed during the years (Table 1). 54,56,61,[64][65][66][67][68][91][92][93][94][95][96][97] In this paper, the combined results of all countries form the basis of the analysis.…”

Section: Data Collectionmentioning

confidence: 99%

<p>Instruments for Patient Education: Psychometric Evaluation of the Expected Knowledge (EKhp) and the Received Knowledge of Hospital Patients (RKhp)</p>

Leino‐Kilpi¹,

Inkeroinen²,

Cabrera³

et al. 2020

JMDH

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Purpose In patient education, there is a need for valid and reliable instruments to assess and tailor empowering educational activities. In this study, we summarize the process of producing two parallel instruments for analyzing hospital patients’ expectations (Expected Knowledge of Hospital Patients, EKhp) and received knowledge (Received Knowledge of Hospital Patients, RKhp) and evaluate the psychometrics of the instruments based on international data. In the instruments, six elements of empowering knowledge are included (bio-physiological, functional, experiential, ethical, social, and financial). Patients and Methods The original Finnish versions of EKhp and RKhp were tested for the first time in 2003, after which they have been used in several national studies. For international purposes, the instruments were first translated into English, then to languages of the seven participating European countries, using double-checking procedure in each one, and subsequently evaluated and confirmed by local researchers and language experts. International data collection was performed in 2009–2012 with a total sample of 1,595 orthopedic patients. Orthopedic patients were selected due to the increase in their numbers, and need for educational activities. Here we report the psychometrics of the instruments for potential international use and future development. Results Content validities were confirmed by each participating country. Confirmatory factor analyses supported the original theoretical, six-dimensional structure of the instruments. For some subscales, however, there is a need for further clarification. The summative factors, based on the dimensions, have a satisfactory internal consistency. The results support the use of the instruments in patient education in orthopedic nursing, and preferably also in other fields of surgical nursing care. Conclusion EKhp and RKhp have potential for international use in the evaluation of empowering patient education. In the future, testing of the structure is needed, and validation in other fields of clinical care besides surgical nursing is especially warranted.

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Empowering education of arthroplasty patients' significant others in three Southern European countries

Cited by 5 publications

References 42 publications

Validation of the Spanish Version of the Double Knowledge Expectations and Received Knowledge Significant Other Scale for Informal Caregivers of People with Dementia (KESO-DEM/RKSO-DEM)

Validation of the Spanish Version of the Double Knowledge Expectations and Received Knowledge Significant Other Scale for Informal Caregivers of People with Dementia (KESO-DEM/RKSO-DEM)

Empowering Healthcare Through User Feedback: A Multidimensional Analysis of the Knowledge

<p>Instruments for Patient Education: Psychometric Evaluation of the Expected Knowledge (EKhp) and the Received Knowledge of Hospital Patients (RKhp)</p>

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