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Ingadottir, Brynja
Publications (5 of 5) Show all publications
Klemetti, S., Leino-Kilpi, H., Cabrera, E., Copanitsanou, P., Ingadottir, B., Istomina, N., . . . Valkeapää, K. (2015). Difference Between Received and Expected Knowledge of Patients Undergoing Knee or Hip Replacement in Seven European Countries.. Clinical Nursing Research, 24(6), 624-643
Open this publication in new window or tab >>Difference Between Received and Expected Knowledge of Patients Undergoing Knee or Hip Replacement in Seven European Countries.
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2015 (English)In: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 24, no 6, p. 624-643Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Sage Publications, 2015
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-116634 (URN)10.1177/1054773814549992 (DOI)000364723000004 ()25230804 (PubMedID)
Note

Funding agencies: Finland-University of Turku; Academy of Finland; Finnish Association of Nursing Research; Finnish Foundation of Nursing Education; Cyprus-the Cyprus University of Technology; Spain-Colegio Oficial de Enfermeria de Barcelona; Sweden-the Swedish Rheumatism 

Available from: 2015-03-30 Created: 2015-03-30 Last updated: 2017-12-04
Johansson Stark, Å., Ingadottir, B., Salanterä, S., Sigurdardottir, A. K., Valkeapää, K., Bachrach-Lindström, M. & Unosson, M. (2014). Fulfilment of knowledge expectations and emotional state among people undergoing hip replacement: A multi-national survey. International Journal of Nursing Studies, 51(11), 1491-1499
Open this publication in new window or tab >>Fulfilment of knowledge expectations and emotional state among people undergoing hip replacement: A multi-national survey
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2014 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 51, no 11, p. 1491-1499Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Patient education in connection with hip replacement is intended to prepare patients for surgery, discharge and postoperative recovery. Patients experience symptoms and emotions due to disease or upcoming surgery which can affect how their knowledge expectations are fulfilled.

OBJECTIVES:

To describe the differences between received and expected knowledge in patients undergoing elective hip replacement in three Nordic countries, and to analyse how these differences are related to patients' characteristics, preoperative symptoms and emotions.

DESIGN:

A descriptive, prospective survey with two data collection points; before admission and at hospital discharge after surgery.

SETTINGS:

Two Finnish, three Icelandic and two Swedish hospitals.

PARTICIPANTS:

The population consisted of patients on a waiting list for hip replacement. Of the consecutively included patients, 320 answered questionnaires both before admission and at discharge and were included in the study. The mean age of the patients was 64 years, and 55% were women.

METHODS:

Structured questionnaires were used; the knowledge expectations of hospital patients scale and self-reported scales for symptoms and emotions before admission and received knowledge of hospital patients scale at discharge. Fulfilment of knowledge expectation was assessed by calculating the difference between received and expected knowledge with a paired sample t-test. A multiple stepwise regression model was used to explain the variance of fulfilled knowledge expectations.

RESULTS:

Patients expected more knowledge than they received (p<0.001) and 77% of them had unfulfilled knowledge expectations. Patients with a higher level of education were more likely to have unfulfilled knowledge expectations. A higher level of education was also related to a greater difference between received and expected knowledge. The difference was more correlated with patients' emotions than their symptoms. A depressive state was the major predictor of the variance in the difference between received and expected knowledge.

CONCLUSIONS:

In order to better support patients by education it is necessary to assess their emotional state, educational level and knowledge expectations before surgery.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Emotions, Empowering knowledge, Hip replacement, Knowledge expectations, Orthopaedic nursing, Patient education, Symptoms
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-109769 (URN)10.1016/j.ijnurstu.2014.03.006 (DOI)000343351900009 ()24751503 (PubMedID)
Projects
Empowering Patient Education
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2017-12-05Bibliographically approved
Johansson Stark, Å., Ingadottir, B., Sigurdardottir, A. K., Valkeapää, K., Bachrach-Lindström, M. & Unosson, M. (2014). Fulfilment of patients’ knowledge expectations in connection with hip or knee replacement – a Nordic perspective. In: : . Paper presented at Nordic Conference in Nursing Research, Methods and Networks for the future, 10-12 June 2014, Odense, Denmark.
Open this publication in new window or tab >>Fulfilment of patients’ knowledge expectations in connection with hip or knee replacement – a Nordic perspective
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2014 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Objective: To describe and compare the differences between received and expected knowledge in patients undergoing elective hip or knee replacement in three Nordic countries, and to analyse if these differences are related to patients’ characteristics.

Method: A descriptive, prospective and comparative survey of patients with osteoarthritis treated at two Finnish, three Icelandic and two Swedish hospitals (n=612). Patients answered questionnaires about their knowledge expectations (KEhp) before surgery and about received knowledge (RKhp) at discharge. These two parallel instruments include: bio-physiological, functional, experiential, ethical, social and financial dimensions of knowledge.

Results: Among the 29% Finnish, 34% Icelandic and 37% Swedish patients (hip: 53%, knee: 47%) were 54% females and the mean age was 65 years. Patients` knowledge expectations were higher, mean: 3.6 (±SD 0.5), than their perception of received knowledge 3.0 (0.7). The difference between expected and received knowledge was larger in Sweden -0.9(0.8) compared with Finland -0.4(0.8) and Iceland -0.5(0.7) (p<0.001) but not statistically different between patients having hip or knee replacement. Patients perceived having received most bio-physiological -0.3(0.6) and functional -0.3(0.6) knowledge but least financial -1.2(1.2) knowledge. A relationship was found between the difference of expected and received knowledge and whether the hospital stay was as expected. For patients undergoing hip replacement this difference was also related to the level of education, for knee replacement patients if they had their first arthroplasty and employment in social or health care.

Conclusions: Patients expect multidimensional knowledge during hospital stay which was inadequately met. Assessing patients’ knowledge needs could improve patient education.

National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-109770 (URN)
Conference
Nordic Conference in Nursing Research, Methods and Networks for the future, 10-12 June 2014, Odense, Denmark
Projects
Empowering Patient Education
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2014-09-25
Valkeapää, K., Klemetti, S., Cabrera, E., Cano, S., Charalambous, A., Copanitsanou, P., . . . Leino-Kilpi, H. (2014). Knowledge expectations of surgical orthopaedic patients: A European survey. International Journal of Nursing Practice, 20(6), 597-607
Open this publication in new window or tab >>Knowledge expectations of surgical orthopaedic patients: A European survey
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2014 (English)In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 20, no 6, p. 597-607Article in journal (Refereed) Published
Abstract [en]

Ageing population entails a growing international problem of osteoarthritis. Best practices for education of these patients are lacking. This study focused on empowering education in Northern (Finland, Iceland, Lithuania and Sweden) and Southern Europe (Cyprus, Greece and Spain). The aim was to analyse associations between expected knowledge and background factors. The data were collected from European arthroplasty patients with the Knowledge Expectations of hospital patients- scale, (KEhp - scale), including bio-physiological, functional, experiential, ethical, social and financial dimensions. Patients had essential bio-physiological and functional knowledge expectations. Women expected more than men, employed less than retired, unemployed or who worked at home. Generally, patients in Northern countries expected more than in Southern countries. However, highest expectations were found in Sweden and Greece, lowest in Spain and Cyprus. There are differences in knowledge expectations based on patients' backgrounds. Development of common standards in European patient education needs further research.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2014
Keywords
empowering patient education, knowledge expectations, orthopaedics
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-105224 (URN)10.1111/ijn.12189 (DOI)000346766000008 ()24118436 (PubMedID)
Available from: 2014-03-13 Created: 2014-03-13 Last updated: 2017-12-05Bibliographically approved
Ingadottir, B., Johansson Stark, Å., Leino-Kilpi, H., Sigurdardottir, A. K., Valkeapää, K. & Unosson, M. (2014). The fulfilment of knowledge expectations during the perioperative period of patients undergoing knee arthroplasty - a Nordic perspective. Journal of Clinical Nursing, 23(19-20), 2896-2908
Open this publication in new window or tab >>The fulfilment of knowledge expectations during the perioperative period of patients undergoing knee arthroplasty - a Nordic perspective
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2014 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 19-20, p. 2896-2908Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe the possible differences between knowledge expectations and received knowledge of patients undergoing elective knee arthroplasty in Iceland, Sweden and Finland and also to determine the relationship between such a difference and both background factors and patient satisfaction with care.

BACKGROUND: Knee arthroplasty is a fast-growing and a successful treatment for patients with osteoarthritis. Patient education can improve surgery outcomes, but it remains unknown what knowledge patients expect to receive and actually acquire during the perioperative period and what factors are related to that experience.

DESIGN: Descriptive, prospective survey.

METHODS: In total, 290 patients answered questionnaires about their expectations (Knowledge Expectations of hospital patients - scale) before surgery and about received knowledge (Received Knowledge of hospital patients - scale) and satisfaction with hospital care (Patient Satisfaction Scale) at discharge. Sociodemographics, clinical information, accessibility to knowledge from healthcare providers (Access to Knowledge Scale), and preferences for information and behavioural control (Krantz Health Opinion Survey) were collected as background data.

RESULTS: Patients` knowledge expectations were higher (mean 3·6, SD 0·4) than their perception of received knowledge (mean 3·0, SD 0·7). Multiple linear regression analysis showed that access to knowledge, information preferences and work experience within health- or social care explained 33% (R²) of the variation in the difference between received and expected knowledge. Patients reported high satisfaction with their care except regarding how their family was involved.

CONCLUSION: Patients undergoing knee arthroplasty receive less knowledge than they expect, and individual factors and communication with healthcare providers during hospitalisation are related to their experience. The content of patient education and family involvement should be considered in future care.

RELEVANCE TO CLINICAL PRACTICE: The results strengthen the knowledge base on the educational needs of knee arthroplasty patients and can be used to develop and test new interventions.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2014
Keywords
Knee arthroplasty, osteoarthritis, patient education, patient expectations, patient satisfaction, surgery
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-105225 (URN)10.1111/jocn.12552 (DOI)000343857700020 ()24476393 (PubMedID)
Projects
EEPO
Available from: 2014-03-13 Created: 2014-03-13 Last updated: 2017-12-05Bibliographically approved
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