| Increasing self-efficacy through empowerment: preoperative education for orthopaedic patients. | |
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MedLine Citation:
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PMID: 9814337 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To examine whether patients who received an empowerment model of education for preoperative orthopaedic teaching had improved outcomes compared to patients who received the traditional education. DESIGN: An experimental (empowerment teaching method) group vs. comparison (traditional teaching method) group posttest design. SAMPLE: Seventy-four patients undergoing elective orthopaedic surgery. METHODS: Following the preoperative teaching session, patients in both groups completed a questionnaire designed to measure their perceptions of the teaching (empowerment) and self-efficacy (belief in their ability to carry out perioperative tasks). A chart audit and phone interview was done after discharge to assess length of stay, pain management, complications, and patient perceptions of the ability to complete perioperative tasks. FINDINGS: Patients in the empowerment group felt the educational approach was more empowering and had significantly higher self-efficacy scores than those in the traditional teaching group. There was much less variation in empowerment and self-efficacy scores in the empowerment group. The empowerment group reported feeling greater confidence in performing perioperative tasks. There were no differences in length of stay, complications or pain control. CONCLUSION: Use of an empowerment teaching approach enabled patients to become more confident in their ability to carry out perioperative tasks and become a more integral part of the preoperative teaching process. IMPLICATIONS FOR NURSING RESEARCH: The theoretical model will be used to structure other educational programs and guide research. More sensitive measures of complications and pain control should be considered for future studies. |
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Authors:
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T Pellino; A Tluczek; M Collins; S Trimborn; H Norwick; Z K Engelke; J Broad |
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Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Orthopaedic nursing / National Association of Orthopaedic Nurses Volume: 17 ISSN: 0744-6020 ISO Abbreviation: Orthop Nurs Publication Date: 1998 Jul-Aug |
Date Detail:
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Created Date: 1999-11-04 Completed Date: 1999-11-04 Revised Date: 2012-09-10 |
Medline Journal Info:
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Nlm Unique ID: 8409486 Medline TA: Orthop Nurs Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 48-51, 54-9 Citation Subset: N |
Affiliation:
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University of Wisconsin Hospitals and Clinics, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Female Humans Male Middle Aged Models, Educational Models, Nursing Nursing Audit Orthopedic Nursing / methods* Orthopedic Procedures / nursing*, psychology* Patient Education as Topic / methods* Power (Psychology)* Preoperative Care / methods*, psychology* Program Evaluation Questionnaires Self Efficacy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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