Document Detail

Increasing self-efficacy through empowerment: preoperative education for orthopaedic patients.
MedLine Citation:
PMID:  9814337     Owner:  NLM     Status:  MEDLINE    
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.
T Pellino; A Tluczek; M Collins; S Trimborn; H Norwick; Z K Engelke; J Broad
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Orthopedic nursing     Volume:  17     ISSN:  0744-6020     ISO Abbreviation:  Orthop Nurs     Publication Date:    1998 Jul-Aug
Date Detail:
Created Date:  1999-11-04     Completed Date:  1999-11-04     Revised Date:  2014-10-09    
Medline Journal Info:
Nlm Unique ID:  8409486     Medline TA:  Orthop Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  48-51, 54-9     Citation Subset:  N    
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MeSH Terms
Aged, 80 and over
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
Self Efficacy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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