Increasing self-efficacy through empowerment: preoperative education for orthopaedic patients.
OBJECTIVE
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.


METHODS
An experimental (empowerment teaching method) group vs. comparison (traditional teaching method) group posttest design.


METHODS
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.


RESULTS
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.


CONCLUSIONS
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.


CONCLUSIONS
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.
Pellino
T
T
University of Wisconsin Hospitals and Clinics, USA.
Tluczek
A
A
Collins
M
M
Trimborn
S
S
Norwick
H
H
Engelke
Z K
ZK
Broad
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D016294:Models, Nursing; D009731:Nursing Audit; D016530:Orthopedic Nursing / Q000379:methods*; D019637:Orthopedic Procedures / Q000451:nursing* / Q000523:psychology*; D010353:Patient Education as Topic / Q000379:methods*; D011209:Power, Psychological; D011300:Preoperative Care / Q000379:methods* / Q000523:psychology*; D015397:Program Evaluation; D020377:Self Efficacy; D011795:Surveys and Questionnaires