title: Patient empowerment after total hip and knee replacement.
abstract: OBJECTIVE
  This research was designed to gain an enhanced understanding of empowerment within in-home care relationships after hospital discharge of elderly patients who had undergone total hip or total knee replacement.
  
  
  METHODS
  An interpretive phenomenology method was used.
  
  
  METHODS
  Nine participants were interviewed on audiotape, guided by a semistructured interview guide. Five themes emerged centering on a strong desire to maintain independence. Overall, participants experienced disempowered relationships with professional in-home care providers and a more equitable empowered relationship with nonprofessional care providers.
  
  
  CONCLUSIONS
  Disempowered relationships with professional personnel were not identified as a dissatisfier to most participants. Rather, patients expressed deference to the traditional expert model of healthcare. Further investigation is needed to understand the effect of empowerment on client satisfaction and clinical outcomes.
authors.affiliation: St. Joseph's Health Care, London, Ontario, Canada.
authors.forename: Maureen
authors.initials: M
authors.lastname: Loft
authors.forename: Carol
authors.initials: C
authors.lastname: McWilliam
authors.forename: Catherine
authors.initials: C
authors.lastname: Ward-Griffin
mesh_terms: D000203:Activities of Daily Living; D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000523:psychology / Q000534:rehabilitation*; D019645:Arthroplasty, Replacement, Knee / Q000523:psychology / Q000534:rehabilitation*; D001294:Attitude to Health; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006694:Holistic Health; D006699:Home Care Services; D006801:Humans; D008297:Male; D016294:Models, Nursing; D008960:Models, Psychological; D015404:Nursing Methodology Research; D010351:Patient Discharge; D010353:Patient Education as Topic; D011209:Power, Psychological; D012648:Self Care / Q000379:methods* / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires