title: Empowering orthopaedic patients through preadmission education: results from a clinical study.
abstract: OBJECTIVE
  To determine whether it is possible to increase patients' knowledge and certainty about care-related issues, to reach a more empowering learning experience and to exercise a more positive impact on selected clinical outcomes by means of additional preadmission education (education using the concept map method added to standard preadmission education) than by means of standard preadmission education (written educational material with non-systematic oral education).
  
  
  METHODS
  Elective hip arthroplasty patients were randomized into group A (n=62), who received preadmission education using the concept map method with written educational material; and group B (n=61), who received the written educational material and non-systematic oral education. Data were collected from both groups 4 weeks prior to hospital admission, at admission and at discharge using questionnaires.
  
  
  RESULTS
  In the first post-test at admission, group A had significantly better knowledge and certainty of care-related issues than group B. Group A also reported a significantly more positive learning experience than patients in group B. In the second post-test at discharge, patients in group A still had better knowledge and certainty of care-related issues than patients in group B.
  
  
  CONCLUSIONS
  Preadmission education using the concept map method and written educational material seems to yield better learning results than the use of written educational material with non-systematic oral education.
  
  
  CONCLUSIONS
  Empowering preadmission education using the concept map method is beneficial for patients.
authors.affiliation: University of Turku, Department of Nursing Science, FIN 20014 Turku, Finland. kirsi.johansson@utu.fi
authors.forename: Kirsi
authors.initials: K
authors.lastname: Johansson
authors.forename: Sanna
authors.initials: S
authors.lastname: Salanterä
authors.forename: Jouko
authors.initials: J
authors.lastname: Katajisto
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000704:Analysis of Variance; D019644:Arthroplasty, Replacement, Hip / Q000193:education* / Q000523:psychology; D001294:Attitude to Health; D016009:Chi-Square Distribution; D004521:Educational Measurement; D017558:Elective Surgical Procedures / Q000193:education / Q000523:psychology; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009730:Nursing Assessment; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration*; D011209:Power, Psychological; D011300:Preoperative Care / Q000193:education* / Q000523:psychology; D015397:Program Evaluation; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013664:Teaching Materials