title: Effectiveness of a patient education intervention in enhancing the self-efficacy of hospitalized patients to recognize and report acute deteriorating conditions.
abstract: OBJECTIVE
  To develop and pilot test the effectiveness of a patient education intervention in enhancing the self-efficacy of hospitalized patients to recognize and report symptoms of acute deteriorating conditions.
  
  
  METHODS
  Using cluster randomization, acute care general wards were randomized to the experimental and control groups. 34 patients in the experimental group received a 30-minute patient education intervention on Alert Worsening conditions And Report Early (AWARE) while 33 patients in the control group received the routine care only. Levels of self-efficacy to recognize and report symptoms were measured before and after the intervention.
  
  
  RESULTS
  The level of self-efficacy reported by the experimental group was significantly higher than the control group (p<0.0001).
  
  
  CONCLUSIONS
  The AWARE intervention was effective in enhancing the self-efficacy of hospitalized patients to recognize and report acute deteriorating conditions.
  
  
  CONCLUSIONS
  Patient engagement through patient education could be included in the rapid response system which aims to reduce hospital mortality and cardiac arrest rates in the general wards.
authors.affiliation: Singapore General Hospital, Singapore.
authors.forename: Min Ting Alicia
authors.initials: MT
authors.lastname: See
authors.affiliation: School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Australia.
authors.forename: Wai-Chi Sally
authors.initials: WC
authors.lastname: Chan
authors.affiliation: Department of Medicine, Waikato Hospital and University of Auckland, New Zealand.
authors.forename: Paul John
authors.initials: PJ
authors.lastname: Huggan
authors.affiliation: National University Hospital, Singapore.
authors.forename: Yee Kian
authors.initials: YK
authors.lastname: Tay
authors.affiliation: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurliaw@nus.edu.sg.
authors.forename: Sok Ying
authors.initials: SY
authors.lastname: Liaw
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007297:Inpatients / Q000193:education* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D012648:Self Care / Q000379:methods / Q000523:psychology*; D020377:Self Efficacy; D012846:Singapore
keywords: Deterioration; Patient education; Recognize and report symptoms