title: Difference between received and expected knowledge of patients undergoing knee or hip replacement in seven European countries.
abstract: The purpose of the study was to examine received and expected knowledge of patients with knee/hip arthroplasty in seven European countries. The goal was to obtain information for developing empowering patient education. The data were collected (during 2009-2012) from patients (n = 943) with hip/knee arthroplasty prior to scheduled preoperative education and before discharge with the Received Knowledge of hospital patient scale (RKhp) and Expected Knowledge of hospital patient scale (EKhp). Patients' knowledge expectations were high but the level of received knowledge did not correspond to expectations. The difference between received and expected knowledge was higher in Greece and Sweden compared with Finland (p < .0001, p < .0001), Spain (p < .0001, p = .001), and Lithuania (p = .005, p = .003), respectively. Patients' knowledge expectations are important in tailoring patient education. To achieve high standards in the future, scientific research collaboration on empowering patient education is needed between European countries.
authors.affiliation: University of Turku, Finland seija.klemetti@utu.fi.
authors.forename: Seija
authors.initials: S
authors.lastname: Klemetti
authors.affiliation: University of Turku, Finland Hospital District of Southwest Finland, Finland.
authors.forename: Helena
authors.initials: H
authors.lastname: Leino-Kilpi
authors.affiliation: Pompeu Fabra University, Mataró, Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Cabrera
authors.affiliation: University of Athens, Greece.
authors.forename: Panagiota
authors.initials: P
authors.lastname: Copanitsanou
authors.affiliation: Linköping University, Sweden Landspítali University Hospital, Reykjavik, Iceland.
authors.forename: Brynja
authors.initials: B
authors.lastname: Ingadottir
authors.affiliation: Klaipeda University, Lithuania.
authors.forename: Natalja
authors.initials: N
authors.lastname: Istomina
authors.affiliation: University of Turku, Finland.
authors.forename: Jouko
authors.initials: J
authors.lastname: Katajisto
authors.affiliation: Cyprus University of Technology, Limassol, Cyprus.
authors.forename: Evridiki
authors.initials: E
authors.lastname: Papastavrou
authors.affiliation: Linköping University, Sweden.
authors.forename: Mitra
authors.initials: M
authors.lastname: Unosson
authors.affiliation: University of Turku, Finland Lahti University of Applied Sciences, Finland.
authors.forename: Kirsi
authors.initials: K
authors.lastname: Valkeapää
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D005060:Europe; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011300:Preoperative Care; D011787:Quality of Health Care; D011795:Surveys and Questionnaires
keywords: arthroplasty patients; educational nursing practice; empowering patient education; received knowledge