title: Quality of counselling for knee and shoulder arthroscopy patients during day surgery.
abstract: BACKGROUND
  Counselling for day surgery patients is one of the core components for a knee or shoulder arthroscopy patient to succeed in self-care.
  
  
  OBJECTIVE
  This cross-sectional study examined the quality of counselling given to patients (n = 86) during their day surgery, using the Counselling Quality Instrument (CQI).
  
  
  METHODS
  The data were analysed using basic and multivariate statistical methods.
  
  
  RESULTS
  Most respondents were male and aged over 50 years. Almost all knee and shoulder arthroscopy patients were satisfied with the counselling given on follow-up and rehabilitation as well as the counselling given relating to wound and pain treatment. There was a lack of patient-centred and goal-oriented counselling, although interaction during counselling was good. Counselling was perceived as providing benefit in regard to a patient's self-care, emotions and knowledge. Respondents aged below 40 years were more dissatisfied with counselling for day surgery than those aged 40 years and over.
  
  
  CONCLUSIONS
  This study identified a need to train healthcare staff in patient-centred and goal-oriented counselling. Counselling with people who are aged below 40 years should take account of patients' specific concerns.
authors.affiliation: Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland; Medical Research Center, Oulu, Finland. Electronic address: pirjo.kaakinen@oulu.fi.
authors.forename: Pirjo
authors.initials: P
authors.lastname: Kaakinen
authors.affiliation: University Hospital of Oulu, Finland.
authors.forename: Helka
authors.initials: H
authors.lastname: Ervasti
authors.affiliation: Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland; Medical Research Center, Oulu, Finland; University Hospital of Oulu, Finland.
authors.forename: Maria
authors.initials: M
authors.lastname: Kääriäinen
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000451:nursing*; D001182:Arthroscopy / Q000451:nursing*; D003376:Counseling / Q000592:standards*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000451:nursing / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011787:Quality of Health Care; D012648:Self Care; D012785:Shoulder Joint / Q000601:surgery*; D055815:Young Adult
keywords: Counselling; Day surgery; Knee and shoulder arthroscopy; Quality