Effectiveness of a patient education intervention in enhancing the self-efficacy of hospitalized patients to recognize and report acute deteriorating conditions

被引:16
作者
See, Min Ting Alicia [1 ]
Chan, Wai-Chi Sally [2 ]
Huggan, Paul John [3 ,4 ]
Tay, Yee Kian [5 ]
Liaw, Sok Ying [6 ]
机构
[1] Singapore Gen Hosp, Singapore, Singapore
[2] Univ Newcastle, Fac Hlth & Med, Sch Nursing & Midwifery, Callaghan, NSW 2308, Australia
[3] Waikato Hosp, Dept Med, Hamilton, New Zealand
[4] Univ Auckland, Auckland 1, New Zealand
[5] Natl Univ Singapore Hosp, Singapore 117548, Singapore
[6] Natl Univ Singapore, Yong Loo Lin Sch Med, Alice Lee Ctr Nursing Studies, Singapore 117597, Singapore
关键词
Patient education; Deterioration; Recognize and report symptoms; KNOWLEDGE; SAFETY; HEALTH; IMPACT;
D O I
10.1016/j.pec.2014.07.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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. Method: 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). Conclusion: The AWARE intervention was effective in enhancing the self-efficacy of hospitalized patients to recognize and report acute deteriorating conditions. Practical implications: 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. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:122 / 127
页数:6
相关论文
共 23 条
  • [1] [Anonymous], ESSENTIALS NURSING R
  • [2] [Anonymous], 1997, Self-efficacy: The exercise of control
  • [3] Buckley T, 2007, Eur J Cardiovasc Nurs, V6, P105, DOI 10.1016/j.ejcnurse.2006.05.005
  • [4] Recognition of patients who require emergency assistance: A descriptive study
    Cioffi, J
    [J]. HEART & LUNG, 2000, 29 (04): : 262 - 268
  • [5] Ferguson Sheri L, 2008, Medsurg Nurs, V17, P122
  • [6] A multi-professional full-scale simulation course in the recognition and management of deteriorating hospital patients
    Fuhrmann, Lone
    Ostergaard, Doris
    Lippert, Anne
    Perner, Anders
    [J]. RESUSCITATION, 2009, 80 (06) : 669 - 673
  • [7] A pre-test post-test study of a brief educational intervention demonstrates improved knowledge of potential acute myocardial infarction symptoms and appropriate responses in cardiac rehabilitation patients
    Gallagher, Robyn
    Roach, Kellie
    Belshaw, Julie
    Kirkness, Ann
    Sadler, Leonie
    Warrington, Darrell
    [J]. AUSTRALIAN CRITICAL CARE, 2013, 26 (02) : 49 - 54
  • [8] Hodgson V., 1997, The Experience of Learning
  • [9] Koeckeritz Jane Large, 2004, Nurse Educ, V29, P75, DOI 10.1097/00006223-200403000-00010
  • [10] Rescuing A Patient In Deteriorating Situations (RAPIDS): A simulation-based educational program on recognizing, responding and reporting of physiological signs of deterioration
    Liaw, Sok Ying
    Rethans, Jan-Joost
    Scherpbier, Albert
    Piyanee, Klainin-Yobas
    [J]. RESUSCITATION, 2011, 82 (09) : 1224 - 1230