Poster Presentation
Water's Edge Ballroom (Hilton Waikoloa Village)
Friday, July 15, 2005
10:30 AM - 11:00 AM
Water's Edge Ballroom (Hilton Waikoloa Village)
Friday, July 15, 2005
4:00 PM - 4:30 PM
This presentation is part of : Poster Presentations II
Empowering Knowledge in Ambulatory Surgical Nursing Patients' Perspective
Kirsi Johansson, RN, MNSc, Helena Leino-Kilpi, RN, PhD, Katja Heikkinen, RN, MNSc, Anne Kaljonen, MSocSci, Sirkku Rankinen, MNSc, Heli Virtanen, RN, MNSc, and Sanna Salanterä, RN, PhD. Department of Nursing Science, University of Turku, Turku, Finland, Finland
Learning Objective #1: Identify what is expected knowledge of ambulatory surgical patients
Learning Objective #2: Identify how ambulatory surgical patient’s expectations of knowledge are fulfilled

Background and aim: Increased amount of ambulatory nursing with short hospital stays is one reason to take more consideration on patient education and its suitability for patients. The aim of this study was to examine what knowledge patients expected to receive prior to their ambulatory surgery and how these expectations were fulfilled after their educational sessions. The ultimate goal is to systematize and develop the patient education to be an empowering intervention for patient.

Material and methods: The sample consisted of 145 ambulatory surgery patients at one University Hospital in Finland. The data were collected during six months in 2004 by structured questionnaires before and after patients' educational sessions. These questionnaires consisted of biophysiological, functional, experiential, ethical, social and financial dimensions of expected and received knowledge and the answering scale was from 1 (totally disagree) to 4 (totally agree).

Results: About half of the patients (53 %) were female and most of patients (69 %) were aged 35 – 65 years. Most of the patients (44 %) had at least 9 years of primary education. About half of the patients (51 %) had been in ambulatory surgery previously.

Patients' expected knowledge was greater (mean 3.37, sd 0.57) than the knowledge they received (mean 2.86, sd 0.73, p < 0.0001) in every dimensions (biophysiological, functional, experiential, ethical, social and financial). Patients expected most knowledge related to biophysiological issues (mean 3.61, sd 0.46) and they also received this knowledge most (mean 3.56, sd 0.48). Althought they received less than they expected the difference was not significant. In other dimensions of knowledge the differences from expected to received knowledge were statistically significant.

Conclusions: The results indicate problems in several areas of patient education. Since patient education is seen as an empowering intervention, educational sessions should focus on patients' actual expectations rather than nurses' assumptions.