Min Ting Alicia See1, Wai-Chi Sally Chan2, Paul John Huggan3, Yee Kian Tay4, Sok Ying Liaw5. 1. Singapore General Hospital, Singapore. 2. School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Australia. 3. Department of Medicine, Waikato Hospital and University of Auckland, New Zealand. 4. National University Hospital, Singapore. 5. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurliaw@nus.edu.sg.
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. 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.
RCT Entities:
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.
Authors: Abigail K Albutt; Jane K O'Hara; Mark T Conner; Stephen J Fletcher; Rebecca J Lawton Journal: Health Expect Date: 2016-10-26 Impact factor: 3.377