scholarly journals Post-operative patient education: a systematic review

2021 ◽  
Author(s):  
Suzanne Fredericks

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.

2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Sepali Guruge ◽  
Souraya Sidani ◽  
Teresa Wan

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.


2021 ◽  
Author(s):  
Suzanne Fredericks

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Sepali Guruge ◽  
Souraya Sidani ◽  
Teresa Wan

Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective post-operative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and methodology: The purpose of this systematic review was to examine who would most benefit from post-operative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5271 participants. Major results: Findings indicate delivery of post-operative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple sessions is associated with improvement in educational/health outcomes. Samples that contained individuals younger than 50 years of age and higher percentages of males showed benefits in outcomes of moderate magnitude. Application: The results highlight the importance of attending to the characteristics of both the elements of post-operative educational interventions and the individual patients in the design and delivery of patient education.


2021 ◽  
Author(s):  
Suzanne Fredericks

This systematic review was conducted to address the clinically relevant question: What approach, mode, and dose is most effective in producing changes in CABG patient education? The specific objectives were: 1) to describe the approach to education, mode of delivery, and dose used in providing CABG patient education; and 2) to explore the extent to which variability in outcome achievement is associated with differences in the elements of educational interventions. The target population included adult patients who underwent CABG procedures.


2021 ◽  
Author(s):  
Suzanne Fredericks

This systematic review was conducted to address the clinically relevant question: What approach, mode, and dose is most effective in producing changes in CABG patient education? The specific objectives were: 1) to describe the approach to education, mode of delivery, and dose used in providing CABG patient education; and 2) to explore the extent to which variability in outcome achievement is associated with differences in the elements of educational interventions. The target population included adult patients who underwent CABG procedures.


2020 ◽  
pp. 109980042096888
Author(s):  
Rosa M. Gonzalez-Guarda ◽  
Allison M. Stafford ◽  
Gabriela A. Nagy ◽  
Deanna R. Befus ◽  
Jamie L. Conklin

The health of Latinx immigrants decays over time and across generations. Acculturation stress influences decays in behavioral and mental health in this population, but the effect on physical health outcomes is less understood. This systematic review synthesizes findings from 22 studies that examined the influence of acculturation stress on physical health outcomes among Latinx populations in the United States. The Society-to-Cell Resilience Framework was used to synthesize findings according to individual, physiological, and cellular levels. There is mounting evidence identifying acculturation stress as an important social contributor to negative physical health outcomes, especially at the individual level. More research is needed to identify the physiological and cellular mechanisms involved. Interventions are also needed to address the damaging effects of acculturation stress on a variety of physical health conditions in this population.


2021 ◽  
Author(s):  
Suzanne Fredericks

A complement to in-hospital educational interventions is web-based patient education accessed during the home recovery period. While findings demonstrate the effectiveness of web-based patient education interventions on patient outcomes, they fall short of identifying the characteristics that are associated with desired outcomes. The purpose of this systematic review was to determine the characteristics of web-based patient education interventions that are associated with producing changes in self-care behaviours. A systematic review involving 19 studies was conducted to determine the most effective components of a web-based intervention. Findings suggest that the most effective form of web-based patient education is one that is interactive and allows patients to navigate the online system on their own. The findings from this systematic review allow for the design of a web-based educational intervention that will promote increased performance of self-care behaviours during the home recovery period.


2019 ◽  
Vol 46 (6) ◽  
pp. 1001-1011 ◽  
Author(s):  
Sandrine Roussel ◽  
Mariane Frenay

Background. Two decades after “patient education” was defined by the World Health Organization, its integration in health care practices remains a challenge. Perceptions might shed light on these implementation difficulties. This systematic review aims to investigate links between perceptions and patient education practices among health care professionals, paying particular attention to the quality of practices in order to highlight any associated perception. Method. PubMed, PsycINFO, and Scopus were searched using the following search terms: “perceptions,” “patient education,” “health care professionals,” and “professional practices.” PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were used. Results. Twenty studies were included. Overall findings supported the existence of links between some perceptions and practices. Links were either correlational or “causal” (generally in a single direction: perceptions affecting practices). Four types of perceptions (perceptions of the task including patient education, perceptions about the patient, perceptions of oneself as a health care professional, and perceptions of the context) were identified as being linked with educational practices. Links can although be mediated by other factors. Results concerning links should, however, be considered with caution as practices were mostly assessed by prevalence measurements, were self-reported and concerned exclusively individual education. When analyzing the quality of practices, the two retained studies highlighted their changing nature and the central role of perceptions with respect to the individual patient. Conclusions. This literature review led us to specify the quality criteria for further research: covering the entire spectrum of patient education, operationalizing variables, exploring specific practices, measuring the quality of practices, developing designs that facilitate causation findings, and considering a bidirectional perspective.


2017 ◽  
Author(s):  
Tessa Dekkers ◽  
Marijke Melles ◽  
Bob Sander Groeneveld ◽  
Huib de Ridder

BACKGROUND Patients with orthopedic conditions frequently use the internet to find health information. Patient education that is distributed online may form an easily accessible, time- and cost-effective alternative to education delivered through traditional channels such as one-on-one consultations or booklets. However, no systematic evidence for the comparative effectiveness of Web-based educational interventions exists. OBJECTIVE The objective of this systematic review was to examine the effects of Web-based patient education interventions for adult orthopedic patients and to compare its effectiveness with generic health information websites and traditional forms of patient education. METHODS CINAHL, the Cochrane Library, EMBASE, MEDLINE, PsycINFO, PUBMED, ScienceDirect, Scopus, and Web of Science were searched covering the period from 1995 to 2016. Peer-reviewed English and Dutch studies were included if they delivered patient education via the internet to the adult orthopedic population and assessed its effects in a controlled or observational trial. RESULTS A total of 10 trials reported in 14 studies involving 4172 patients were identified. Nine trials provided evidence for increased patients’ knowledge after Web-based patient education. Seven trials reported increased satisfaction and good evaluations of Web-based patient education. No compelling evidence exists for an effect of Web-based patient education on anxiety, health attitudes and behavior, or clinical outcomes. CONCLUSIONS Web-based patient education may be offered as a time- and cost-effective alternative to current educational interventions when the objective is to improve patients’ knowledge and satisfaction. However, these findings may not be representative for the whole orthopedic patient population as most trials included considerably younger, higher-educated, and internet-savvy participants only.


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