Knowledge expectations of orthopaedic patients.

AIM: To describe and compare knowledge expectations and received knowledge in elective orthopaedic surgery patients. BACKGROUND: Population aging, increasing incidence of osteoarthritis, the growing number of surgical procedures, and reduced clinical stays underline the need for a new approach to patient education. DESIGN: This study has a descriptive, comparative design. METHODS: Data were collected from 263 patients who had total hip and knee replacement elective surgery during 3 years (2009-2012) in 5 public hospitals in Spain. The Knowledge Expectation of Hospital Patients and the Received Knowledge of Hospital Patients Scales were used to collect data. The questionnaires were filled before hospital admission, at discharge and at follow-up 6 to 7 months later. RESULTS: Surgical patients received less knowledge than they expected. Patients' expectations were only met in the functional dimension. At follow-up, patients reported that they perceived having acquired more knowledge during their hospital stay than they reported at the time of discharge. Knowledge expectations and knowledge received were related to employment status, gender, and previous contact experience with the hospital. CONCLUSION: Knowledge expectations were not met, and results showed the need to improve education for orthopaedic patients throughout the perioperative process, not only during hospitalization.

Validación de la versión española: Expectativas y conocimiento recibido del paciente hospitalizado / Validation of the Spanish Version: Expectations and Knowledge Received in the Hospitalized Patient / Validação da versão española do instrumento Expectativa e Conhecimento Recebido do Paciente Hospitalizado

RESUMEN Objetivo: evaluar la validez y la fiabilidad de la versión española del instrumento Expectativas y conocimiento recibido del paciente hospitalizado (ECPH/CRPH) en pacientes con osteoartritis intervenidos de artroplastia total de rodilla. Material y métodos: el proceso de validación siguió las recomendaciones internacionales: validez de contenido, validez de constructo, validez de criterio y fiabilidad. Un total de 248 pacientes que debían intervenirse de artroplastia total de rodilla en 5 hospitales públicos españoles contestaron la ECPH antes de ser hospitalizados y 220 pacientes contestaron el CRPH al darles el alta hospitalaria. Resultados: el análisis factorial confirmó las dimensiones de la escala original para el conocimiento recibido, pero no en la escala para las expectativas. La correlación de las dimensiones de la ECPH con la Escala de Opinión de la Salud de Krantz (KHOS) y la correlación de las dimensiones de la CRPH con la Escala de Acceso a la Información (AKS) indicaron la validez de criterio mostrando unas relaciones positivas. Los resultados señalaron buena fiabilidad con valores de alfa Cronbach elevados. Conclusión: el proceso de validación indica que la versión española del ECPH/CRPH es un instrumento válido y fiable para medir las expectativas y el conocimiento recibido en pacientes quirúrgicos en el contexto español.

ABSTRACT Objective: The objective of the study was to assess the validity and reliability of the Spanish version of Expectations and Received Knowledge in the Hospitalized Patient (ECPH / CRPH), specifically among patients with osteoarthritis who are undergoing total knee arthroplasty. Material and methods: The validation process followed international recommendations in terms of content validity, construct validity, criterion validity and reliability. A total of 248 patients who were about to undergo total knee arthroplasty at five (5) Spanish public hospitals answered the ECPH before being hospitalized and 220 patients answered the CRPH when they were discharged. Results: Factor analysis confirmed the dimensions of the original scale for the knowledge received, but not with respect to the scale for expectations. The correlation of the ECPH dimensions with the Krantz Health Opinion Scale (KHOS) and the correlation of the CRPH dimensions with the Information Access Scale (AKS) indicated criterion validity, showing positive relationships. The results suggested good reliability with high Cronbach alpha values. Conclusion: The validation process showed the Spanish version of ECPH / CRPH is a valid and reliable instrument to measure the expectations and knowledge received in surgical patients in the Spanish context.

RESUMO Objetivo: avaliar a validade e a confiabilidade da versão espanhola do instrumento Expectativa e Conhecimento Recebido do Paciente Hospitalizado (ECPH/CRPH) em pacientes com osteoartrite submetidos à artroplastia total de joelho. Métodos: o processo de validação seguiu as recomendações internacionais: validade de conteúdo, validade de construto, validade de critério e confiabilidade. 248 pacientes que devem ser submetidos à artroplastia total de joelho em cinco hospitais públicos espanhóis responderam ao ECPH antes de serem hospitalizados, e 220 pacientes responderam ao CRPH ao ganharem alta. Resultados: a análise fatorial confirmou as dimensões da escala original para o conhecimento recebido, mas não na escala para as expectativas. A correlação das dimensões do ECPH com a Escala de Opinião da Saúde de Krantz (KHOS) e a correlação das dimensões do CRPH com a Escala de Acesso à Informação (AKS) indicaram a validade de critério e mostraram umas relações positivas. Os resultados indicam boa confiabilidade com valores de alfa Cronbach elevados. Conclusões: o processo de validação indica que a versão espanhola do ECPH/CRPH é um instrumento válido e confiável para medir as expectativas e o conhecimento recebido em pacientes em regime de internamento no contexto espanhol.

Evaluación de competencias en el Prácticum de Enfermería / Competency Assessment in Nursing Practicum

La introducción de las competencias como eje del proceso de enseñanza-aprendizaje implica una profunda reflexión, no solo de las metodologías docentes sino también, y de manera muy especial, sobre los métodos de evaluación. Adecuar la evaluación a las nuevas exigencias docentes supone un reto para todo el profesorado universitario y la responsabilidad de dar coherencia al proceso formativo en su conjunto. La evaluación constituye uno de los momentos fundamentales del proceso de enseñanza-aprendizaje del estudiante universitario. Hemos de reconocer paralelamente la trascendencia de definir los resultados de aprendizaje que el estudiante ha de alcanzar durante su formación en la práctica real (Prácticum) de la actividad profesional que le es propia. El presente trabajo recoge la experiencia de creación de un instrumento de evaluación de competencias para el Prácticum del Grado en Enfermería (AU)

The introduction of competencies as the axis of the teaching-learning process involves deep reflection, not only of the teaching methods but also,and most particularly, of the methods of evaluation. Adapting the assessment to new teaching demands represents a challenge for all university teaching staff and the responsibility to give coherence to the whole training process. The assessment of learning is one of the keymoments of the teaching-learning process of university students. We must equally recognize the importance of defining learning outcomes that students have to achieve during their training in real practice (Practicum)of the professional activity that is inherent to the profession. This paper depicts the experience of creating a tool for competency for the Degreein Nursing Practicum (AU)