Effectiveness of a patient education intervention in enhancing the self-efficacy of hospitalized patients to recognize and report acute deteriorating conditions.
rct · Level II
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- Record sourced from PubMed, PMID 25103182.
- Also identified by DOI 10.1016/j.pec.2014.07.003.
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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.