Evidence map›Paper›PMID 33204098›Full record

ArticleJournal of multidisciplinary healthcare2020

Instruments for Patient Education: Psychometric Evaluation of the Expected Knowledge (EKhp) and the Received Knowledge of Hospital Patients (RKhp).

Helena Leino-Kilpi, Saija Inkeroinen, Esther Cabrera, Andreas Charalambous, Natalja Fatkulina, Jouko Katajisto, Árún K Sigurðardóttir, Panayota Sourtzi, Riitta Suhonen, Adelaida Zabalegui and 1 more

Abstract read
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Article in Journal of multidisciplinary healthcare, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Patient health engagement as a predictor of symptom outcomes in patients receiving chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Helena Leino-KilpiDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0003-2477-971X
Saija InkeroinenDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0001-5989-9442
Esther CabreraSchool of Health Sciences, TecnoCampus, University Pompeu Fabra, Barcelona, Spain.ORCID 0000-0002-7353-0542
Andreas CharalambousDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0003-4050-031X
Natalja FatkulinaDepartment of Nursing, Klaipeda University, Klaipėda, Lithuania.ORCID 0000-0002-6562-053X
Jouko KatajistoDepartment of Mathematics and Statistics, University of Turku, Turku, Finland.ORCID 0000-0003-0189-4176
Árún K SigurðardóttirSchool of Health Sciences, University of Akureyri, Akureyri, Iceland.ORCID 0000-0002-4287-5409
Panayota SourtziFaculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-2335-5272
Riitta SuhonenDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0002-4315-5550
Adelaida ZabaleguiHospital Clinic of Barcelona, Barcelona, Spain.ORCID 0000-0003-1205-3997
Kirsi ValkeapääDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0003-4375-4825

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn patient education, there is a need for valid and reliable instruments to assess and tailor empowering educational activities. In this study, we summarize the process of producing two parallel instruments for analyzing hospital patients' expectations (Expected Knowledge of Hospital Patients, EKhp) and received knowledge (Received Knowledge of Hospital Patients, RKhp) and evaluate the psychometrics of the instruments based on international data. In the instruments, six elements of empowering knowledge are included (bio-physiological, functional, experiential, ethical, social, and financial). PATIENTS AND

methodsThe original Finnish versions of EKhp and RKhp were tested for the first time in 2003, after which they have been used in several national studies. For international purposes, the instruments were first translated into English, then to languages of the seven participating European countries, using double-checking procedure in each one, and subsequently evaluated and confirmed by local researchers and language experts. International data collection was performed in 2009-2012 with a total sample of 1,595 orthopedic patients. Orthopedic patients were selected due to the increase in their numbers, and need for educational activities. Here we report the psychometrics of the instruments for potential international use and future development.

resultsContent validities were confirmed by each participating country. Confirmatory factor analyses supported the original theoretical, six-dimensional structure of the instruments. For some subscales, however, there is a need for further clarification. The summative factors, based on the dimensions, have a satisfactory internal consistency. The results support the use of the instruments in patient education in orthopedic nursing, and preferably also in other fields of surgical nursing care.

conclusionEKhp and RKhp have potential for international use in the evaluation of empowering patient education. In the future, testing of the structure is needed, and validation in other fields of clinical care besides surgical nursing is especially warranted.

Indexed as

empowermentnursingpatient-centered carepatient education as topicpatient participationsurveys and questionnaires

Identifiers

PMID33204098
PMCPMC7667700

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.