Renal recipients’ knowledge and self-efficacy during first year after implementing an evidence based educational intervention as routine care at the transplantation clinic

Autor: Eivind Engebretsen, Marit Helen Andersen, Torbjørn Moum, Astrid Klopstad Wahl, Kristin Hjorthaug Urstad
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Adult
Male
Nephrology
kidney transplant
medicine.medical_specialty
Evidence-based practice
Psychological intervention
030204 cardiovascular system & hematology
Medisinske Fag: 700::Klinisk medisinske fag: 750::Nefrologi
urologi: 772 [VDP]
law.invention
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Randomized controlled trial
law
Intervention (counseling)
Internal medicine
medicine
Humans
Longitudinal Studies
030212 general & internal medicine
Perioperative Period
Self-efficacy
Consumer Health Information
business.industry
Research
Renal transplantation
Patient education
Kidney Transplantation
nyretransplantasjon
Self Efficacy
Diseases of the genitourinary system. Urology
Health Literacy
Transplantation
Implementation
Quality of Life
Physical therapy
Kidney Failure
Chronic
Female
RC870-923
business
Zdroj: BMC Nephrology, Vol 22, Iss 1, Pp 1-9 (2021)
BMC Nephrology
265 (2021)
ISSN: 1471-2369
Popis: Background Following an implementation plan based on dynamic dialogue between researchers and clinicians, this study implemented an evidence-based patient education program (tested in an RCT) into routine care at a clinical transplant center. The aim of this study was to investigate renal recipients’ knowledge and self-efficacy during first year the after the intervention was provided in an everyday life setting. Methods The study has a longitudinal design. The sample consisted of 196 renal recipients. Measurement points were 5 days (baseline), 2 months (T1), 6 months (T2), and one-year post transplantation (T3). Outcome measures were post-transplant knowledge, self-efficacy, and self-perceived general health. Results No statistically significant changes were found from baseline to T1, T2, and T3. Participants’ levels of knowledge and self-efficacy were high prior to the education program and did not change throughout the first year post transplantation. Conclusion Renal recipients self-efficacy and insight in post-transplant aspects seem to be more robust when admitted to the hospital for transplantation compared to baseline observations in the RCT study. This may explain why the implemented educational intervention did not lead to the same positive increase in outcome measures as in the RCT. This study supports that replicating clinical interventions in real-life settings may provide different results compared to results from RCT’s. In order to gain a complete picture of the impacts of an implemented intervention, it is vital also to evaluate results after implementing findings from RCT-studies into everyday practice.
Databáze: OpenAIRE
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