Difference Between Received and Expected Knowledge of Patients Undergoing Knee or Hip Replacement in Seven European Countries

Seija Klemetti*, Helena Leino-Kilpi, Esther Cabrera, Panagiota Copanitsanou, Brynja Ingadottir, Natalja Istomina, Jouko Katajisto, Evridiki Papastavrou, Mitra Unosson, Kirsi Valkeapää

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)


The purpose of the study was to examine received and expected knowledge of patients with knee/hip arthroplasty in seven European countries. The goal was to obtain information for developing empowering patient education. The data were collected (during 2009-2012) from patients (n = 943) with hip/knee arthroplasty prior to scheduled preoperative education and before discharge with the Received Knowledge of hospital patient scale (RKhp) and Expected Knowledge of hospital patient scale (EKhp). Patients’ knowledge expectations were high but the level of received knowledge did not correspond to expectations. The difference between received and expected knowledge was higher in Greece and Sweden compared with Finland (p <.0001, p <.0001), Spain (p <.0001, p =.001), and Lithuania (p =.005, p =.003), respectively. Patients’ knowledge expectations are important in tailoring patient education. To achieve high standards in the future, scientific research collaboration on empowering patient education is needed between European countries.

Original languageEnglish
Pages (from-to)624-643
Number of pages20
JournalClinical Nursing Research
Issue number6
Publication statusPublished - 1 Dec 2015

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was financially supported by the following: Finland—University of Turku; the Academy of Finland; the Finnish Association of Nursing Research; the Finnish Foundation of Nursing Education; Cyprus—the Cyprus University of Technology; Spain—Colegio Oficial de Enfermeria de Barcelona; Sweden—the Swedish Rheumatism Association and the County Council of Östergötland; Iceland—the Landspitali University Hospital Research Fund; the Akureyri Hospital Science Fund; the University of Akureyri Science Fund; the KEA fund, Akureyri; the Icelandic Nurses’ Association Science Fund; and Lithuania—University of Klaipeda.

Publisher Copyright:
© The Author(s) 2014.

Other keywords

  • arthroplasty patients
  • educational nursing practice
  • empowering patient education
  • received knowledge


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