Get access

Knowledge expectations of surgical orthopaedic patients: A European survey


  • This study was financially supported by

    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

  • Conflict of Interest

    No conflict of interest has been declared by the authors.

  • Author contributions

    KV, HL-K were responsible for the study conception and design. KV, PC, ÅJS, AC, EP, BI, SC, AKS, NI performed the data collection and JK the data analysis. KV and SK were responsible for the drafting of the manuscript. Translation of the questionnaire and obtaining ethical permissions for the data collection in their own country was performed by KV, PC, MU, ÅJS, AC, EP, BI, AKS, EC, AZ, NI and cultural adaptation by PS, CL, AC, EP, BI, AKS, MU,ÅJS, EC, AZ. All authors have made their critical revisions and approved the final version.


Ageing population entails a growing international problem of osteoarthritis. Best practices for education of these patients are lacking. This study focused on empowering education in Northern (Finland, Iceland, Lithuania and Sweden) and Southern Europe (Cyprus, Greece and Spain). The aim was to analyse associations between expected knowledge and background factors. The data were collected from European arthroplasty patients with the Knowledge Expectations of hospital patients- scale, (KEhp- scale), including bio-physiological, functional, experiential, ethical, social and financial dimensions. Patients had essential bio-physiological and functional knowledge expectations. Women expected more than men, employed less than retired, unemployed or who worked at home. Generally, patients in Northern countries expected more than in Southern countries. However, highest expectations were found in Sweden and Greece, lowest in Spain and Cyprus. There are differences in knowledge expectations based on patients' backgrounds. Development of common standards in European patient education needs further research.