Lelorain Sophie, Bachelet Adeline, Bertin Nicole, Bourgoin Maryline
University of Lille, CNRS, Teaching Hospital of Lille, UMR 9193 - SCALab - Cognitive & Affective Sciences, Lille, France.
Teaching Hospital of Lille, Transversal Unit of Patient Education, Lille, France.
Nurs Health Sci. 2017 Sep;19(3):331-339. doi: 10.1111/nhs.12350. Epub 2017 Jul 6.
Therapeutic patient education is effective for various patient outcomes; however, healthcare professionals sometimes lack the motivation to carry out patient education. Surprisingly, this issue has rarely been addressed in research. Therefore, this study explores healthcare professionals' perceived barriers to and motivation for therapeutic patient education. Healthcare professionals, mainly nurses, working in different French hospitals were interviewed. Thematic content analysis was performed. Findings included a lack of skills, knowledge, and disillusionment of the effectiveness of therapeutic patient education were features of a demotivated attitude. In contrast, a positive attitude was observed when therapeutic patient education met a need to work differently and more effectively. A key factor motivating professionals was the integration of therapeutic patient education in routine care within a multidisciplinary team. To keep healthcare professionals motivated, managers should ensure that therapeutic patient education is implemented in accordance with its core principles: a patient-centered approach within a trained multidisciplinary team. In the latter case, therapeutic patient education is viewed as an efficient and rewarding way to work with patients, which significantly motivates healthcare professionals.
治疗性患者教育对各种患者结局都有效;然而,医护人员有时缺乏开展患者教育的动力。令人惊讶的是,这一问题在研究中很少被提及。因此,本研究探讨了医护人员对治疗性患者教育的认知障碍和动力。对在不同法国医院工作的医护人员(主要是护士)进行了访谈。进行了主题内容分析。研究结果包括缺乏技能、知识以及对治疗性患者教育有效性的幻灭感是消极态度的特征。相比之下,当治疗性患者教育满足以不同方式更有效地工作的需求时,则会观察到积极态度。激励专业人员的一个关键因素是在多学科团队中将治疗性患者教育融入常规护理。为了保持医护人员的积极性,管理者应确保按照其核心原则实施治疗性患者教育:在训练有素的多学科团队中采用以患者为中心的方法。在后一种情况下,治疗性患者教育被视为与患者合作的一种高效且有意义的方式,这能显著激励医护人员。