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护理专业学生对患者教育障碍的体验:伊朗的一项定性研究

Experience of nursing students about the barriers to patient education: a qualitative study in Iran.

作者信息

Abbasi Mohammad, Rabiei Leili, Masoudi Reza

机构信息

Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.

Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

出版信息

Korean J Med Educ. 2018 Dec;30(4):327-337. doi: 10.3946/kjme.2018.107. Epub 2018 Dec 1.

Abstract

PURPOSE

Patient education is a dynamic and continuous process that should be implemented during the entire time of hospital stay and even afterward. Studies have shown the typically poor quality of patient education in Iran and its failure to convey the required knowledge and skills to patients. The purpose of this study was to survey the experience of nursing students in regard to the challenges of patient education in hospitals.

METHODS

This qualitative study was conducted using the conventional qualitative content analysis approach on a sample of 21 undergraduate nursing students (4th semester and beyond), which was drawn from the Qom Nursing and Midwifery School through purposive sampling with maximum variation. Data were collected through semi-structured interviews conducted over a period of 45 to 75 minutes, and were analyzed using the conventional qualitative content analysis.

RESULTS

Results were derived from the experiences of 21 nursing students (nine males, 12 females) about the research subject. The primary themes identified in the study were the student-related, patient-related, instructor-related, education environment-related, and curriculum-related barriers to patient educations.

CONCLUSION

Participants believed that patient education in Iranian hospitals is faced with many challenges. Nursing instructors and curriculum planners should ensure more emphasis on patient education at the initial semesters of nursing education curriculum and make sure that it is included in the evaluation of students. Hospital officials should provide a dedicated education environment with suitable facilities, tools, and atmosphere for patient education. Also, special education programs need to be developed for less educated patients.

摘要

目的

患者教育是一个动态且持续的过程,应在住院期间乃至出院后全程实施。研究表明,伊朗的患者教育质量通常较差,未能向患者传授所需的知识和技能。本研究旨在调查护理专业学生在医院患者教育挑战方面的经历。

方法

本定性研究采用传统定性内容分析法,对21名本科护理专业学生(第四学期及以上)进行抽样,通过最大差异目的抽样从库姆护理与助产学校选取样本。通过时长45至75分钟的半结构化访谈收集数据,并使用传统定性内容分析法进行分析。

结果

结果源于21名护理专业学生(9名男性,12名女性)对研究主题的经历。研究中确定的主要主题是与学生、患者、教师、教育环境和课程相关的患者教育障碍。

结论

参与者认为伊朗医院的患者教育面临诸多挑战。护理教师和课程规划者应确保在护理教育课程的初始学期更加强调患者教育,并确保将其纳入学生评估。医院管理人员应为患者教育提供配备合适设施、工具和氛围的专用教育环境。此外,需要为受教育程度较低的患者制定特殊教育计划。

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The crucial role of patient education in heart failure.患者教育在心力衰竭中的关键作用。
Eur J Heart Fail. 2005 Mar 16;7(3):363-9. doi: 10.1016/j.ejheart.2005.01.002.
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