Public Health Department, University of Liege, Quartier Hôpital, Avenue Hippocrate 13 (B23), 4000, Liège, Belgium.
Educations and Health Practices Laboratory (LEPS), (EA 3412), UFR SMBH, Paris 13 University, Sorbonne Paris Cite, Bobigny, France.
Adv Health Sci Educ Theory Pract. 2020 May;25(2):511-517. doi: 10.1007/s10459-019-09893-6. Epub 2019 Apr 26.
Several recent works have highlighted hospital discharge as a good opportunity to deliver patient education (PE). Despite its constraints (overcrowding and unpredictable workload, in particular), the emergency department (ED) should be viewed as an opportune place for improving patient satisfaction and adherence to recommendations, and thus for preventing complications and early readmission, suggesting that better PE and health information could be one way to enhance patient safety. Building evidence on how best to organise and deliver effective PE poses many challenges, however. This paper gives an overview of the main issues (what we already know and prospects for research/clinical approaches) concerning PE in the ED: improving provider skills, ensuring PE continuity, developing educational materials, interprofessional collaboration, identifying specific educational needs for certain subgroups of patients, evaluating PE delivery, and identifying the most effective interventions. Future research will be needed to develop evidence-based guidelines for a comprehensive approach to PE.
最近有几项研究强调，出院时是提供患者教育（PE）的好时机。尽管存在限制（特别是过度拥挤和不可预测的工作量），但急诊科（ED）应被视为提高患者满意度和遵医嘱率、从而预防并发症和提前再入院的机会，这表明更好的 PE 和健康信息可能是提高患者安全性的一种方式。然而，关于如何最好地组织和提供有效的 PE 方面的证据还存在许多挑战。本文概述了 ED 中 PE 的主要问题（我们已经了解的情况和研究/临床方法的前景）：提高提供者的技能、确保 PE 的连续性、开发教育材料、跨专业合作、确定特定亚组患者的特定教育需求、评估 PE 的实施情况以及确定最有效的干预措施。未来需要开展研究，为全面的 PE 方法制定基于证据的指南。
