Department of Health Policy and Management, Iranian Center of Excellence in Health Management, School of Management and Medical Information.
Iranian EBM Centre: A Joanna Briggs Institute (JBI) Center of Excellence.
JBI Evid Implement. 2020 Dec 5;19(3):288-295. doi: 10.1097/XEB.0000000000000259.
Parents of infants admitted to hospital have high information needs. A good educational program will improve the outcomes and communication needs of these parents. Results from some studies have shown that patient education in Iran is inappropriate and should be improved.
The aim of this evidence implementation project was to evaluate the current practice and implement the best practice related to promoting patient education in a children's hospital in Tabriz, Iran.
A clinical audit was undertaken using the Joanna Briggs Institute Practical Application of Clinical Evidence System tool. Eight audit criteria that represent the best practice recommendations for patient education were used. A baseline audit was conducted followed by implementing multiple strategies, and the project was finalized with a follow-up audit to determine a change in practice.
Significant improvements in the follow-up audit in comparison with the baseline audit were as follows: evaluation of patient learning has been undertaken to determine met and unmet needs (from 65 to 77%); patients' learning needs, readiness to learn, and their learning style have been assessed before the implementation of an educational initiative (from 55 to 66%); and educational resources in different formats (e.g., written handouts, brochures, and links to online materials) are available in the ward (from 33 to 77%). Strategies that were implemented to achieve change in practice included conducting workshops and conferences, determining a trained nurse as responsible for educating parents, training in discharge time, the presentation of educational films daily, conducting group training, and installing related posters in the department and patient's room. The other five criteria were less compliant with best practice in the follow-up audit rather than the baseline audit; however, all of them except one (Criterion 3) were still up to 75% compliant, which is considered excellent by the audit team.
The follow-up audit results indicated an improvement in providing parental education. It can be concluded that these interventions can facilitate the implementation of evidence into clinical practice.
住院婴儿的父母有很高的信息需求。一个好的教育计划将改善这些父母的结果和沟通需求。一些研究的结果表明，伊朗的患者教育是不适当的，应该改进。
本证据实施项目的目的是评估伊朗大不里士一家儿童医院目前的实践情况，并实施与促进患者教育相关的最佳实践。
使用 Joanna Briggs 研究所实用临床证据系统工具进行临床审计。使用了八项代表患者教育最佳实践建议的审计标准。进行了基线审计，然后实施了多种策略，并在后续审计中完成了项目，以确定实践的变化。
与基线审计相比，后续审计中的显著改进如下：评估患者的学习情况以确定满足和未满足的需求（从 65%提高到 77%）；在实施教育举措之前，评估患者的学习需求、学习准备情况和学习方式（从 55%提高到 66%）；以及提供不同格式的教育资源（例如，书面讲义、宣传册和在线材料链接）在病房中（从 33%提高到 77%）。为实现实践中的变化而实施的策略包括举办研讨会和会议、确定一名受过培训的护士负责教育家长、培训出院时间、每天播放教育电影、进行小组培训以及在部门和患者房间内安装相关海报。在后续审计中，其他五个标准与最佳实践的符合性较低，而不是基线审计；然而，除了一个标准（标准 3）之外，所有标准的符合率都在 75%以上，这被审计团队认为是非常好的。
后续审计结果表明，在提供父母教育方面有所改善。可以得出结论，这些干预措施可以促进证据在临床实践中的实施。
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