Darvishpour Azar, Mahdavi Shiva
Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
J Educ Health Promot. 2023 Mar 31;12:97. doi: 10.4103/jehp.jehp_591_22. eCollection 2023.
In recent years, health policies have emphasized accelerating patients' discharge from hospitals and receiving health care at home. The present study aimed to identify the characteristics of patient education in home care units in Iranian hospitals in 2021.
This descriptive, qualitative study was conducted on eight supervisors, 15 clinical nurses, and four home care nurses working in East Guilan hospitals. Semi-structured interviews were used to collect data. Interviews were conducted using guiding questions. Data were analyzed using conventional qualitative content analysis by MAXQDA 2007 software.
Data analysis led to the emergence of 58 primary codes and six categories with the titles of "Education based on the expertise and clients' needs," "Emphatic nature of education," "Empowering clients to perform self-care programs," "Increasing the quality of clinical services," "Cost-effective education," and "Requirements for promoting the educational performance of home care units." The sixth category consists of four subcategories (tariffing insurance, continuous education of clients from the time of hospitalization not merely at the time of discharge, the existence of a monitoring system, and advertising and media coverage of the educational performance of the home care unit).
The analysis of data showed that the education provided to patients in home care units is economically viable and empowers clients to self-care and increases the quality of clinical services. Due to the novelty of home care in Iran, it is necessary to pay more attention to the issues mentioned in this paper by managers and health policymakers.
近年来,卫生政策强调加快患者出院并在家中接受医疗保健。本研究旨在确定2021年伊朗医院家庭护理单位患者教育的特点。
本描述性定性研究对吉兰省东部医院的8名主管、15名临床护士和4名家庭护理护士进行。采用半结构化访谈收集数据。访谈使用指导性问题进行。数据使用MAXQDA 2007软件通过常规定性内容分析法进行分析。
数据分析得出58个原始编码和6个类别,标题分别为“基于专业知识和客户需求的教育”、“教育的强调性质”、“使客户有能力执行自我护理计划”、“提高临床服务质量”、“具有成本效益的教育”以及“提高家庭护理单位教育绩效的要求”。第六个类别由四个子类别组成(保险计费、不仅在出院时而且从住院时起对客户进行持续教育、存在监测系统以及家庭护理单位教育绩效的广告和媒体报道)。
数据分析表明,家庭护理单位向患者提供的教育在经济上是可行的,使客户有能力进行自我护理并提高了临床服务质量。由于伊朗家庭护理的新颖性,管理人员和卫生政策制定者有必要更加关注本文提到的问题。