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从护士长角度看住院期间的患者教育:一项定性研究

Patient Education During Hospitalization From the Perspective of Nurse Managers: A Qualitative Study.

作者信息

Longhini Jessica, Ambrosi Elisa, Tescaro Barbara, Derugna Noemi, Ferro Maria Luisa, Canzan Federica

机构信息

Department of Diagnostics and Public Health, University of Verona, Verona, Italy.

Local Health Authority Berica, Vicenza, Italy.

出版信息

Nurs Health Sci. 2025 Mar;27(1):e70052. doi: 10.1111/nhs.70052.

DOI:10.1111/nhs.70052
PMID:39894050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11787913/
Abstract

The aim of this study was to explore patient education in surgical and medical wards from the perspective of nurse managers. A qualitative descriptive study was conducted with 28 nurse managers from 34 wards in two hospitals, using content analysis. Three themes were identified. The first "Characteristics of patient education" highlights the definitions, goals, and interdisciplinary nature of patient education, emphasizing its role in promoting autonomy and safe discharge. The second "Delivering patient education" focuses on the content, methods, and timing of education. While some managers supported routine care integration, others preferred dedicated sessions, highlighting a need for flexibility in approaches. The third "Evaluating and Improving Patient Education" examines assessment strategies, outcome tracking, and quality maintenance. Effective patient education was linked to reduced readmissions and fewer support calls. Documentation was seen as both essential and burdensome. The study underscores the complexity and benefits of patient education while addressing challenges like time constraints and workload. Recommended strategies include staff training, developing educational tools, structured but flexible approaches, enhanced documentation, and fostering interprofessional collaboration.

摘要

本研究的目的是从护士长的角度探讨外科和内科病房的患者教育情况。采用内容分析法,对两家医院34个病房的28名护士长进行了一项定性描述性研究。确定了三个主题。第一个主题“患者教育的特点”强调了患者教育的定义、目标和跨学科性质,强调其在促进自主性和安全出院方面的作用。第二个主题“提供患者教育”关注教育的内容、方法和时机。虽然一些护士长支持将患者教育融入常规护理,但另一些人则更喜欢专门的教育课程,这突出了方法灵活性的必要性。第三个主题“评估和改进患者教育”考察了评估策略、结果跟踪和质量维持。有效的患者教育与再入院率降低和支持电话减少相关。记录被视为既必不可少又繁重。该研究强调了患者教育的复杂性和益处,同时也解决了时间限制和工作量等挑战。推荐的策略包括员工培训、开发教育工具、采用结构化但灵活的方法、加强记录以及促进跨专业协作。

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本文引用的文献

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Nurses' experiences with ad-hoc patient education in an Austrian acute care setting - A qualitative multicentric study.奥地利急症护理环境下护士对临时患者教育的体验——一项定性多中心研究。
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Motivational interviewing to support medication adherence in older patients: Barriers and facilitators for implementing in hospital setting according to healthcare professionals.动机性访谈以支持老年患者的药物依从性:根据医疗保健专业人员,在医院环境中实施的障碍和促进因素。
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JAMA Intern Med. 2023 May 1;183(5):417-423. doi: 10.1001/jamainternmed.2023.0070.
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NURSES' knowledge, skills and personal attributes for providing competent health education practice, and its influencing factors: A cross-sectional study.护士提供胜任的健康教育实践的知识、技能和个人特质及其影响因素:一项横断面研究。
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