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Registered nurses’ perceptions of conditions for patient education: focusing on organizational, environmental and professional cooperation aspects.
Högskolan i Borås, Institutionen för Vårdvetenskap.
2012 (Engelska)Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, nr 6, s. 758-770Artikel i tidskrift (Refereegranskat) Published
Hållbar utveckling
Innehållet faller inom området hållbar samhällsutveckling
Abstract [en]

AIM: To describe nurses' perceptions of conditions for patient education, focusing on organisational, environmental and professional cooperation aspects, and to determine any differences between primary, municipal and hospital care. BACKGROUND: Although patient education is an important part of daily nursing practice, the conditions for this work are unclear and require clarification. METHOD: A stratified random sample of 701 (83%) nurses working in primary, municipal and hospital care completed a 60-item questionnaire. The study is part of a larger project. The study items relating to organisation, environment and professional cooperation were analysed using descriptive statistics, non-parametric tests and content analysis. RESULTS: Conditions for patient education differ. Nurses in primary care had better conditions and more managerial support, for example in the allocation of undisturbed time. CONCLUSIONS: Conditions related to organisation, environment and cooperation need to be developed further. In this process, managerial support is important, and nurses must ask for better conditions in order to carry through patient education. IMPLICATIONS FOR NURSING MANAGEMENT: Managerial support for the development of visible patient education routines (e.g. allocation of time, place and guidelines) is required. One recommendation is to designate a person to oversee educational work.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell Publishing Ltd. , 2012. Vol. 20, nr 6, s. 758-770
Nyckelord [en]
nursing, nursing leadership, nursing, patient education, patient information, patient teaching, pedagogical encounter
Nyckelord [sv]
vårdvetenskap
Nationell ämneskategori
Omvårdnad
Forskningsämne
Integrerad vårdutveckling
Identifikatorer
URN: urn:nbn:se:hb:diva-1420DOI: 10.1111/j.1365-2834.2012.01460.xISI: 000308640800005PubMedID: 22967294Lokalt ID: 2320/11736OAI: oai:DiVA.org:hb-1420DiVA, id: diva2:869475
Tillgänglig från: 2015-11-13 Skapad: 2015-11-13 Senast uppdaterad: 2017-12-01Bibliografiskt granskad
Ingår i avhandling
1. Sjuksköterskors patientundervisande arbete: Ett otydligt fält
Öppna denna publikation i ny flik eller fönster >>Sjuksköterskors patientundervisande arbete: Ett otydligt fält
2016 (Svenska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Aim: The overall aim of this thesis is to explore, describe and critically assess conditions for nurses’ patient education work. This was carried out in two stages. In the first stage, the aim was to describe nurses’ experiences and perceptions of patient education work in relation to organisation, environment, professional cooperation and pedagogical competence, as well as describe differences between primary, municipal and hospital care. In the second stage, the aim was to identify discourses in the ways managers speak of the conditions for nurses’ patient education work in primary and hospital care.

Methods: In studies I and II, a randomised selection of nurses (842) received a questionnaire of 47 items concerning factual experiences and perceptions patient education, and 13 background items. Questionnaires were returned by 83 % of the participants. The items concerned organisation, environment, professional cooperation (I), and pedagogical competence (II). Descriptive statistics, non-parametric tests and content analysis for open-ended items were used. In studies III and IV, data was collected from three focus group interviews with managers (n=10) in hospital care, and three focus groups interviews with managers (n=10) in primary care. An explorative, qualitative design with a social constructionist perspective was used. The data was analysed with a critical discourse analysis.

Results: Nurses’ perceptions of conditions for patient education differ between healthcare settings, in favour of primary care (I, II). The nurses in primary care had better conditions and more managerial support, for example in the allocation of uninterrupted time (I). The primary care nurses had an advantage in relation to those in municipal or hospital care when it came to following research in patient education as well as how they perceived their own competences, pedagogical education and post graduate specialisations (II). Due to a heavy workload and a lack of time, the managers in hospital care could neither see the importance of their role as a supporter of the patient education provided by the nurses nor their role in the development of the nurses’ pedagogical competence. The managers used (mainly) organisational, financial, medical and legal discourses for explaining their failure to support the nurses’ providing patient education (III). The discursive practice in primary care comprised a discourse order of economic, medical, organisational and didactic discourses. The economic discourse was the predominant one, to which the organisation had to adjust. The medical discourse was self-evident and unquestioned. The managers initiated reorganisations, generally due to financial constraints. The nurses’ pedagogical competence development was unclear. Practicebased experiences of patient education were considered very important, whereas theoretical pedagogical knowledge was considered less important (IV).

Conclusions: Nurses’ patient education work must be made visible and be given sufficient resources. In this process, support from their managers is considered vital. Managers’ support for nurses’ practical and theory-based pedagogical competence development needs to be strengthened.

Ort, förlag, år, upplaga, sidor
Göteborg: Göteborgs universitet, 2016. s. 68
Nyckelord
nurse, manager, patient education, teaching, information, pedagogical, critical discourse analysis
Nationell ämneskategori
Medicin och hälsovetenskap Omvårdnad
Forskningsämne
Människan i vården
Identifikatorer
urn:nbn:se:hb:diva-9555 (URN)978-91-628-9744-4 (ISBN)978-91-628-9745-1 (ISBN)
Disputation
2016-04-29, Sal: Åke Göransson, Medicinaregatan 11, Göteborgs universitet, Göteborg, 13:00 (Svenska)
Tillgänglig från: 2016-04-07 Skapad: 2016-04-07 Senast uppdaterad: 2017-05-04Bibliografiskt granskad

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Bergh, Anne-Louise

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