期刊论文详细信息
Journal of Diabetes & Metabolic Disorders
Pilot educational program to enhance empowering patient education of school-age children with diabetes
Ilse Eriksson1  Elina Eriksson2  Marjatta Kelo1 
[1] Institute of Behavioural Sciences, University of Helsinki, Siltavuorenpenger 5 A, P.O. Box 9, Helsinki, 00140, Finland;Department of Nursing Science, University of Turku, Turku, Finland
关键词: Diabetes;    Children;    Empowerment;    Patient education;   
Others  :  807053
DOI  :  10.1186/2251-6581-12-16
 received in 2012-08-17, accepted in 2013-05-02,  发布年份 2013
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【 摘 要 】

Background

Nurses have a crucial role in patient education of children with type 1 diabetes, but they often exhibit lack of knowledge of the patient education process. This study aimed to describe an educational program to enhance empowering patient education process for the blood glucose monitoring education of school-age children and nurses’ perceptions of using empowering techniques.

Methods

An empowering patient education process for the diabetes education of school-age children was developed. The researcher collected nurse’s perceptions of managing the educational program by semi-structured interviews. Ten nurses carried out the diabetes education, and 8 of them participated in the interview. Three nurses implemented the diabetes education twice and were interviewed twice. The data consisted of 11 descriptions of the blood glucose monitoring education. The interviewer analyzed the data deductively and inductively by content analysis.

Results

Nurses described successful managing of the empowering patient education process. The need assessment consisted of using multiple methods and clarifying the capabilities and challenges of children and their parents. Planning manifested itself in adequate preparation and multiple objectives stated together with the family. Implementation comprised the relevant content, and the use of suitable teaching materials and methods. Evaluation was performed with various methods and documented accurately. Nurses also faced some challenges related to management and leadership, ambivalence with traditional and empowering patient education, and families’ overall situation.

Conclusion

An example of developing evidence-based patient education program is presented, but besides education other factors supporting changes in work practices should be considered in further development.

【 授权许可】

   
2013 Kelo et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]American Diabetes Association: Standards of medical care in diabetes–2011. Diabetes Care 2011, 34(Suppl 1):s11-s61.
  • [2]Silverstein J, Klingensmith G, Copeland K: Care for children and adolescents with type 1 diabetes. A statement of the American Diabetes Association. Diabetes Care 2005, 28:186-212.
  • [3]Funnell MM, Anderson RM, Arnold MS: Empowerment: An idea whose time has come in diabetes education. Diabetes Educ 1991, 17:37-41.
  • [4]Anderson RM, Funnell MM: Patient empowerment: Myths and misconceptions. Patient Educ Couns 2010, 79:277-282.
  • [5]Kelo M, Martikainen M, Eriksson E: Self-care of school-age children with diabetes: An integrative review. J Adv Nurs 2011, 67:2096-2108.
  • [6]Lange K, Sassmann H, von Schütz W, Kordonouri O, Danne T: Prerequisites for age-appropriate education in type 1 diabetes: a model programme for paediaric diabetes education in Germany. Pediatr Diabetes 2007, 8(Suppl 6):63-71.
  • [7]Llahana SV, Poulton BC, Coates VE: The paediatric diabetes specialist nurse and diabetes education in childhood. J Adv Nurs 2001, 33:296-306.
  • [8]Peimani M, Tabatabaei-Malazy O, Pajouhi M: Nurses’ role in diabetes care; A review. Iranian Journal of Diabetes and Lipid Disorders 2010, 9:1-9.
  • [9]Carpenter JA, Bell SK: What do nurses know about teaching patients? J Nurses Staff Dev 2002, 18:157-161.
  • [10]Barber-Parker ED: Integrating patient teaching into bedside patient care: a participant-observation study of hospital nurses. Patient Educ Couns 2002, 48:107-113.
  • [11]Turner dS, Wellard S, Bethune E: Registered nurses’ perceptions of teaching: Constraints to the teaching moment. Int J Nurs Pract 1999, 5:14-20.
  • [12]Kelo M, Martikainen M, Eriksson E: Patient education of children and their families: nurses’ experiences. Pediatr Nurs 2013, 39:71-79.
  • [13]Bastable SB: Overview of education in health care. In Nurse as educator: Principles of teaching and learning practice. 3rd edition. Edited by Bastable SB. Sudbury, MA: Jones and Bartlett Publishers; 2008:pp. 3-23.
  • [14]Aujoulat I, d’Hoore W, Deccache A: Patient empowerment in theory and practice: Polysemy or cacophony? Patient Educ Couns 2007, 66:13-20.
  • [15]Kelo M, Eriksson E, Eriksson I: School-age children’s and their parents’ perception of nurses as educators. Scand J Caring Sci 2012.
  • [16]Pyörälä E: The participation roles of children and adolescents in the dietary counseling of diabetics. Patient Educ Couns 2004, 55:385-395.
  • [17]Bastable SB, Dart MA: Developmental stages of the learner. In Nurse as educator: Principles of teaching and learning practice. 3rd edition. Edited by Bastable SB. Sudbury, MA: Jones and Bartlett Publishers; 2008:pp. 147-198.
  • [18]Santrock JW: Child development. 11th edition. Boston: McGraw-Hill.JW; 2007.
  • [19]Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B: National standards for diabetes self-management education. Diabetes Care 2008, 31(Suppl 1):97-103.
  • [20]Herrman JW: Children’s and young adolescents’ voices: perceptions of the costs and rewards of diabetes and its treatment. J Pediatr Nurs 2006, 21:211-221.
  • [21]Pelander T, Leino-Kilpi H, Katajisto J: Quality of pediatric nursing care in Finland. Children’s perspective. J Nurs Care Qual 2007, 22:185-94.
  • [22]Hallström I, Elander G: Families’ needs when a child is long-term ill: a literature review with reference to nursing research. Int J Nurs Pract 2007, 13:193-200.
  • [23]Hummelinck A, Pollock K: Parents’ information needs about the treatment of their chronically ill child: A qualitative study. Patient Educ Couns 2005, 62:228-34.
  • [24]Wennick A, Hallström I: Swedish families’ lived experience when a child is first diagnosed as having insulin-dependent diabetes mellitus: an ongoing learning process. J Fam Nurs 2006, 12:368-389.
  • [25]Swift PGF: Diabetes education in children and adolescents. Pediatr Diabetes 2009, 10(Suppl 12):51-7.
  • [26]Elo S, Kyngäs H: The qualitative content analysis process. J Adv Nurs 2008, 62:107-115.
  • [27]Patton MQ: Qualitative research and evaluation methods. 3rd edition. Thousand Oaks, California: Sage Publications; 2002.
  • [28]Titler M: Translating research into practice. Models for changing clinician behavior. Am J Nurs 2007, 107(Suppl):26-31.
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