1
|
Bar-Zeev Y, Bovill M, Bonevski B, Gruppetta M, Reath J, Gould GS. Assessing and Validating an Educational Resource Package for Health Professionals to Improve Smoking Cessation Care in Aboriginal and Torres Strait Islander Pregnant Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:E1148. [PMID: 28961160 PMCID: PMC5664649 DOI: 10.3390/ijerph14101148] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Revised: 09/18/2017] [Accepted: 09/25/2017] [Indexed: 11/16/2022]
Abstract
Australian Aboriginal pregnant women have a high smoking prevalence (45%). Health professionals lack adequate educational resources to manage smoking. Resources need to be tailored to ensure saliency, cultural-sensitivity and account for diversity of Indigenous populations. As part of an intervention to improve health professionals' smoking cessation care in Aboriginal pregnant women, a resource package was developed collaboratively with two Aboriginal Medical Services. The purpose of this study was to assess and validate this resource package. A multi-centred community-based participatory 4-step process (with three Aboriginal Medical Services from three Australian states), included: (1) Scientific review by an expert panel (2) 'Suitability of Materials' scoring by two Aboriginal Health Workers (3) Readability scores (4) Focus groups with health professionals. Content was analysed using six pre-determined themes (attraction, comprehension, self-efficacy, graphics and layout, cultural acceptability, and persuasion), with further inductive analysis for emerging themes. Suitability of Material scoring was adequate or superior. Average readability was grade 6.4 for patient resources (range 5.1-7.2), and 9.8 for health provider resources (range 8.5-10.6). Emergent themes included 'Getting the message right'; 'Engaging with family'; 'Needing visual aids'; and 'Requiring practicality under a tight timeframe'. Results were presented back to a Stakeholder and Consumer Aboriginal Advisory Panel and resources were adjusted accordingly. This process ensured materials used for the intervention were culturally responsive, evidence-based and useful. This novel formative evaluation protocol could be adapted for other Indigenous and culturally diverse interventions. The added value of this time-consuming and costly process is yet to be justified in research, and might impact the potential adaption by other projects.
Collapse
Affiliation(s)
- Yael Bar-Zeev
- School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2300, Australia.
| | - Michelle Bovill
- School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2300, Australia.
| | - Billie Bonevski
- School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2300, Australia.
| | - Maree Gruppetta
- School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2300, Australia.
| | - Jennifer Reath
- Department of General Practice, Western Sydney University, Campbelltown, NSW 2560, Australia.
| | - Gillian S Gould
- School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2300, Australia.
| |
Collapse
|
2
|
Ho TM, Estrada D, Agudo J, Arias P, Capillas R, Gibert E, Isnard MM, Solé MJ, Salvadó A. Assessing the impact of educational intervention in patients with hypertension. J Ren Care 2016; 42:205-211. [DOI: 10.1111/jorc.12165] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Tai Mooi Ho
- Servie de Nefrologia; Hospital del Mar (IMAS); Barcelona Catalunya Spain
| | - Dolors Estrada
- Hospital Clinic de Barcelona; Servei de Medicina; Barcelona Catalunya Spain
| | - Josep Agudo
- ICS, Sant Adrià de Besòs; Cap La Mina Barcelona Spain
| | - Piedad Arias
- Fundacio Puigvert; Servei de Nefrologia; Barcelona Catalunya Spain
| | - Raúl Capillas
- CAP Sant Josep; Hospitalet de Llobregat, ICS; Barcelona Spain
| | | | - Mª Mar Isnard
- Servei de Medicina Interna; Hospital de Sant Pau; Barcelona Spain
| | | | | |
Collapse
|
3
|
Deek H, Noureddine S, Newton PJ, Inglis SC, MacDonald PS, Davidson PM. A family-focused intervention for heart failure self-care: conceptual underpinnings of a culturally appropriate intervention. J Adv Nurs 2015; 72:434-50. [PMID: 26365459 DOI: 10.1111/jan.12768] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2015] [Indexed: 12/22/2022]
Abstract
AIM A discussion of the conceptual elements of an intervention tailored to the needs of Lebanese families. BACKGROUND The role of informal caregiving is strongly recommended for individuals with chronic conditions including heart failure. Although this importance is recognized, conceptual and theoretical underpinnings are not well elucidated nor are methods of intervention implementation. DESIGN Discussion paper on the conceptual underpinning of the FAMILY model. METHODS AND DATA SOURCES This intervention was undertaken using linked methods: (1) Appraisal of theoretical model; (2) review of systematic reviews on educational interventions promoting self-management in chronic conditions in four databases with no year limit; (3) socio-cultural context identification from selected papers; (4) expert consultation using consensus methods; and (5) model development. RESULTS Theories on self-care and behavioural change, eighteen systematic reviews on educational interventions and selected papers identifying sociocultural elements along with expert opinion were used to guide the development of The FAMILY Intervention Heart Failure Model. Theory and practice driven concepts identified include: behavioural change, linkage, partnership and self-regulation. IMPLICATIONS FOR NURSING Heart failure is a common condition often requiring in-hospital and home-based care. Educational interventions targeting the socio-cultural influences of the patients and their family caregivers through a structured and well-designed program can improve outcomes. CONCLUSION As the burden of chronic diseases increases globally, particularly in emerging economies, developing models of intervention that are appropriate to both the individual and the socio-cultural context are necessary.
Collapse
Affiliation(s)
- Hiba Deek
- Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Australia
| | - Samar Noureddine
- Rafic Hariri School of Nursing, American University of Beirut, Lebanon
| | - Phillip J Newton
- Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Australia
| | - Sally C Inglis
- Centre for Cardiovascular and Chronic Care, Faculty of Health, University of Technology Sydney, Australia
| | - Peter S MacDonald
- Transplantation Research Laboratory at the Victor Chang Institute, St Vincent Hospital, Darlinghurst, Australia
| | | |
Collapse
|
4
|
Bergh AL, Johansson I, Persson E, Karlsson J, Friberg F. Nurses’ Patient Education Questionnaire – development and validation process. J Res Nurs 2014. [DOI: 10.1177/1744987114531583] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Conditions for nurses’ daily patient education work are unclear and require clarification. The aim was to develop and validate the Nurses’ Patient Education Questionnaire, a questionnaire that assesses nurses’ perceptions of appropriate conditions for patient education work: what nurses say they actually do and what they think about what they do. The questionnaire was developed from a literature review, resulting in the development of five domains. This was followed by ‘cognitive interviewing’ with 14 nurses and dialogue with 5 pedagogical experts. The five domains were identified as significant for assessing nurses’ beliefs and knowledge; education environment; health care organisation; interdisciplinary cooperation and collegial teamwork; and patient education activities. A content validity index was used for agreement of relevance and consensus of items by nurses ( n = 10). The total number of items in the final questionnaire is 60, consisting of demographic items, what nurses report they do and perceptions about patient education in daily work. The questionnaire can be used by managers and nurses to identify possibilities and barriers to patient education in different care contexts.
Collapse
Affiliation(s)
- Anne-Louise Bergh
- Doctoral Student, School of Health Sciences, University of Borås, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Inger Johansson
- Professor, Department of Nursing, University College Gjøvik, Norway; Associate Professor, Department of Nursing, University of Karlstad, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Eva Persson
- Associate Professor, Faculty of Medicine, Department of Health Sciences, Lund University, Sweden; School of Health Sciences, University of Borås, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Jan Karlsson
- Associate Professor, Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden; Centre for Health Care Sciences, Örebro University Hospital, Sweden
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| | - Febe Friberg
- Professor, Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway; Associate Professor, Institute of Health Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden
| |
Collapse
|
5
|
Michaels C, McEwen MM, McArthur DB. Saying “no” to professional recommendations: Client values, beliefs, and evidence-based practice. ACTA ACUST UNITED AC 2008; 20:585-9. [DOI: 10.1111/j.1745-7599.2008.00372.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
8
|
Yoon SJ, Conway J, McMillan M. An exploration of the concept of patient education: Implications for the development of educational programmes for relapsed post-bone marrow transplantation patients and their families in Korea. Int J Nurs Pract 2006; 12:129-35. [PMID: 16674779 DOI: 10.1111/j.1440-172x.2006.00561.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Frequently, the nursing care of patients who undergo bone marrow transplantation (BMT) is focused on acute, curative care. However, given that recurrent disease following BMT has a poor prognosis, a focus on acute care alone appears inappropriate for those clients who experience relapse. Care for this group of patients should be more inclusive of principles that underpin palliative care. Patient education is an important element of palliative care. Therefore, patient education based on the principles of palliative care should play a significant part in the nursing care of BMT patients with recurrent disease. This paper proposes a framework for the development of a palliative educational programme for relapsed post-BMT patients and their families in Korea. The framework was developed through a concept analysis of patient education.
Collapse
Affiliation(s)
- Soo Jin Yoon
- Department of Nursing, Cheju-Halla College, Korea
| | | | | |
Collapse
|
9
|
Hayes K. Designing Written Medication Instructions: Effective Ways to Help Older Adults Self-Medicate. J Gerontol Nurs 2005; 31:5-10. [PMID: 15916198 DOI: 10.3928/0098-9134-20050501-04] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
One of the goals of Healthy People 2010 is for 95% of patients who are ordered medication to receive written medication instructions. The declining physical condition often associated with advanced age, lower literacy levels, and education among members of the current elderly cohorts, and increasingly complex medication regimes for chronic illness affect the ability of many older adults to learn. This article addresses Geragogy, the art and science of helping older adults learn, complimentary theories of learning, and examples of how they can be used to guide the construction of appropriate written medication instructions for older adults.
Collapse
Affiliation(s)
- Karen Hayes
- Wichita State University, Wichita, Kansas 67260, USA
| |
Collapse
|