Development and Analysis a "Nursing Practice Model" for Patient Education in Nursing

通过对专家护士关于病人教育导致“病人自我管理的行为改变”的案例的报道和分析，提炼出有效病人教育的因素，并建立模型，对53名护理科研人员和临床护士记录的162例专家护士的病人教育案例进行分析。目前有27名研究人员参与了这项研究。每一次会议至少有5名，最多20名，平均13名研究人员进行分析。研究周期为10年(1994年7月至2005年3月)。在最初的归纳分析中，研究人员和临床护理主管根据自己的临床经验、教育案例、既往研究和学习理论进行讨论分析。采用归纳与演绎交替分析的方法，提取“与活体有关的知识与技能”、“与疾病与治疗有关的知识与技能”、“与教育方法有关的知识与技能”、“专业学习氛围第二版”，作为有效的患者教育、提示言行及其直观解释的因素。通过分析各因素之间的相互关系，提出了适合患者教育的“护理实习模式”。将该模型应用于患者教育案例，显示了良好的有效性，该模型被评估为有用的。

Through reporting and analyzing cases of expert nurses on patient education leading to "modification of behavior heading toward self-management by the patient", the factors for effective patient education were extracted, and a model was developed.A total of 162 patient education cases recorded by expert nurses were analyzed by 53 nursing researchers and clinical nurses. Currently 27 researchers are participating in the research. Each session was analyzed by a minimum of 5,a maximum of 20 and on average 13 researchers. The research period was 10 years (July 1994 to March 2005). In the initial inductive analyses, researchers and clinical nursing supervisors conducted analyses through discussions based on their own clinical experience, educational cases, previous research and learning theory. Inductive and deductive analyses were conducted alternately.As factors for effective patient education, cueing remarks and actions, and their intuitional interpretation, "knowledge and skills concerning the living individual", "knowledge and skills concerning diseases and treatments", "knowledge and skills concerning educational methods", and "professional learning climate second version" were extracted. By analyzing the interrelationship between factors, a "nursing practice model" for patient education was developed. Applying this model to patient education cases revealed a good level of validity, and the model was evaluated as useful.