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

通过专家护士对患者教育导致“患者行为改变走向自我管理”的案例报告和分析，提取有效患者教育的因素，并建立模型。53名护理研究员和临床护士对专家护士记录的162例患者教育病例进行分析。目前有27名研究人员参与了这项研究。每次研究最少5人，最多20人，平均13人。研究时间为10年（1994年7月至2005年3月）。在初步归纳分析中，研究人员和临床护理主管结合自身临床经验、教育案例、既往研究和学习理论进行讨论分析。归纳分析和演绎分析交替进行。作为有效的患者教育、提示性言论和行为及其直观解释的因素，提取了“关于生活个体的知识和技能”、“关于疾病和治疗的知识和技能”、“关于教育方法的知识和技能”和“专业学习氛围第二版”。通过分析各因素之间的相互关系，建立了患者教育的“护理实践模型”。将该模型应用于患者教育案例显示出良好的效度，该模型被评价为有用的。

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.