Chapter 10 - Patient education. Chapter 10 content: patients’ rights and nurses’ responsibilities related to education; accreditation requirements for patient education; patients’ learning needs; nursing diagnoses, outcomes, and interventions for patient education; implementation, evaluation, and documentation of patient education.
Trang 1Chapter 10
Patient Education
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Trang 2Chapter 10 Content
10.1 Patients’ rights and nurses’ responsibilities
related to education 10.2 Accreditation requirements for patient
education
10.3 Patients’ learning needs
10.4 Nursing diagnoses, outcomes, and
interventions for patient education
10.5 Implementation, evaluation, and
documentation of patient education
Trang 310.1 Patients’ Rights and
Nurses’ Responsibilities
Trang 410.1 Patients’ Rights and Nurses’
– Ideally results in enhanced ability to
• Actively participate in health promotion and health maintenance
OR
• Cope with alterations in health or ability
Trang 510.1 Patients’ Rights and Nurses’
Responsibilities
• Patients’ Rights
– Patient Bill of Rights
• Healthcare professionals & patients must collaborate
• Patients need knowledge for active involvement
– Patient Self-Determination Act (PSDA)
• Right to active decision making in care
• Right to consent or refuse
Trang 610.1 Patients’ Rights and Nurses’
Trang 710.1 Patients’ Rights and Nurses’
Responsibilities
• National Standards
– Office of Minority Health
• Standards on Culturally and Linguistically Appropriate Services (CLAS)
Trang 810.2 Accreditation Requirements
for Patient Education
Trang 910.2 Accreditation Requirements
for Patient Education
• Accreditation
– Evaluation based on adherence to quality
standards, including patient education
– The Joint Commission (TJC)
• Most widely recognized accrediting body
• General patient education requirements
• Disease-specific patient education requirements
Trang 1010.2 Accreditation Requirements
for Patient Education
• TJC Requirements
– Assessment before education
– Educational topics for all patients
• Orientation to hospital room
– Evaluation of patient understanding
Trang 11– Nutrition – Daily weight
Trang 1210.2 Accreditation Requirements
for Patient Education
• National Patient Safety Goals (NPSG)
• Prevention of drug-resistant infections
• Prevention of central line associated infections
• Preventing surgical site infections
• Discharge medications
• Fall reduction
• Reporting safety concerns
• Asking for assistance if patient condition deteriorating
Trang 1310.3 Patients’ Learning Needs
Trang 1410.3 Patients’ Learning Needs
Trang 15Outcomes, and Interventions for
Patient Education
Trang 1610.4 Nursing Diagnoses, Outcomes, and Interventions
• Nursing Dx
– Examples:
• Knowledge, deficient
• Noncompliance
• Therapeutic regimen: ineffective management
– Specific details about the patient’s learning
need should be included in the nursing
diagnosis
Trang 1710.4 Nursing Diagnoses, Outcomes, and Interventions
• Nursing Outcomes
– Knowledge outcomes
• May include knowledge of 30 different topics such as
– Breast feeding – Cardiac disease management – Diabetes management
– Diet – Disease process – Medication
– Discharge readiness
– Fall prevention behavior
– Risk control
Trang 1810.4 Nursing Diagnoses, Outcomes, and Interventions
• Nursing Interventions
– Examples:
• Generic health education
• Parent education interventions
• Teaching interventions specific to disease process
• Preoperative teaching
• Prescribed diet
• Medications
Trang 1910.5 Implementation, Evaluation,
Education
Trang 21– If outcomes not met:
• Re-evaluate the patient for barriers to learning
• Consider alternate educational formats