1. Chapter 10 Patient Education McGraw-Hill
© 2012 The McGraw-Hill Companies, Inc. All rights reserved.

2. Chapter 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

3. 10.1 Patients’ Rights and Nurses’ Responsibilities
10-3

4. 10.1 Patients’ Rights and Nurses’ Responsibilities
Patient Education
Process
Provide information to patients, families, and communities
Ideally results in enhanced ability to
Actively participate in health promotion and health maintenance OR
Cope with alterations in health or ability.

5. 10.1 Patients’ Rights and Nurses’ Responsibilities
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

6. 10.1 Patients’ Rights and Nurses’ Responsibilities
Professional
Standards of practice
Ethical
Code of Ethics

7. 10.1 Patients’ Rights and Nurses’ Responsibilities
National Standards
Office of Minority Health
Standards on Culturally and Linguistically Appropriate Services (CLAS)

8. 10.2 Accreditation Requirements for Patient Education

9. 10.2 Accreditation Requirements for Patient Education
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

10. 10.2 Accreditation Requirements for Patient Education
TJC Requirements
Assessment before education
Educational topics for all patients
Medications
Equipment
Procedures
Hygiene
Nutrition
Orientation to hospital room
Evaluation of patient understanding

11. 10.2 Accreditation Requirements for Patient Education
Disease-Specific Education
Core measures
Developed by CMS, NQF and TJC
Identify specific educational requirements for diseases
CHF
Smoking cessation
Medications
Nutrition
Daily weight

12. 10.2 Accreditation Requirements for Patient Education
National Patient Safety Goals (NPSG)
Developed by TJC
Actions to prevent medical errors
Revised annually
Include multiple patient education requirements
Anticoagulant therapy
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

13. 10.3 Patients’ Learning Needs

14. 10.3 Patients’ Learning Needs
Assessment
Learning needs
Readiness to learn
Ability to learn
Health literacy
Barriers to learning
Pain
Anxiety
Language
Poor hearing/vision
Preferred method of learning

15. 10. 4 Nursing Diagnoses, Outcomes, and
10.4 Nursing Diagnoses, Outcomes, and Interventions for Patient Education

16. 10.4 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

17. 10.4 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

18. 10.4 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

19. 10. 5 Implementation, Evaluation, and
10.5 Implementation, Evaluation, and Documentation of Patient Education

20. 10.5 Implementation, Evaluation, and Documentation
Teaching Methods
Verbal
Drug information sheets
Videos
Booklets
Computer programs
Demonstrations
Group discussions
Educational television programming

21. 10.5 Implementation, Evaluation, and Documentation
Evaluation of Education
Method depends on content
Teach-back
Return demonstration
Questioning
Mastery of content or need for remediation should be documented
If outcomes not met:
Re-evaluate the patient for barriers to learning
Consider alternate educational formats