| چکیده انگلیسی مقاله |
Background: The most important barriers to patient education are nurses’ poor motivation and training, and poor quality of managerial supervision. Clinical supervision could be a powerful tool for overcoming these barriers. However, the associated patient, staff, and organization-related outcomes still require further research.In the recent years, researchers have planned, tested, and implemented several interventions based on one-to-one training, group training, use of pamphlets, and clinical supervision with the goal of enhancing nurses’ performance in terms of patient education. Based on the studies examining the outcomes of patient education from the patients’ perspectives, the aforementioned interventions improve the patients’ satisfaction with the education performance of nurses . However, since patient education is a multidimensional process, its outcomes at staff and organization levels are also worthy of consideration. Aim: The present study aimed to evaluate the patient-, staff-, and organization-related outcomes of group clinical supervision with the goal of improving patient education. Method: This quasi-experimental study was conducted on 35 nurses and mothers of 94 children admitted to the surgery and nephrology wards of Dr. Sheikh Hospital, Mashhad, Iran, in 2016. A 3- month clinical supervision program consisting of support, education, feedback, and facilitation stages was implemented with the assistance of education facilitators. Accordingly, the number of the participating mothers (for the proper evaluation of patient’s satisfaction) was calculated as 94 cases per stage (i.e., pre-intervention and post-intervention). Furthermore, 30-35 cases were determined for the participating nurses (for the proper evaluation of education performance) and medical records to be investigated (for the proper evaluation of education documentation). The inclusion criteria for the nurses were the bachelor’s or master’s degree in nursing and a minimum of one year of work experience at Dr. Sheikh Hospital. The inclusion criteria for the patients were: 1) age of 1-15 years, 2) admission to Surgery or Nephrology Ward, and 3) presence of the mother for filling out the consent forms in the cases where the child was younger than 12 years old. On the other hand, the exclusion criteria for the nurses entailed refusal to continue partaking in the research and absence for more than 2 h of the 12-hour program. In addition, the exclusion criteria for the patients were refusal to participate in the research and deterioration of patient’s health or death. The data collection instruments were the questionnaire of patient satisfaction with nurses’ education, Herzberg’s job motivation questionnaire, and the checklists for the observation of education performance and quality of education documentation. The data were collected using the questionnaire of patient’s satisfaction with nurses’ education, Herzberg’s job motivation questionnaire, and the checklists of nurses’ education performance and quality of education documentation. Data analysis was performed by Mann-Whitney U test, Fisher’s exact test, and independent-t test in SPSS, version 14. Results: TAccording to the results, the mean age of the participating nurses was 30.3±6.7 years. All participating nurses were female and had a bachelor’s degree. About 54% of the nurses were employed as part of national nurse training program. The mean ages of the mothers who participated in the pre- and post-intervention surveys were 31.9±7.3 and 32.0±2.6 years, respectively. The results of the Mann-Whitney U test showed no significant difference between the mean ages of mothers at these two stages (P=0.69). The mean ages of the hospitalized children at the pre- and post-intervention stages were 5.2±3.8 and 5.6±4.1 years, respectively. The Mann-Whitney U test revealed no significant difference between the mean ages of children at these stages (P=0.67). The demographic characteristics of the children and mothers before and after the intervention were homogeneous . Implications for Practice: Group clinical supervision could improve the quality of education documentation, nurses’ education performance, and patients’ satisfaction with provided education. Implications for Practice This study examined the patient-, nursing staff- and organization-related outcomes of implementing a clinical supervision program. The findings of this study can be utilized by nursing directors to plan a group clinical supervision program with a professional development and support approach in order to improve the quality of patient education, patient’s satisfaction, and nurses’ occupational motivation. Acknowledgments We are grateful to all the participants who volunteered to take part in this investigation. The present study is part of the research plan No. 930954, approved by the Research Deputy of Mashhad University of Medical Sciences, Mashhad, Iran. Hereby, the authors express their gratitude to the authorities in Mashhad University of Medical Sciences for their sponsorship and also the authorities of Nursing and Midwifery Faculty for their invaluable support. Conflicts of Interest The authors declare no conflicts of interest. |
