Evaluating Knowledge, Attitude and Practice of Health-Care Workers Regarding Patient Education in Iran
The objective of the study was to evaluate the position of patient education measuring knowledge, attitude, and practice (KAP) among health care workers (HCWs). It is also aimed to emphasize the need for a real position for patient education. This survey was performed among a group of HCWs in Iran. The scores had an acceptable level. However, nurses, females and younger people received higher scores. The staff was already aware of patient education necessity and considered it as the duty of all medical team. Often HCWs cannot include patient education in their routine due to time shortage, lack of staff’s financial motivation, fatigue, and loads of work, etc. There is still need for a real training in the educational curriculum. Additionally, the various HCWs–related obstacles should be taken into account.
Yeh ML, Chen HH, Liu PH. Effects of multimedia with printed nursing guide in education on self-efficacy and functional activity and hospitalization in patients with hip replacement. Patient Educ Couns 2005;57(2):217-24.
Rhee MK, Cook CB, El-Kebbi I, et al. Barriers to diabetes education in urban patients: Perceptions, patterns, and associated factors. Diabetes Educ 2005;31(3):410-7.
Godino C, Jodar L, Duran A, et al. Nursing education as an intervention to decrease fatigue perception in oncology patients. Eur J Oncol Nurs 2006;10(2):150-5.
Feldman-Stewart D, Brundage MD, Hayter C, et al. What prostate cancer patients should know: variation in professionals’ opinions. Radiother Oncol 1998;49(2):111-23.
Ludwick-Rosenthal R, Neufeld RJ. Stress management during medical procedures: an evaluative review of outcome studies. Psychol Bull 1988;104(3):326-42.
Carpenter DJ, Gatchel RJ, Hasegawa T. Effectiveness of a videotaped behavioral intervention for dental anxiety: The role of gender and the need for information. Behav Med 1994;20(3):123-32.
Paget L, Han P, Nedza S, et al. Patient-Clinician Communication: Basic Principles and Expectations. Accp. (Accessed in May 2015, 12, at http://www.accp.com/docs/positions/misc/iompatientclinic iandiscussionpaper.pdf).
Arranz P, Ulla SM, Ramos JL, et al. Evaluation of a counseling training program for nursing staff. Patient Educ Couns 2005;56(2):233-9.
Washburn SC, Hornberger CA, Klutman A, et al. Nurses’ knowledge of heart failure education topics as reported in a small Midwestern community hospital. J Cardiovasc Nurs 2005;20(3):215-20.
Willaing I, Ladelund S. Nurse counseling of patients withman overconsumption of alcohol. J Nurs Scholarsh 2005;37(1):30-5.
Vadaparampil ST, Clayton H, Quinn GP, et al. Pediatric oncology nurses’ attitudes related to discussing fertility preservation with pediatric cancer patients and their families. J Pediatr Oncol Nurs 2007;24(5):255-63.
Fitzpatrick E, Hyde A. Nurse-related factors in the delivery of preoperative patient education. J Clin Nurs 2006;15(6):671-7.
Marcum J, Ridenour M, Shaff G, et al. A study of professional nurses’ perceptions of patient education. J Contin Educ Nurs 2002;33(3):112-8.
Hanssen TA, Nordrehaug JE, Hanestad BR. A qualitative study of the information needs of acute myocardial infarction patients and their preferences for follow-up contact after discharge. Eur J Cardiovasc Nurs 2005;4(1):37-44.
Kyngas H. Patient education: Perspective of adolescents with a chronic disease. European J Cardiovasc Nurs 2003;12(5):744-51.
Habich M. Establishing a standard for pediatric inpatient diabetes education. Pediatr Nurs J 2006;32(2):113-5.
Sharp L, Tishelman C. Smoking cessation for patients with head and neck cancer: A qualitative study of patients’ and nurses’ experiences in a nurse-led intervention. Cancer Nurs 2005;28(3):226-35.
Fagermoen MS, Hamilton G. Patient information at discharge – a study of a combined approach. Patient Educ Couns 2006;63(1-2):169-76.
Prouty A, Cooper M, Thomas P, et al. Multidisciplinary patient education for total joint replacement surgery patients. Orthop Nurs 2006;25(4):257-61.
Feldman-Stewart D, Brundage M, Hayter C, et al. What questions do patients with curable prostate cancer want answered? Med Decis Making 2000;20(1):7-19.
Feldman-Stewart D, Brundage MD, Nickel JC, et al. The information required by patients with early-stage prostate cancer in choosing their treatment. BJU Int 2001;87(3):218-23.
Mohammadpour A, Mehdipour Y, Karimi A, et al. A comparative study of the Iran Ministry of Health patient and family education standards with joint commission on Accreditation of Healthcare Organizations. Health Inform Manag 2009;6(2):122.
Sigurdardóttir AK. Nurse specialists' perceptions of their role and function in relation to starting an adult diabetic on insulin. J Clin Nurs 1999;8(5):512-8.
Longtin Y, Sax H, L Leape L, et al. Patient Participation: Current Knowledge and Applicability to Patient Safety. Mayo Clin Proc 2010;85(1):53-62.
Turner S, Wellard S, Bethune E. Registered nurses' perceptions of teaching: constraints to the teaching moment. Int J Nurs Pract 1999;5(1):14-20.
Hewison A. Nurses’ power in interactions with patients. J Adv Nurs 1995;21(1):75-82.
Hibbard JH, Peters E, Slovic P, et al. Can patients be part of the solution? Views on their role in preventing medical errors. Med Care Res Rev 2005;62(5):601-16.
Saunders P. Encouraging patients to take part in their own care. Nurs Times 1995;91(9):42-3.
Brody DS. The patient’s role in clinical decision-making. Ann Intern Med 1980;93(5):718-22.
O’Flynn N, Britten N. Does the achievement of medical identity limit the ability of primary care practitioners to be patient-centered? A qualitative study. Patient Educ Couns 2006;60(10:49-56.
Bergh AL, Karlsson J, Persson E, et al. Registered nurses' perceptions of conditions for patient education – focusing on organizational, environmental and professional cooperation aspects. J Nurs Manag 2012;20(6):758-70.
Moret L, Rochedreux A, Chevalier S, et al. Medical information delivered to patients: Discrepancies concerning roles as perceived by physicians and nurses set against patient satisfaction. Patient Educ Couns 2008;70(1);94-101.
Park MY. Nurses’ perception of performance and responsibility of patient education. Taehan Kanho Hakhoe Chi 2005;35(8):1514-21.
Stevenson FA. General practitioners’ views on shared decision making: a qualitative analysis. Patient EducCouns 2003;50(3):291-3.
Anderson RM, Funnell MM. Patient empowerment: Reflections on the challenge of fostering the adoption of a new paradigm. Patient Educ Couns 2005;57(2):153-7.
Greenfield S, Kaplan S, Ware JE Jr. Expanding patient involvement in care: Effects on patient outcomes. Ann Intern Med 1985;102(4):520-8.
Braddock CH III, Edwards KA, Hasenberg NM, et al. Informed decision making in outpatient practice: Time toget back to basics. JAMA 1999;282(24):2313-20.
Dulmen V AM, Weert V JC. Effects of gynaecological education on interpersonal communication skills. BJOG 2001;108(5):485-91.
Van den Brink-Muinen A, Van Dulmen SM, de Haes HC, et al. Has patients’ involvement in the decision-making process changed over time? Health Expect 2006;9(4):333-42.
Kravitz RL, Melnikow J. Engaging patients in medical decision making. BMJ 2001;15(7313):584-5.
Kravitz RL, Bell RA, Azari R, et al. Direct observation of requests for clinical services in office practice: what do patients want and do they get it? Arch Intern Med 2003;163(14):1673-81.
Lewin SA, Skea ZC, Entwistle V, et al. Interventions for providers to promote a patient-centered approach in clinical consultations. Cochrane Database Systc Rev 2001;(4):CD003267.
Bettes BA, Coleman VH, Zinberg S, et al. Cesarean delivery on maternal request: obstetrician-gynecologists’ knowledge, perception, and practice patterns. Obstet Gynecol 2007;109(1):57-66.
Bergeson SC, Dean JD. A systems approach to patientcentered care. J Am Med Assoc 2006;296(23):2848-51.
Anderson RM, Funnell MM, Barr PA, et al. Learning to empower patients: Results of professional education program for diabetes. Diabetes Care 1991;14(7):584-90.
Roter DL, Hall JA, Kern DE, et al. Improving physicians’ interviewing skills and reducing patients’ emotional distress: A randomized clinical trial. Arch Intern Med 1995;155(17):1877-84.
Fellowes D, Wilkinson S, Moore P. Communication skills training for health care professionals working with cancer patients, their families and/or carers. Cochrane Database Syst Rev 2004;(2):CD003751.
Dulmen V AM, Holl RA. Effects of continuing paediatric education in interpersonal communication skills. Eur J Pediatr 2000;159(7):489-95.
Balint J, Shelton W. Regaining the initiative: Forging a new model of the patient-physician relationship. JAMA 1996;275(11):887-91.
Belcher VN, Fried TR, Agostini JV, et al. Views of older adults on patient participation in medication-related decision making. J Gen Intern Med 2006;21(4):298-303.
Novack DH, Suchman AL, Clark W, et al. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. Calibrating the physician: personal awareness and effective patient care. JAMA 1997;278(6):502-9.
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