Abstract：
OBJECTIVE:To explore the effectiveness of a patient education programme for chronic disease self-management in terms of whether (a) patients are taught to perform the medical procedure and (b) nurses have evidence of patients' proficiency when they start self-management. METHODS:Patients were followed through an education programme for oral anticoagulation therapy, involving the use of INR-monitors. Training sessions were video-recorded and analyzed using Conversation Analysis. 55 instructional opportunities were identified, and the relationship between instructional response and patients' subsequent (un)successful demonstration of the procedure traced. RESULTS:Patient errors provide the most frequent type of instructional opportunity, but not all are addressed; a significant number is allowed to pass uncorrected. Consequently, patients are not given the opportunity to learn. In the majority of cases where instructional opportunities are missed, patients subsequently do not demonstrate a correct understanding of the procedure. CONCLUSION:Patients are allowed to start self-management although nurses do not have evidence that they are capable of performing all aspects of the medical procedure correctly. PRACTICE IMPLICATIONS:Effective practice suggests that nurses take measures to minimize the amount of missed instructional opportunities that arise and ensure that errors are pursued until patients demonstrate proficiency in all aspects of the procedure.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Larsen Tdoi
10.1016/j.pec.2016.10.001subject
Has Abstractpub_date
2017-04-01 00:00:00pages
673-681issue
4eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30448-7journal_volume
100pub_type
杂志文章abstract：:We report the evaluation of a pharmacist-led medication education program for the elderly. The program consisted of a single group-based education session followed by individual pre-discharge counseling. Patients also received an individual medication record card. The study design was a nonrandomised trial. Patients i...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章
doi：10.1016/0738-3991(90)90090-8
更新日期：1990-10-01 00:00:00
abstract：OBJECTIVE:To describe a new tool designed to capture patients' perception of their low back pain (LBP) episodes-the patient perception scale (PPS) and test its ability to predict episode outcomes. METHODS:Thirty-two family physicians recruited 526 low back pain patients during an office visit. Physicians completed a s...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/j.pec.2007.03.015
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:Recent studies have recognised that the communication skills learned in the training environment are not always transferred back into the clinical setting. This paper reports a study which investigated the potential of clinical supervision in enhancing the transfer process. METHODS:A randomised controlled tr...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2005.08.008
更新日期：2006-03-01 00:00:00
abstract：:Relationship behaviors contribute to compromised health or resilience. Everyday communication between intimate partners represents the vast majority of their interactions. When intimate partners take on new roles as patients and caregivers, everyday communication takes on a new and important role in managing both the ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.10.019
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:To examine whether, and if so, how psychosocial topics are discussed between parents and pediatricians. METHODS:Thirty well-child visits at eight pediatricians' practices in southwest Germany were video recorded. Conversations were analyzed. RESULTS:Although psychosocial topics were frequently touched upon,...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2014.07.032
更新日期：2014-11-01 00:00:00
abstract：:In the emergency department, continuity of care is constant. ED high utilizers have social needs unmet and limited places to turn for help. ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.11.027
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the feasibility of a web-based coaching programme for vascular risk factor treatment, to describe the patterns of use and to measure changes in risk factors. METHODS:Patients with a clinical manifestation of arterial disease and Internet access were asked to participate in the nurse-led Internet-...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章
doi：10.1016/j.pec.2008.06.004
更新日期：2008-10-01 00:00:00
abstract：:Patient delay is the interval between the day someone first becomes aware of an unexplained symptom and the day they seek medical consultation. This pre-diagnostic period is comprised of several stages which may involve delay on the part of the individual. This study investigated factors influencing the process of det...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(00)00104-x
更新日期：2001-02-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to gain a greater understanding of the potential mechanisms of life coaching in relation to young people with Type 1 diabetes (T1DM); including how it influences their motivation and their ability to see opportunities and overcome barriers. METHODS:Within the theoretical framewo...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.010
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:This article explores the effect of conflicting information, defined as contradictory information about medication topics from different sources, on medication adherence in a sample of chronically ill patients. We specifically investigate whether conflicting information and physician support directly affect m...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.11.006
更新日期：2010-11-01 00:00:00
abstract：:Previous research has primarily focused on the relationship between providers and expectant mothers as a key element of quality prenatal care. Significantly less attention has been directed toward expectant fathers and the importance of their communication with prenatal care providers and involvement in the prenatal c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.11.005
更新日期：2020-11-06 00:00:00
abstract：:Developments in predictive testing for inherited cancers have focused attention on the accurate and sensitive communication of risk information. Although sharing risk information is often equated with genetic testing, it is important to acknowledge that the need for risk information related to familial cancer is also ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(97)00047-5
更新日期：1998-01-01 00:00:00
abstract：:The aim of this study was to evaluate the likelihood, correlates, and psychological impact of parental communication to children of parents' BRCA1/2 genetic test results for breast cancer risk. Subjects were 133 adult members of high risk families. Sociodemographic, clinical, and psychological distress variables were ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(00)00122-1
更新日期：2001-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to examine the extent to which functional, interactive and critical health literacy are associated with patients' perceived control over care and frequency of GP visits. METHODS:Data from the Dutch 'National Panel of People with Chronic Illness or Disability' was used (N=2508). Healt...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.04.006
更新日期：2015-08-01 00:00:00
abstract：OBJECTIVE:Examine the psychometric properties of the Appraisal of Caregiving Scale (ACS). METHODS:Data were collected as part of the FOCUS Program trial in Michigan (N = 484 caregivers). RESULTS:Exploratory factor analysis found the ACS measured Threat, General Stress, and Benefit appraisals. Cronbach's alphas for al...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.01.009
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:We aimed to evaluate the effect of a decision aid (DA) with patient narratives on decisional conflict in surgery choice for Japanese women with early-stage breast cancer. METHODS:Two hundred ten women with early-stage breast cancer were randomly assigned to an intervention or control group. Groups 1 and 2 re...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2016.09.011
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVE:Breaking bad news (BBN) is a significant source of stress for doctors. In this study we qualitatively explored doctors' perceptions of their BBN experiences, to identify the range of appraisal and coping processes associated with this task. METHODS:Individual semi-structured interviews were conducted with 28...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.006
更新日期：2013-05-01 00:00:00
abstract：OBJECTIVE:To review the literature on the communicative behaviours primary care patients want from a "good" physician. METHODS:An electronic search used the key words doctor-patient relation AND patient desires OR patient expectations OR patient preferences (from now on referred to as expectations). The qualitative an...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2012.05.005
更新日期：2013-03-01 00:00:00
abstract：:How can health professional teams provide patient-centred care in the treatment of chronic disease? What education and training is needed to achieve this? Patient-centred care means helping people living with a condition make informed choices to maximise their quality of life. The health professional's role is to faci...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(95)00727-h
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:To review the strengths and weaknesses of deliberative and intuitive processes in the context of patient decision support and to discuss implications for decision aid (DA) design. METHODS:Conceptual review of the strengths and weaknesses of intuitive and analytical decision making and applying these findings...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.11.016
更新日期：2013-05-01 00:00:00
abstract：:Shared decision-making is considered an important ideal for physician-patient interaction. The ideal states that health-related values should be discussed together. It raises two questions: (a) for which decisions is the ideal of shared decision-making relevant? (b) Which aspects of treatment should be discussed? The ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00093-2
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVE:To assess general practitioners' (GPs) provision of patient education with respect to patients with depression or anxiety. METHODS:The study relied on the prospective self-recording of patient consultations by GPs. The participating GPs (n = 78) completed 385 registration forms. For each performance indicato...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.07.026
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVE:To examine medication-related problems from the perspective of patients with a chronic condition and to identify how they may be supported in managing their medication. METHODS:Patients prescribed medication for cardiovascular disease were recruited through five general medical surgeries and four community p...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2006.09.012
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To describe the type of care provided by a nationally-representative sample of informal caregivers, the frequency of unmet supportive care needs, and examine characteristics associated with unmet needs. METHODS:Using data from the Health Information National Trends Survey, we identified caregivers of an adul...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.015
更新日期：2020-03-01 00:00:00
abstract：:We must humbly acknowledge that the healthcare system is less and less about empathy despite interacting with patients is a prerequisite for care: shared decision making is the cornerstone for compliance to treatment and therefore its -effectiveness. Empathy is not about tricks, it is about "client-centred therapy" a ...
journal_title：Patient education and counseling
pub_type： 评论,信件
doi：10.1016/j.pec.2020.03.024
更新日期：2020-09-01 00:00:00
abstract：:The study objective was to evaluate the effect of a patient information video during the informed consent process of a perinatal trial. Ninety women, between 19 and 33 weeks gestation, were randomised to receive written information about this perinatal trial and watch an information video or to receive written informa...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0738-3991(96)00968-8
更新日期：1997-03-01 00:00:00
abstract：OBJECTIVE:to systematically review all available studies that investigated the longitudinal relationships between the psychological characteristics of children and adolescents suffering from asthma and those of their caregivers, and the onset and course of the asthma. METHODS:relevant studies were identified using Med...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.03.011
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:Within the framework of a randomized, active treatment controlled trial, we used a mediation analysis to understand the mechanisms by which an intervention that uses confrontation with spirometry for smoking cessation achieves its effects. METHODS:Participants were 228 smokers from the general population wit...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2008.11.017
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVE:To determine the association between the format of physicians' opening questions that solicit patients' presenting concerns and patients' post-visit evaluations of (i.e., satisfaction with) the affective-relational dimension of physicians' communication. METHODS:Videotape and questionnaire data were collecte...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.11.009
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVE:In an effort to examine the decreasing oral health trend of Australian dental patients, the Health Belief Model (HBM) was utilised to understand the beliefs underlying brushing and flossing self-care. The HBM states that perception of severity and susceptibility to inaction and an estimate of the barriers and...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.06.014
更新日期：2010-02-01 00:00:00
