Lecture Nursing documentation using electronic health records: Chapter 10 - Byron R. Hamilton, Mary Harper, Paul Moore

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.

Chapter 10 10-1 Patient Education McGraw­Hill © 2012 The McGraw­Hill Companies, Inc. All rights reserved 10-2 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 10.1 Patients’ Rights and Nurses’ Responsibilities 10-3 10-4 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 10-5 10.1 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 10-6 10.1 Patients’ Rights and Nurses’ Responsibilities • Nurses’ Responsibilities – Professional • Standards of practice – Ethical • Code of Ethics 10-7 10.1 Patients’ Rights and Nurses’ Responsibilities • National Standards – Office of Minority Health • Standards on Culturally and Linguistically Appropriate Services (CLAS) 10.2 Accreditation Requirements for Patient Education 10-8 10-9 10.2 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 10-10 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 10-11 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 10-12 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 10.3 Patients’ Learning Needs 10-13 10-14 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 10.4 Nursing Diagnoses, Outcomes, and Interventions for Patient Education 10-15 10-16 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 10-17 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 10-18 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 10-19 10.5 Implementation, Evaluation, and Documentation of Patient Education 10-20 10.5 Implementation, Evaluation, and Documentation • Teaching Methods – Verbal – Drug information sheets – Videos – Booklets – Computer programs – Demonstrations – Group discussions – Educational television programming 10-21 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 .. .1 0- 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. .. Preferred method of learning 10. 4 Nursing Diagnoses, Outcomes, and Interventions for Patient Education 1 0- 15 1 0- 16 10. 4 Nursing Diagnoses, Outcomes, and Interventions • Nursing Dx – Examples: • Knowledge,... interventions for patient education 10. 5 Implementation, evaluation, and documentation of patient education 10. 1 Patients’ Rights and Nurses’ Responsibilities 1 0- 3 1 0- 4 10. 1 Patients’ Rights and Nurses’