Pilot educational program to enhance empowering patient education of school-age children with diabetes

Abstract

BackgroundNurses have a crucial role in patient education of children with type 1 diabetes, but they often exhibit lack of knowledge of the patient education process. This study aimed to describe an educational program to enhance empowering patient education process for the blood glucose monitoring education of school-age children and nurses’ perceptions of using empowering techniques.MethodsAn empowering patient education process for the diabetes education of school-age children was developed. The researcher collected nurse’s perceptions of managing the educational program by semi-structured interviews. Ten nurses carried out the diabetes education, and 8 of them participated in the interview. Three nurses implemented the diabetes education twice and were interviewed twice. The data consisted of 11 descriptions of the blood glucose monitoring education. The interviewer analyzed the data deductively and inductively by content analysis.ResultsNurses described successful managing of the empowering patient education process. The need assessment consisted of using multiple methods and clarifying the capabilities and challenges of children and their parents. Planning manifested itself in adequate preparation and multiple objectives stated together with the family. Implementation comprised the relevant content, and the use of suitable teaching materials and methods. Evaluation was performed with various methods and documented accurately. Nurses also faced some challenges related to management and leadership, ambivalence with traditional and empowering patient education, and families’ overall situation.ConclusionAn example of developing evidence-based patient education program is presented, but besides education other factors supporting changes in work practices should be considered in further development.

Children and Adolescents with Primary Tension‐Type Headaches: Research and Practice Perspectives for Non‐ Pharmacological Interdisciplinary Headache Service

“…In order to implement an educational activity that leads to positive outcomes, it is maintained that health care professionals must be trained. This argument is supported by Kelo et al [56], who also examined how nurses perceive the utilisation of empowering education in school-aged children with diabetes and their parents. The study identified four phases or categories for successfully managing this process: assessment of knowledge, skills and needs, planning, implementation, including participation and interactivity, and finally evaluation and feedback for the family.…”

“…The study identified four phases or categories for successfully managing this process: assessment of knowledge, skills and needs, planning, implementation, including participation and interactivity, and finally evaluation and feedback for the family. It was stressed that educating children must be based on developmental psychology because of the various psychological and functional abilities that characterise the different ages [56,65]. The study describes the complexity of an empowering patient education in detail, as well as the variety of approaches used.…”

“…The multiple components in this study clearly show that empowering patient education is a complex intervention that requires the organisation and professionals to adapt their work practices to accommodate the complexity [53,56]. Homogenisation and standardisation in hospital organisations, however, may work to thwart the aim of empowering education and child centredness.…”

“…As a result, involved parents and professionals should encourage the child to participate and be interactive in learning and decision-making, but they should also respect the child's wishes and opinions [55]. Research points out that shared participation, decision-making and shared learning experiences with parents promote positive outcomes [56], but in order to avoid an asymmetrical relationship, focusing on child-centred care, where the child is a key, active agent [57] guided by adults, is recommended.…”

The Effect of Partnership Care Plan on Metabolic Control of Iraqi Diabetic Adolescents

“…While Kelmo developed an example of an evidence-based patient education program. Other factors supporting changes in work practices require consideration for further development of the model [15]. Therefore, we evaluated the Partnership Care plan for increasing the interaction between patient, nurse, and physician to monitor and control the conditions of diabetic patients.…”