Perceived control: a construct to guide patient education.

Betty Reid Girard, Terra Murray
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Abstract

Background: Educational needs for patients who are hospitalized with cardiovascular health issues are often underestimated by those caring for them. Perceived control is a construct that has been employed to guide understanding these needs.

Purpose: The purpose of this exploratory study was to expose cardiac nurses to the construct of perceived control during an annual cardiac education day in February 2009, and evaluated whether the nurses find perceived control constructive in their current practice. The exploratory study also evaluated whether the nurses planned to alter their approach to patient teaching to incorporate perceived control based on the information contained in the presentation.

Method: Data were collected from registered nurses (n=16) employed in a tertiary cardiac intervention unit, who attended an annual cardiac education day in February 2009. The nurses completed a one-time cross-sectional survey, created de novo, which explored their beliefs around perceived control and patient education.

Findings: The survey revealed that the nurses generally agreed that perceived control had the potential to positively impact patient teaching. This was despite the nurses' lack of previous knowledge about perceived control. Younger nurses tended to find that perceived control had an impact on patient adherence more than older nurses, although this result was not statistically significant. Younger and less experienced nurses were also more open to theory and research underpinning patient education.

Conclusion: Further study is required with a larger sample size and validated measurement tool.

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感知控制:指导患者教育的构想。
背景:因心血管健康问题住院的患者的教育需求常常被照顾他们的人低估。感知控制是一种用来指导理解这些需求的结构。目的:本探索性研究的目的是在2009年2月的年度心脏教育日期间,让心脏护士接触到感知控制的构建,并评估护士在目前的实践中是否认为感知控制具有建设性。探索性研究还评估了护士是否计划改变他们的病人教学方法,以纳入基于演示中包含的信息的感知控制。方法:数据收集于2009年2月参加年度心脏教育日的三级心脏介入科注册护士(n=16)。护士们完成了一项一次性的横断面调查,从头开始,调查他们对感知控制和病人教育的看法。结果:调查显示,护士普遍认为感知控制有可能对患者教学产生积极影响。这是在护士之前缺乏感知控制知识的情况下得出的结论。年轻护士倾向于发现感知控制对患者依从性的影响大于年长护士,尽管这一结果没有统计学意义。年轻和经验不足的护士也对支持患者教育的理论和研究更开放。结论:需要更大的样本量和有效的测量工具进行进一步的研究。
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