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Registered Nurses' Patient Education in Everyday Primary Care Practice : Managers' Discourses

Bergh, Anne-Louise ; Friberg, Febe ; Persson, Eva I LU orcid and Dahlborg-Lyckhage, Elisabeth (2015) In Global qualitative nursing research 2.
Abstract

Nurses' patient education is important for building patients' knowledge, understanding, and preparedness for self-management. The aim of this study was to explore the conditions for nurses' patient education work by focusing on managers' discourses about patient education provided by nurses. In 2012, data were derived from three focus group interviews with primary care managers. Critical discourse analysis was used to analyze the transcribed interviews. The discursive practice comprised a discourse order of economic, medical, organizational, and didactic discourses. The economic discourse was the predominant one to which the organization had to adjust. The medical discourse was self-evident and unquestioned. Managers reorganized patient... (More)

Nurses' patient education is important for building patients' knowledge, understanding, and preparedness for self-management. The aim of this study was to explore the conditions for nurses' patient education work by focusing on managers' discourses about patient education provided by nurses. In 2012, data were derived from three focus group interviews with primary care managers. Critical discourse analysis was used to analyze the transcribed interviews. The discursive practice comprised a discourse order of economic, medical, organizational, and didactic discourses. The economic discourse was the predominant one to which the organization had to adjust. The medical discourse was self-evident and unquestioned. Managers reorganized patient education routines and structures, generally due to economic constraints. Nurses' pedagogical competence development was unclear, and practice-based experiences of patient education were considered very important, whereas theoretical pedagogical knowledge was considered less important. Managers' support for nurses' practical- and theoretical-based pedagogical competence development needs to be strengthened.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Journal Article
in
Global qualitative nursing research
volume
2
pages
12 pages
publisher
SAGE Publications
external identifiers
  • pmid:28462314
  • scopus:85018199128
ISSN
2333-3936
DOI
10.1177/2333393615599168
language
English
LU publication?
yes
id
facab022-0746-456c-8faa-2e480a93ce56
date added to LUP
2018-02-12 11:59:25
date last changed
2024-05-27 06:57:24
@article{facab022-0746-456c-8faa-2e480a93ce56,
  abstract     = {{<p>Nurses' patient education is important for building patients' knowledge, understanding, and preparedness for self-management. The aim of this study was to explore the conditions for nurses' patient education work by focusing on managers' discourses about patient education provided by nurses. In 2012, data were derived from three focus group interviews with primary care managers. Critical discourse analysis was used to analyze the transcribed interviews. The discursive practice comprised a discourse order of economic, medical, organizational, and didactic discourses. The economic discourse was the predominant one to which the organization had to adjust. The medical discourse was self-evident and unquestioned. Managers reorganized patient education routines and structures, generally due to economic constraints. Nurses' pedagogical competence development was unclear, and practice-based experiences of patient education were considered very important, whereas theoretical pedagogical knowledge was considered less important. Managers' support for nurses' practical- and theoretical-based pedagogical competence development needs to be strengthened.</p>}},
  author       = {{Bergh, Anne-Louise and Friberg, Febe and Persson, Eva I and Dahlborg-Lyckhage, Elisabeth}},
  issn         = {{2333-3936}},
  keywords     = {{Journal Article}},
  language     = {{eng}},
  month        = {{08}},
  publisher    = {{SAGE Publications}},
  series       = {{Global qualitative nursing research}},
  title        = {{Registered Nurses' Patient Education in Everyday Primary Care Practice : Managers' Discourses}},
  url          = {{http://dx.doi.org/10.1177/2333393615599168}},
  doi          = {{10.1177/2333393615599168}},
  volume       = {{2}},
  year         = {{2015}},
}