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Missed nursing care in patient education: A qualitative study of different levels of nurses’ perspectives
Author(s) -
See Min Ting Alicia,
Chee Shuzhen,
Rajaram Rajashulakshana,
Kowitlawakul Yanika,
Liaw Sok Ying
Publication year - 2020
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12983
Subject(s) - nursing , medicine , nurse education , nursing management , qualitative research , primary nursing , exploratory research , clarity , focus group , team nursing , specialty , family medicine , social science , biochemistry , chemistry , business , marketing , sociology , anthropology
Aim To explore the different levels of nurses’ perspectives in the delivery of patient education in postoperative care. Background Patient education is a frequently reported missed nursing care and can lead to postoperative complications and hospital readmissions. Methods Descriptive exploratory qualitative study involving eight focus groups with 35 nurses was conducted in an acute hospital. Interviews were audio‐recorded and transcribed verbatim. Data were thematically analysed. Results The analysis yielded three themes: ‘Role ambiguity’ between the levels of nurses concerning their roles in patient education; ‘Not a priority nursing care’ for patient education due to competing work demands and the missing workplace culture to teach; and ‘Informal teaching’ carried out conversationally during nursing care activities. Conclusion This study augments the need to develop strategies, including informal teaching, to strengthen the delivery of patient education to avert missed nursing care. Implications for Nursing Management Nurse managers and educators are instrumental in establishing role clarity between ward nurses and specialty care nurses for patient education, recognizing patient education as the next nurse‐sensitive indicator in reflecting quality of care, fostering positive workplace cultures to teach and providing ward nurses with trainings on communication strategies to provide effective informal teaching at bedside.