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Audrey Hermann-Burteaux1, Cyril Crozet2

  • 1Infirmière, M.Sc, infirmière déléguée à la santé publique, Action de santé libérale en équipe, ASALEE 55, France

Recherche En Soins Infirmiers
|June 20, 2022
PubMed
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[Orientation practices among patient education nurses: A qualitative study with general doctors and patients at a health center in Lorraine].

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Improving patient education (PE) involves analyzing doctor-patient communication and addressing knowledge gaps. Professional practice groups and patient empowerment enhance medical orientation for better chronic disease management.

Area of Science:

  • Healthcare Management
  • Patient Education
  • Medical Sociology

Background:

  • The ASALEE scheme in Lorraine aims to improve chronic disease management through doctor-patient education nurse collaboration.
  • Observed patient non-attendance for initial consultations highlights a need to optimize referral processes.

Purpose of the Study:

  • To explore and analyze medical orientation practices for patients referred to their first patient education (PE) consultation.
  • To identify key criteria and indicators influencing the effectiveness of PE orientation.

Main Methods:

  • A mixed-methods approach combining direct observation of practices with semi-structured interviews.
  • Involved 4 doctors and 17 patients, with referrals to PE nurses or specialist doctors.

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Main Results:

  • Developed 27 criteria and 72 indicators for PE orientation, with 15 overlapping with specialist medical criteria.
  • Identified critical factors for improving PE, including doctor-patient relationship quality and PE-specific knowledge/skills.

Conclusions:

  • Enhancing medical orientation in PE requires professional practice analysis groups.
  • Socially acceptable patient empowerment and engagement strategies are crucial for improving PE outcomes.