Action Research Using the Nursing Model on Education: Study Meetings and the Study of Nursing Practice Facilitated by a Staff Nurse (Certified Nurse Specialist)

Thursday, July 14, 2011

Emi Yamada, RN, MSN, CNS1
Tomoe Inoue, RN, MSN2
Kazumi Oda, RN, MSN3
Takakao Kobayashi, RN, MSE4
Yuko Hayashi, RN, PhD4
Hiromi Onbe, RN, MSN5
Etsuko Yokoyama, RN, MSN6
Hiroko Shimomura, RN, MSN6
Teruko Kawaguchi, RN, PhD6
(1)Department of Nursing, Nagoya Medical Center, Nagoya-Aichi, Japan
(2)Department of Nursing, Omihachiman Community Medical Center, Shiga, Japan
(3)School of Nursing, Nagano College of Nursing, Nagano, Japan
(4)Faculty of Nursing, Osaka Medical College, Osaka, Japan
(5)School of Health Sciences, Faculty of Medicine Gunma University, Gunma, Japan
(6)School of Nursing, The Japanese Red Cross College of Nursing, Tokyo, Japan

Learning Objective 1: To understand how staff involved in educational interaction improve their abilities by using the model.

Learning Objective 2: To understand how daily practice and theory are unified through action research conducted by the model development research group's researcher as a ward staff member.

Purpose

    To clarify how nurses change through holding case review meetings to study the nursing model on education and meetings to examine nursing practice.

Methods

    Action research. Research participants: Five hospital ward nurses working in a general hospital. Data analysis: Data was gathered and used from verbatim records from meeting minutes, case records, and semi-structured interviews, context was extracted with regard to thoughts and attitudes toward educational involvement, and changes in nurses were reconstructed. This research was conducted upon receiving approval from the ethics committee.

Results

    Three study meetings, nine case review meetings, and 10 discussion meetings were held. At first the research participants thought that patient education meant to convey to patients accepted knowledge and skills, and they were unable to discover the educational situations in their daily interactions. Through case reviews they learned to transform their daily interactions into educational opportunities. Also, they came to see education as something that needed to be matched to the reaction of the patient. By using the model they felt that they were educating the patients and that they were doing so correctly, which made them start describing the educational interaction in communicating with the next shift personnel, and through written records, etc. This made it possible also for other staff to detect even the slightest speech and behavior of patients and talk about changes in the patients.

Conclusion

    The participants' views of patient education shifted from simply imparting knowledge and skills to patients to making adjustments based on the reactions of the patients. Participants became able to describe the educational interaction by transferring duties to others and through written records, etc. This made it possible also for other staff to detect even the slightest speech and behavior of patients and talk about changes in the patients.