American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: https://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2022, 10(3), 84-89
DOI: 10.12691/ajnr-10-3-2
Open AccessArticle

Nurses’ Competencies in the Delivery of Discharge Education to Patients with Congestive Heart Failure in the Critical Care Settings

Alhanouf Awaad Alharthi1,

1Critical Care Nursing Department, Fakeeh College for Medical Sciences, Saudi Arabia

Pub. Date: October 30, 2022

Cite this paper:
Alhanouf Awaad Alharthi. Nurses’ Competencies in the Delivery of Discharge Education to Patients with Congestive Heart Failure in the Critical Care Settings. American Journal of Nursing Research. 2022; 10(3):84-89. doi: 10.12691/ajnr-10-3-2

Abstract

Purpose: The study aimed to assess the level of nurses’ competency on the delivery of discharge education to patients with congestive heart failure in the critical care settings. Background: Congestive heart failure (CHF) is regarded as one of the deadliest diseases in the world. Focusing on the well-defined discharge education and the patient’s willingness to adopt patient education (PE) is an essential aspect to promote improvement on the condition of life and disease outcomes, as well as lessening the rates of re-hospitalization. Method: A quantitative descriptive research design was utilized in this study and a convenient nonprobability sampling technique was used in selecting the total number of 115 critical care nurses as a sample of the current study. Result: The result of the study shows the overall nurses’ competency in delivering discharge education to patient with congestive heart failure in its 5 domains such as general information, medication, nutrition, activity, and monitoring and follow-up was 4.22 with a SD of 0.57 which denotes “high competent”. Furthermore, it also revealed that there is no significant difference between nurses’ gender, education qualification, and unit of assignment and their level of competency in delivering discharge education as supported by the p-value exceeded the significance level of 0.05. However, their level of experience and their level of competency in delivering discharge education are significant as supported by the p-value of .040. Conclusion: Nurses play a pivotal role in discharge education; therefore, their competency is essential and vital in ensuring patient’s health. However, the success of discharge education does not depend entirely on the nurse's role, but it also requires the participation of the patient and their caregivers especially during the transition process from the hospital setting to the patient’s home. Similar study to be conducted to assess the level of critical care nurses in providing discharge education for patients with CHF at Saudi Arabia.

Keywords:
discharge education competency critical care patient education patient outcomes patient safety

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Anderson, Elizabeth, and J. Larry Durstine. “Physical activity, exercise, and chronic diseases: A brief review.” Sports Medicine and Health Science 1.1 (2019): 3-10.‏
 
[2]  Cui, Xiaoning, Zhou, X., Ma, L. L., Sun, T. W., Bishop, L., Gardiner, F. W., & Wang, L. “A nurse-led structured education program improves self-management skills and reduces hospital readmissions in patients with chronic heart failure: a randomized and controlled trial in China.” Rural and Remote Health 19.2 (2019): 47-54.‏
 
[3]  Suresh, Sharma, ed. Potter and Perry's Fundamentals of Nursing: Third South Asia Edition EBook. Elsevier Health Sciences, 2021.‏
 
[4]  Ghorbani, R., Soleimani, M., Zeinali, M. R., & Davaji, M. “Iranian nurses and nursing students' attitudes on barriers and facilitators to patient education: A survey study.” Nurse education in practice 14.5 (2014): 551-556.‏
 
[5]  Kang, E., Tobiano, G. A., Chaboyer, W., & Gillespie, B. M. “Nurses' role in delivering discharge education to general surgical patients: a qualitative study.” Journal of advanced nursing 76.7 (2020): 1698-1707.‏
 
[6]  Hwang, Huei-Lih, Mei-Ling Kuo, and Chin-Tang Tu. “Health education and competency scale: Development and testing.” Journal of Clinical Nursing 27.3-4 (2018): e658-e667.‏
 
[7]  See, M. T. A., Chee, S., Rajaram, R., Kowitlawakul, Y., & Liaw, S.. “Missed nursing care in patient education: A qualitative study of different levels of nurses’ perspectives.” Journal of Nursing Management 28.8 (2020): 1960-1967.‏
 
[8]  Khalaf, I. A., Abu-Moghli, F. A., LaRocco, S. A., & Al-Maharma, D.”Jordanian nurses’ perception and interventions related to promoting smoking cessation.” Journal of clinical nursing 27.17-18 (2018): 3397-3407.‏
 
[9]  Lelorain, S., Bachelet, A., Goncalves, V., Wortel, E., Billes, M., Seillier, M., ... & Bourgoin, M. “Nurses' and nursing assistants' emotional skills: A major determinant of motivation for patient education.” Journal of Advanced Nursing 75.11 (2019): 2616-2626.‏
 
[10]  Garshasbi, S., Khazaeipour, Z., Fakhraei, N., & Naghdi, M.”Evaluating knowledge, attitude and practice of health-care workers regarding patient education in Iran.” Acta Medica Iranica (2016): 58-66.‏
 
[11]  Fereidouni, Z., Sarvestani, R. S., Hariri, G., Kuhpaye, S. A., Amirkhani, M., & Kalyani, M. N. “Moving into action: The master key to patient education.” The journal of nursing research 27.1 (2019): 1.‏
 
[12]  Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. “Empowering education: A new model for in-service training of nursing staff.” Journal of advances in medical education & professionalism 5.1 (2017): 26.
 
[13]  Lin, L. Y., & Wang, R. H. “Patient E ducation C ompetence S cale for Registered Nurses in T aiwan: S cale development and psychometric validation.” Japan Journal of Nursing Science 14.2 (2017): 117-125.
 
[14]  Soto, P., Masalan, P., & Barrios, S. The health education a central element of nursing care. Revista Médica Clínica Las Condes, 29. 3 (2018): 288-300.
 
[15]  Karimi Moonaghi, H., Emami Zeydi, A., & Mirhaghi, A.”Patient education among nurses: bringing evidence into clinical applicability in Iran.” Investigacion y educacion en enfermeria 34.1 (2016): 137-151.‏
 
[16]  Groene, R. O., Orrego, C., Suñol, R., Barach, P., & Groene, O.”“It's like two worlds apart”: an analysis of vulnerable patient handover practices at discharge from hospital.” BMJ quality & safety 21.Suppl 1 (2012): i67-i75.
 
[17]  Hesselink, G., Vernooij-Dassen, M., Pijnenborg, L., Barach, P., Gademan, P., Dudzik-Urbaniak, E., ... & Wollersheim, H.” Organizational culture: an important context for addressing and improving hospital to community patient discharge.” Medical care (2013): 90-98.
 
[18]  Hinami, K., Bilimoria, K. Y., Kallas, P. G., Simons, Y. M., Christensen, N. P., & Williams, M. V. “Patient experiences after hospitalizations for elective surgery.” The American Journal of Surgery 207.6 (2014): 855-862.‏
 
[19]  Pueyo-Garrigues, M., Pardavila-Belio, M. I., Whitehead, D., Esandi, N., Canga-Armayor, A., Elosua, P., & Canga-Armayor, N. “Nurses’ knowledge, skills and personal attributes for competent health education practice: An instrument development and psychometric validation study.” Journal of Advanced Nursing 77.2 (2021): 715-728.‏
 
[20]  Weiss, M. E., Piacentine, L. B., Candela, L., & Bobay, K. L “Effectiveness of using a simulation combined with online learning approach to develop discharge teaching skills.” Nurse Education in Practice 52 (2021): 103024.‏
 
[21]  Pellet, J., Weiss, M., Rapin, J., Jaques, C., & Mabire, C.”Nursing discharge teaching for hospitalized older people: A rapid realist review.” Journal of Advanced Nursing 76.11 (2020): 2885-2896.‏
 
[22]  Shi, W., Ghisi, G. L., Hyun, K., Zhang, L., & Gallagher, R. “Patient education interventions for health behaviour change in adults diagnosed with coronary heart disease: A protocol for a systematic review and meta-analysis.” Journal of Advanced Nursing 77.2 (2021): 1043-1050.‏
 
[23]  Oh, E. G., Lee, H. J., Yang, Y. L., Lee, S., & Kim, Y. M. “Development of a discharge education program using the teach-back method for heart failure patients.” BMC nursing 20.1 (2021): 1-9.‏
 
[24]  White, M., Garbez, R., Carroll, M., Brinker, E., & Howie-Esquivel, J. “Is “teach-back” associated with knowledge retention and hospital readmission in hospitalized heart failure patients?.” Journal of Cardiovascular Nursing 28.2 (2013): 137-146.
 
[25]  Howie-Esquivel, J., Carroll, M., Brinker, E., Kao, H., Pantilat, S., Rago, K., & De Marco, T.‏ “A strategy to reduce heart failure readmissions and inpatient costs.” Cardiology Research 6.1 (2015): 201.‏
 
[26]  Boyde, M., Peters, R., New, N., Hwang, R., Ha, T., & Korczyk, D. “Self-care educational intervention to reduce hospitalisations in heart failure: a randomised controlled trial.” European Journal of Cardiovascular Nursing 17.2 (2018): 178-185.‏
 
[27]  Dinh HTT, Bonner A, Ramsbotham J, Clark R. Cluster randomized controlled trial testing the effectiveness of a self-management intervention using the teach-back method for people with heart failure. Nurs Health Sci. 2019;21(4):436–44.
 
[28]  Fukada, M. “Nursing competency: Definition, structure and development.” Yonago acta medica 61.1 (2018): 001-007.‏
 
[29]  Sharghi, N. R., Alami, A., Khosravan, S., Mansoorian, M. R., & Ekrami, A.”Academic training and clinical placement problems to achieve nursing competency.” Journal of advances in medical education & professionalism 3.1 (2015): 15.‏
 
[30]  De Melo, R. C., Silva, M. J., Parreira, P. M., & Ferreira, M. M. C. “Helping relationship skills in nurses the validation of a measurement instrument.” Rev Esc Enferm USP 45.6 (2011): 1383-90.‏
 
[31]  Gormley, N., & Melby, V. “Nursing students' attitudes towards obese people, knowledge of obesity risk, and self-disclosure of own health behaviours: An exploratory survey.” Nurse Education Today 84 (2020): 104232.‏
 
[32]  Eloranta, S., Katajisto, J., & Leino-Kilpi, H. “Orthopaedic patient education practice.” International journal of orthopaedic and trauma nursing 21 (2016): 39-48.‏
 
[33]  Oh, E. G., Lee, H. J., Yang, Y. L., Lee, S., & Kim, Y. M. “Development of a discharge education program using the teach-back method for heart failure patients.” BMC nursing 20.1 (2021): 1-9.‏