The role of education for graduated nurses in model practices: example of arterial hypertension

Authors

  • Marija Petek Šter University of Ljubljana Faculty of Medicine Department of Family Medicine Poljanski nasip 5 SI-1000 Ljubljana
  • Branko Šter University of Ljubljana Faculty of Computer and Information Science Tržaška 25 SI-1000 Ljubljana

DOI:

https://doi.org/10.14528/snr.2015.49.1.46

Keywords:

family medicine, teamwork, quality, needs assessment, satisfaction

Abstract

Introduction: Graduated nurses are involved in additional educational process to be prepared for working in model practices. The aim of our research was to recognize the necessity for further education and to evaluate the success of additional education for graduated nurses in model practices in the field of arterial hypertension. Methods: The research included 143 graduated nurses who attended a thirty-five hour educational programme on arterial hypertension from January 2012 to March 2013. We assessed the improvement in knowledge of the management of patients with arterial hypertension, the satisfaction of the attendees with the entire educational programme, the particular topics of the module and the teaching methods. We used quantitative (descriptive statistics methods, paired t-test, one sample t-test) and qualitative research methods. Results: In assessing prior knowledge, significant differences were noted between attendees (test results varied from 15.0 % to 100.0 %). The level of knowledge at the end of the educational programme was remarkably higher (56.6 % at the beginning vs. 89.1 % at the end of the educational programme, p < 0.001). Moreover, the satisfaction with the entire educational programme and with its particular modules was high: the mean value on a scale from 5 to 10 was 8.6 (s = 1.3). Teaching methods were assessed as appropriate: the mean value on a scale from 1 to 5 was 4.6 (s = 0.6). Attendees were satisfied with the usefulness and the quality of the lectures, availability of lecturers and the correlation between theory and practice through the use of a casebased discussion. Discussion and conclusion: Our results support the necessity for additional education of graduated nurses working in model practices in the field of arterial hypertension.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Marija Petek Šter, University of Ljubljana Faculty of Medicine Department of Family Medicine Poljanski nasip 5 SI-1000 Ljubljana

izr. prof. dr. Marija Petek Šter, dr. med.

Branko Šter, University of Ljubljana Faculty of Computer and Information Science Tržaška 25 SI-1000 Ljubljana

izr. prof. dr. Branko Šter, dipl. inž. el.

References

Accetto, R., Brguljan-Hitij, J., Dobovišek, J., Dolenc, P. & Salobir, B., 2008. Slovenske smernice za zdravljenje arterijske hipertenzije 2007. Zdravniški vestnik, 77(5), pp. 349–363.

Anastasi, A., 1976. Psychological testing. New York: Macmillan, pp. 297–306.

Brook, R.H., 2011. The role of physicians in controlling medical care costs and reducing waste. Journal of American Medical Association, 306(6), pp. 650–651. http://dx.doi.org/10.1001/jama.2011.1136 PMid:21828329

Carter, B.L., Rogers, M., Daly, J., Zheng, S. & James, P.A., 2009. The potency to team based care interventions for hypertension. Archives of Internal Medicine, 169(19), pp. 1748–1755. http://dx.doi.org/10.1001/archinternmed.2009.316 PMid:19858431; PMCid:PMC2882164

Chen, H.L., Lui, P.F., Lui, P.W. & Tsai, P.S., 2011. Awareness of hypertension guidelines in Taiwanese nurses: a questionnaire survey. Journal of Cardiovascular Nurse, 26(3), pp. 129–136. http://dx.doi.org/10.1097/JCN.0b013e3181ed9443 PMid:21076310

Clark, C.E., Smith, L.F., Taylor, R.S. & Campbell, J.L., 2010. Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. British Medical Journal , 341, p. c3995. http://dx.doi.org/10.1136/bmj.c3995 PMid:20732968; PMCid:PMC2926309

Cowan, D.T., Norman, I. & Coopamah. V.P., 2005. Competence in nursing practice: a controversial concept - a focused review of literature. Nurse Education Today, 25(3), pp. 355–362. http://dx.doi.org/10.1016/j.nedt.2005.03.002 PMid:15904996

DaSilva, S.S., Colosimo, F.C. & Pierin, A.M., 2010. The effect of educational intervention on nursing team knowledge about arterial hypertension. Revista da Escola de Enfermagem da USP (The University of Sao Paulo Nursing School Journal), 44(6), pp. 488–496.

Dickson, B.K. & Hajjar, I., 2007. Blood pressure measurement education and evaluation improves measurement accuracy in community-based nurses: a pilot study. Journal of American Academy of Nurse Practitioners, 19(2), pp. 93–102. http://dx.doi.org/10.1111/j.1745-7599.2006.00199.x PMid:17300535

Fahy, N., 2012. Who is shaping the future of European health systems? British Medical Journal, 344, p. e1712. http://dx.doi.org/10.1136/bmj.e1712 PMid:22415953

Garside, J.R. & Nhemachena J.Z.Z., 2013. A concept analysis of competence and its transition in nursing. Nurse Education Today, 32(5), pp. 541–545. http://dx.doi.org/10.1016/j.nedt.2011.12.007 PMid:22257583

Glynn, L.G., Murphy, A.W., Smith, S.M., Schroeder, K. & Fahey, T., 2010. Self-monitoring and other non-pharmacological interventions to improve the management of hypertension in primary care: a systematic review. British Journal of General Practice, 60(581), pp. e476–488. http://dx.doi.org/10.3399/bjgp10X544113 PMid:21144192; PMCid:PMC2991764

Hegney, D.G., Patterson, E., Eley, D., Mohamed, R. & Young, J., 2013. The feasibility, acceptability and sustainability of nurseled chronic disease management in Australian general practice. The perspective of stakeholders. International Journal of Nursing Practice, 19(1), pp. 54–59. http://dx.doi.org/10.1111/ijn.12027 PMid:23432889

Kadivec, S., Skela-Savič, B., Kramar, Z., Zavrl Džaninović, D. & Bregar, B., 2013. Strategija razvoja zdravstvene nege in oskrbe v sistemu zdravstvenega varstva v republiki Sloveniji za obdobje od 2011 do 2020: povzetek. Obzornik zdravstvene nege, 47(1), pp. 97–112.

Klemenc Ketiš, Z., Kravos, A., Poplas Susič, T., Švab, I. & Kersnik, J., 2014. New tool for patient evaluation of nurse practitioner in primary care settings. Journal Clinical Nursing, 23(9/10), pp. 1323–1331. http://dx.doi.org/10.1111/jocn.12377 PMid:24028310

Kringos, D.S., Boerma, W.G., Hutchinson, A., van der Zen, J. & Groenewegen, P.P., 2010. The breadth of primary care: a systematic literature review of its core dimensions. BMC Health Service Research, 10, p. 65. http://dx.doi.org/10.1186/1472-6963-10-65 PMid:20226084; PMCid:PMC2848652

Kulaš, F., 2013. Zadovoljstvo mentorjev v zdravstveni organizaciji s kliničnim usposabljanjem študentov zdravstvene nege: magistrsko delo. Koper: Univerza na Primorskem, Fakulteta za management.

Petek Šter, M., 2005. Kakovost vodenja bolnikov z arterijsko hipertenzijo v ambulantah splošne medicine v Sloveniji: doktorska disertacija. Ljubljana: Univerza v Ljubljani, Medicinska fakulteta.

Petek Šter, M., Bulc, M., Accetto, R., Petek, D., Salobir, B. & Žontar, T., 2011. Protokol vodenja arterijske hipertenzije v ambulanti družinske medicine. In: Dolenc, P., ed. Zbornik XIX. strokovnega sestanka Sekcije za arterijsko hipertenzijo, Portorož 2. in 3. december 2011. Ljubljana: SZD - Sekcija za arterijsko hipertenzijo, pp. 63–80.

Petek Šter, M. & Švab, I., 2007. Nadzor krvnega tlaka pri bolnikih z arterijsko hipertenzijo v Sloveniji. Zdravniški vestnik, 76(6), pp. 397–403.

Petek Šter, M., 2012. Teaching communication at the medical school in Ljubljana. Acta Medica Academica, 41(1), pp. 38–46. http://dx.doi.org/10.5644/ama2006-124.34 PMid:23311483

Poplas Susič, T. & Marušič, D., 2011. Referenčne ambulante. Bilten ekonomika in informatika v zdravstvu, 27(1), pp. 9–17.

Poplas Susič, T., Švab, I. & Kersnik, J., 2013. Projekt referenčnih ambulant družinske medicine v Sloveniji. Zdraviški vestnik, 82(10), pp. 635–647.

Rabbia, F., Testa, E., Rabbia, S., Colasanto, C., Montersion, F., Berra, E., et al., 2013. Effectiveness of blood pressure educational and evaluation program for the improvement of measurement accuracy among nurses. High Blood Press Cardiovascular Prevention, 20(2), pp. 77–80. http://dx.doi.org/10.1007/s40292-013-0012-5 PMid:23653174

Rochfort, A., Kijowska, V. & Dubas, K. eds., 2012. Guidebook on quality improvement. Krakow: The College of Family Physicians in Poland. Shaw, R.J., McDuffie, J.R., Hendrix, C.C., Edie, A., Lindsey- Davis, L., Nagi, A., et al., 2014. Effects of nurse-managed protocols in the outpatient management of adults with chronic conditions: a systematic review and meta-analysis. Annals of Internal Medicine, 161(2), pp. 113–121. http://dx.doi.org/10.7326/M13-2567 PMid:25023250

Skela-Savič, B. & Kydd, A., 2011. Nursing knowledge as a response to societal needs: a framework for promoting nursing as a profession. Slovenian Journal of Public Health, 50(4), pp. 286–296.

Starfield, B., 2012. Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS report 2012. Gaceta Sanitaria, 26(suppl. 1), pp. 20–26. http://dx.doi.org/10.1016/j.gaceta.2011.10.009 PMid:22265645

Starfield, B., 2009. Toward international primary care reform. Canadian Medical Association Journal, 180(11), pp. 1091–1092. http://dx.doi.org/10.1503/cmaj.090542 PMid:19468110 PMCid:PMC2683215

Starfield, B., Shi, L. & Macinko, J., 2005. Contribution of primary care to health system and health. The Milbank Quarterly, 83(3), pp. 457–502. http://dx.doi.org/10.1111/j.1468-0009.2005.00409.x PMid:16202000; PMCid:PMC2690145

Verstappen, W.H.J.M., van der Weijden, T., Dubois, W.I., Smeele, I., Hermsen, J., Tan, F.E.S., et al., 2004. Improving test ordering in primary care: the added value of small-group quality improvement strategy compared with classic feedback only. Annals of Family Medicine, 2(6), pp. 569–575. http://dx.doi.org/10.1370/afm.244 PMid:15576543; PMCid:PMC1466745

Walker, R.C., Marshall, M.R., & Polaschek, N.R., 2014. A prospective clinical trial of specialist renal nursing in the primary care setting to prevent progression of chronic kidney: a quality improvement report. BMC Family Practice, 15, p. e155. http://dx.doi.org/10.1186/1471-2296-15-155 PMid:25239726; PMCid:PMC4263018

Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, 2011. Aktivnosti zdravstvene nege za diplomirane medicinske sestre in tehnike zdravstvene nege v ambulanti družinske medicine. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, pp. 1–47.

Published

2015-03-20

How to Cite

Petek Šter, M., & Šter, B. (2015). The role of education for graduated nurses in model practices: example of arterial hypertension. Slovenian Nursing Review, 49(1). https://doi.org/10.14528/snr.2015.49.1.46

Issue

Section

Original scientific article