INSTITUTIONALIZING THE EDUCATIONAL ROLE OF CLINICAL NURSES BY DEMING CYCLE (PDCA)

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ARIAN MAHDIYEH; MORTAZAVI HAMED; TABATABAEICHEHR MAHBUBEH; Navipour Hassan; VANAKI ZOHREH

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Journal: Quarterly Journal of Nursing Management Year:2016 | Volume:4 | Issue:4 Page(s): 45-57

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Title

INSTITUTIONALIZING THE EDUCATIONAL ROLE OF CLINICAL NURSES BY DEMING CYCLE (PDCA)

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Keywords

DEMING MODELQ2

PATIENT EDUCATIONQ2

PATIENT SATISFACTIONQ2

SMOG FORMULAQ3

Abstract

Introduction: The common patients' complaints is the educational role of nurses. So, the health system should be used appropriately and dynamic management model that is aligned with the clinical audit cycle for planning and institutionalizing the educational role of nurses.Aim: The purpose of this study was to institutionalization the educational role of nurses by Deming management cycle (PDCA) based on the patients satisfaction.Methods and Materials: This study was an action research that was done with collaboration between nursing school and two teaching hospitals in Bojnord in one year (2013-2014). At first problems' PATIENT EDUCATION was identified by (5Whys) technique; and then planning for solving those problems based on PDCA started. Based on the PDCA for assessing used forms and tools (eg., PATIENT SATISFACTION, barrier identification form, SMOG FORMULA and PEMAT). In implementation phase; PATIENT SATISFACTION from the training provided in 5 steps, barriers to PATIENT EDUCATION from nurses' and students' viewpoint in the 2 steps, patients' literacy levels in 500 patients before change and readability level of educational pamphlets before and after change according to the SMOG FORMULA and PEMAT measured. The next step implemented changes based on past step; identified problems and barriers. After change implemented, again patients satisfaction measured in five steps with (200) patients in each steps. Data were analyzed by SPSS 20 software and using statistical tests; ANOVA and T-test.Results: The most important barriers from the nurses' and nurse managers' viewpoint was lack of knowledge of the principles of PATIENT EDUCATION; and from the students' viewpoint was high level of pamphlet' contents. The mean level of patients' literacy (n=500) was (6.72±4.34).Readability level pamphlets had significant difference before and after modification based on the SMOG FORMULA and PEMAT; so, the paired t-test was significant (p<0.05). Average levels of PATIENT SATISFACTION during the 5 stages were (10.33±2, 11.52±3.25, 14.11±4.41, 16.59±3.78, 16.94±4.1) that ANOVA test showed promotion ((p<0.05).Conclusion: For changing in clinical education and learning, applying the DEMING MODEL suggest to nurse managers and educational managers in nursing, because it has direct effect on students' education and preparing them for adopting educational role in future. Also, clinical learning environments will be enrich that would be promoted faculty staff, clinical nurses competencies and the end improve patients satisfaction.

Cites

Evaluating the Efficacy of Patient-education by Nurses in Birjand-based Teaching Hospitals in 2017

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APA: Copy

ARIAN, MAHDIYEH, MORTAZAVI, HAMED, TABATABAEICHEHR, MAHBUBEH, Navipour, Hassan, & VANAKI, ZOHREH. (2016). INSTITUTIONALIZING THE EDUCATIONAL ROLE OF CLINICAL NURSES BY DEMING CYCLE (PDCA). QUARTERLY JOURNAL OF NURSING MANAGEMENT, 4(4), 45-57. SID. https://sid.ir/paper/239278/en

Vancouver: Copy

ARIAN MAHDIYEH, MORTAZAVI HAMED, TABATABAEICHEHR MAHBUBEH, Navipour Hassan, VANAKI ZOHREH. INSTITUTIONALIZING THE EDUCATIONAL ROLE OF CLINICAL NURSES BY DEMING CYCLE (PDCA). QUARTERLY JOURNAL OF NURSING MANAGEMENT[Internet]. 2016;4(4):45-57. Available from: https://sid.ir/paper/239278/en

IEEE: Copy

MAHDIYEH ARIAN, HAMED MORTAZAVI, MAHBUBEH TABATABAEICHEHR, Hassan Navipour, and ZOHREH VANAKI, “INSTITUTIONALIZING THE EDUCATIONAL ROLE OF CLINICAL NURSES BY DEMING CYCLE (PDCA),” QUARTERLY JOURNAL OF NURSING MANAGEMENT, vol. 4, no. 4, pp. 45–57, 2016, [Online]. Available: https://sid.ir/paper/239278/en

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