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:: Volume 3, Issue 3 (12-2014) ::
مدیریت پرستاری 2014, 3(3): 8-25 Back to browse issues page
Introducing a semi-centralized organizational model for organizing and developing patient education services: the pivotal role of nurses
Parvaneh Khorasani1 , Maryam Rassouli * , Soroor Parvizy3 , Mansoureh Zagheri-Tafreshi4 , Mahmood Nasr-Esfahani5
1- No 147- Djenab Dead Alley, Sonbolestan Av. Abdorrazzagh Street, Esfahan, Iran
Department of Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , rassouli.m@gmail.com
3- Department of Pediatric Nursing, Nursing and Midwifery Faculty, Center for educational research in medical sciences(CERMS), Iran university of medical sciences, Tehran, Iran.
4- Department of Nursing Management, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran .
5- Al-Zahra teaching hospital, Medical University of Isfahan, Isfahan, Iran.
Abstract:   (12714 Views)

Introduction: Patient education is the missing link for effective clinical care in our hospitals. In accordance with the mission of the health system, lack of a coordinated policy in organized human resources in patient education services, resulting in a failure to provide effective services to patients to achieve "self-care".

Aim: To introduce a semi-centralized organizational model emphasizing the pivotal role of nurses in organizing patient education services.

Methods: This study is part of the reflection phase of the Nurse-Educators' Al-Zahra Role Expansion Action Research(NEAREAR Project) in Al-Zahra educational Hospital in Esfahan which has been started from January 2012, conducted through Enhancement-Emancipator Model of action research. By organizing three groups of the Core Team, Steering groups and Feedback communities and using leadership for change skills, the strategic process and operational planning of the participatory project led to development of patient education services. Data on organizational structure, interactions and roles of nurses in organizing above mentioned actions, purposefully collected from 115 administrative correspondences, over than 1,000 emails and 740 pages of documentation during clinical-academic partnership. Conventional and summative qualitative content analysis was performed on a continuous basis.

Findings: From the enlightening process of the Living theory of action research, themed "the nurses' role as leaders and managers", the "Nearer organizational model", was extracted for organizing patient education services in Al-Zahra educational Hospital with approval of 10 experts including structural themes, participatory programs and closer academic-clinical interactions  in both health care and therapeutic sectors. The "Nearer model" represents organized efforts of nurses in the establishment of an semi centralized professional structure of a scholar action research project, led to encourage nearer participation of the three executive components of healthcare system in the Deputies of Education & Research, Health and Treatment in the triple context of the underlying elements of the community resources, recipients and providers of health care services, that resulted to the development of the patient education services in a hospital.

Conclusion: The model explains how the collaborative actions of educational research, health care, can be closer by effective role of nurses in organizing and expanding patient education services during a participatory action research project. Given the positive results of the study, and according to the formation of Nursing Deputy in our Health System in Iran, it is suggested to test the model for promote the role of nurses in patient education services through action research for development of the patient education services in similar fields or in larger scales.

Keywords: action research, nurses, organizational model, patient education services
Full-Text [PDF 1302 kb]   (5403 Downloads)    
Type of Study: Research | Subject: Special
Received: 2014/08/1 | Accepted: 2014/10/27 | Published: 2015/01/11
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khorasani P, Rassouli M, Parvizy S, Zagheri-Tafreshi M, Nasr-Esfahani M. Introducing a semi-centralized organizational model for organizing and developing patient education services: the pivotal role of nurses. مدیریت پرستاری 2014; 3 (3) :8-25
URL: http://ijnv.ir/article-1-243-en.html


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Volume 3, Issue 3 (12-2014) Back to browse issues page
فصلنامه مدیریت پرستاری Quarterly Journal of Nursing Management
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