EFFECTIVE PATIENT EDUCATION

Author: Donna Falvo, PhD, RN, CRC
Affiliation: University of North Carolina, Chapel Hill
Publisher: Jones & Bartlett Learning
Publication Date: 2011
ISBN 10: 0763766259
ISBN 13: 9780763766252
Edition: 4th

Description:

Written by a nursing expert and former Chair of patient education for the Society of Teachers of Family Medicine, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition gives clinicians the tools they need to become effective patient educators. Using a patient-centered approach, this essential text provides specific strategies for communicating in a way that motivates patients to take action. Crucial to this approach is an understanding of the patient as a partner in the patient education process. The text uncovers patient concerns and challenges that may interfere with patient adherence to recommendations, enabling clinicians to gain insight into their patients and devise communication strategies that can empower patients to overcome obstacles. In addition, this completely revised and updated edition explores the challenges that clinicians may face in conducting patient education. Using case examples to illustrate key points, this text moves beyond theory to offer practical application principles for the real world. Featuring a clinical approach in examining established patient-education theories, Effective Patient Education: A Guide to Increased Adherence, Fourth Edition is an invaluable guide for nursing students and professionals! The Fourth Edition includes chapters on: Enhancing patient motivation Building an effective patient education team Patient-centered teaching model Instructional aids, including internet and web-based resources

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • About the Author
  • Preface

Patient Adherence as an Outcome of Effective Patient Teaching

  • ADHERENCE VERSUS COMPLIANCE
  • EXTENT OF NONADHERENCE
  • CONSEQUENCES OF NONADHERENCE
  • TYPES OF NONADHERENCE
  • RESEARCH ON ADHERENCE
  • INTERVENTIONS TO INCREASE ADHERENCE
  • ROLE OF THE HEALTH PROFESSIONAL IN ADHERENCE
  • PATIENT EDUCATION, PATIENT TEACHING, AND ADHERENCE
  • PATIENT-CENTERED TEACHING TO INCREASE ADHERENCE
  • REFERENCES

Toward a Model of Patient-Centered Teaching

  • MAKING PATIENT TEACHING PATIENT-CENTERED
  • PATIENT-CENTERED TEACHING AND PATIENT ADHERENCE
  • PATIENT TEACHING VERSUS PATIENT LEARNING
  • IDENTIFYING THE NEED TO KNOW
  • GATHERING PATIENT INFORMATION
  • DEVELOPING A TEACHING PLAN
  • IMPLEMENTATION OF THE TEACHING PLAN
  • DOCUMENTATION OF PATIENT TEACHING
  • EVALUATION OF PATIENT TEACHING
  • REFERENCES

Enhancing Patient Motivation: Increasing Adherence

  • MOTIVATION IN PATIENT TEACHING
  • INTRINSIC AND EXTRINSIC FACTORS IN MOTIVATION
  • MOTIVATION TO GAIN INFORMATION
  • GOALS AS MOTIVATORS
  • MOTIVATION TO LEARN
  • FEAR AS A MOTIVATOR
  • MOTIVATION TO FOLLOW RECOMMENDATIONS
  • ENHANCING PATIENT MOTIVATION TO CHANGE
  • STAGES OF CHANGE
  • MOTIVATIONAL INTERVIEWING AS AN INTERVENTION IN PATIENT TEACHING
  • SELF-EFFICACY
  • REFERENCES

Individual Factors in Patient Teaching and Patient Adherence

  • PSYCHOSOCIAL ISSUES IN PATIENT TEACHING
  • THE PATIENT AS AN INDIVIDUAL
  • SOCIAL INFLUENCES
  • ENVIRONMENTAL FACTORS
  • THE NATURE OF TREATMENT RECOMMENDATIONS
  • INFLUENCE OF DIFFERENT PERSONALITY STYLES
  • PATIENTS’ SELF-VIEW
  • PATIENTS’ ADJUSTMENT TO ILLNESS
  • TEACHING PATIENTS HOW TO COPE WITH ILLNESS
  • UNDERSTANDING PATIENT COPING STRATEGIES AND METHODS OF ADAPTATION
  • HELPING PATIENTS COPE
  • ENHANCING PATIENT ADHERENCE
  • REFERENCES

Patient Teaching Through the Lifespan: A Developmental Perspective

  • LIFESPAN DEVELOPMENT
  • MODELS OF LIFESPAN DEVELOPMENT
  • PATIENT TEACHING WITH PARENTS AND CHILDREN
  • AGE-SPECIFIC PATIENT TEACHING OF CHILDREN
  • TEACHING ADULTS THROUGHOUT THE LIFESPAN
  • A LIFESPAN PATIENT-CENTERED APPROACH TO PATIENT TEACHING
  • REFERENCES

The Family, Patient-Centered Teaching, and Patient Adherence

  • ROLE OF THE FAMILY
  • FAMILY STRUCTURE AND STYLE
  • FAMILY AND ILLNESS
  • THE FAMILY MEMBER AS CAREGIVER
  • THE HEALTH PROFESSIONAL AND THE FAMILY
  • REFERENCES

Cultural Issues in Patient Teaching and Patient Adherence

  • CULTURE
  • CULTURE AND HEALTH
  • CULTURE AS A FACTOR IN PATIENT TEACHING
  • CULTURE AND ADHERENCE
  • HISTORICAL INFLUENCES AND CULTURE
  • CULTURAL DIVERSITY
  • IMMIGRATION
  • ETHNICITY
  • ACCULTURATION
  • CULTURAL DIFFERENCES AND THE HEALTH PROFESSIONAL
  • REACHING AN UNDERSTANDING OF CULTURAL DIFFERENCES IN PATIENT TEACHING
  • GAINING CREDIBILITY
  • PATIENT-CENTERED CULTURALLY SENSITIVE PATIENT TEACHING
  • COMMUNICATION ISSUES IN CROSS-CULTURAL PATIENT TEACHING
  • COMMUNICATION STYLE
  • USE OF AN INTERPRETER
  • SOCIAL–CULTURAL VARIATIONS IN PATIENT TEACHING
  • SOCIOECONOMIC STATUS AS A CULTURAL VARIABLE
  • FAMILY ISSUES AND CULTURAL DIVERSITY
  • ALTERING APPROACHES TO PATIENT TEACHING
  • GENERAL GUIDELINES FOR CULTURALLY SENSITIVE PATIENT TEACHING
  • REFERENCES

Communicating Effectively in Patient Teaching: Enhancing Patient Adherence

  • EXCHANGING INFORMATION
  • RELATIONSHIP SKILLS: BUILDING RAPPORT
  • DEMONSTRATING ACCEPTANCE AND UNDERSTANDING
  • COMMUNICATING EMPATHY
  • BUILDING TRUST
  • NONVERBAL COMMUNICATION
  • RESPONDING TO PATIENTS’ VERBAL CUES
  • INITIATING PATIENT TEACHING
  • ESTABLISHING GOALS FOR COMMUNICATION IN PATIENT TEACHING
  • COMMUNICATING INFORMATION IN PATIENT TEACHING
  • HELPING PATIENTS REMEMBER INSTRUCTIONS
  • REFERENCES

Building Patient Partnerships: Facilitating Patient Participation in Patient-Centered Teaching

  • PARTNERSHIP AND COLLABORATION
  • NEGOTIATION
  • CHANGE IN PATIENTS’ ROLES IN HEALTH CARE
  • MODELS OF PROFESSIONAL RELATIONSHIPS AND NEGOTIATION
  • SHARED RESPONSIBILITY IN PATIENT TEACHING
  • THE BOUNDARIES OF PATIENT TEACHING
  • WHEN NEGOTIATION FAILS
  • FACILITATING PATIENT DECISION MAKING
  • PATIENT CONTRACTING AS A TOOL IN PATIENT TEACHING
  • HELPING PATIENTS IDENTIFY GOALS
  • MAKING GOALS OBSERVABLE
  • REINFORCING PATIENT BEHAVIOR
  • HELPING PATIENTS TO DECREASE BEHAVIOR
  • HELPING PATIENTS REMEMBER WITH CONTRACTING
  • CONSIDERATIONS IN THE USE OF CONTRACTING
  • REFERENCES

Health Literacy in Patient Education and Patient Adherence

  • LITERACY
  • MYTHS ABOUT LOW LITERACY
  • HEALTH LITERACY
  • IDENTIFICATION OF PATIENTS WITH LOW LITERACY
  • SCREENING FOR HEALTH LITERACY
  • ASSESSING READABILITY OF MATERIALS
  • TEACHING PATIENTS WITH LOW LITERACY SKILLS
  • HELPING PATIENTS BECOME ACTIVATED
  • REFERENCES

Patient Teaching and Complementary and Alternative Medicine

  • COMPLEMENTARY, ALTERNATIVE, AND INTEGRATIVE MEDICINE
  • GROWTH OF COMPLEMENTARY AND ALTERNATIVE MEDICINE USE
  • WHO USES COMPLEMENTARY AND ALTERNATIVE MEDICINE: MYTHS AND MISCONCEPTIONS
  • PATIENT DISCLOSURE ABOUT COMPLEMENTARY AND ALTERNATIVE MEDICINE USE
  • ATTITUDES OF HEALTH PROFESSIONALS TOWARD COMPLEMENTARY AND ALTERNATIVE MEDICINE
  • PATIENT MOTIVATION FOR USING COMPLEMENTARY AND ALTERNATIVE MEDICINE
  • IMPORTANCE OF DISCUSSING COMPLEMENTARY AND ALTERNATIVE MEDICINE
  • PATIENT TEACHING ABOUT COMPLEMENTARY AND ALTERNATIVE MEDICINE
  • TEACHING PATIENTS ABOUT SAFETY ISSUES REGARDING COMPLEMENTARY AND ALTERNATIVE MEDICINE
  • THE HEALTH PROFESSIONAL AND COMPLEMENTARY AND ALTERNATIVE MEDICINE
  • INTEGRATIVE APPROACHES TO THE USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE
  • REFERENCES

Patient Teaching and Patient Adherence Issues for Older Adults

  • DEMOGRAPHICS
  • UNDERSTANDING AGING
  • TERMINOLOGY OF AGING
  • INDIVIDUAL DIFFERENCES IN AGING
  • BARRIERS TO EFFECTIVE PATIENT TEACHING WITH OLDER ADULTS
  • SPECIAL CONSIDERATIONS FOR PATIENT TEACHING WITH OLDER ADULTS
  • TEACHING OLDER ADULTS ABOUT PREVENTION AND HEALTH PROMOTION
  • BARRIERS TO PATIENT ADHERENCE FOR OLDER ADULTS
  • MAXIMIZING EFFECTIVE PATIENT TEACHING WITH OLDER ADULTS
  • REFERENCES

Patient Teaching About End-of-Life Issues

  • IMPORTANCE OF TEACHING ABOUT END-OF-LIFE ISSUES
  • RELUCTANCE TO TALK ABOUT END-OF-LIFE ISSUES
  • CULTURAL VARIATIONS IN DEATH AND DYING
  • UNDERSTANDING END-OF-LIFE ISSUES IN THE CONTEXT OF THE PATIENT
  • UNDERSTANDING END-OF-LIFE ISSUES IN THE CONTEXT OF THE FAMILY
  • COMMUNICATION SKILLS IN TEACHING ABOUT END-OF-LIFE ISSUES
  • TEACHING ABOUT ADVANCED PLANNING
  • DELIVERING BAD NEWS
  • TEACHING PATIENTS LIVING WITH LIFE-THREATENING ILLNESS
  • PATIENT TEACHING IN TERMINAL STAGES OF DISEASE
  • CONDUCTING A FAMILY CONFERENCE
  • IMPACT OF END-OF-LIFE TEACHING
  • REFERENCES

Ethical Issues in Patient Teaching and Patient Adherence

  • ETHICAL THEORIES
  • ETHICAL PRINCIPLES
  • CONFIDENTIALITY AND PRIVACY
  • VALUES
  • IDENTIFYING ETHICAL ISSUES IN PATIENT TEACHING AND PATIENT ADHERENCE
  • ETHICAL ISSUES IN THE HEALTH PROFESSIONAL–PATIENT RELATIONSHIP
  • ETHICAL ISSUES IN RESEARCH AND EVALUATION IN PATIENT TEACHING, PATIENT EDUCATION, AND PATIENT ADHERENCE
  • ETHICAL PATIENT TEACHING PRACTICES
  • REFERENCES

Informed Consent

  • THE MEANING OF INFORMED CONSENT
  • MISPERCEPTIONS ABOUT INFORMED CONSENT
  • VALIDITY OF INFORMED CONSENT
  • THE FUNCTION OF INFORMED CONSENT
  • STANDARDS FOR INFORMED CONSENT
  • THERAPEUTIC PRIVILEGE
  • IMPLIED OR EXPLICIT CONSENT
  • WHO OBTAINS CONSENT
  • CONCEPTS OF COMPETENCE FOR INFORMED CONSENT
  • ASSESSING PATIENTS’ ABILITY TO GIVE CONSENT
  • CONSENT FROM SPECIAL PATIENTS
  • USE OF CONSENT FORMS
  • COMMUNICATION IN INFORMED CONSENT
  • FAMILY INVOLVEMENT IN INFORMED CONSENT
  • INFORMED CONSENT IN RESEARCH
  • REFERENCES

Instructional Aids in Patient Teaching: Used or Abused

  • ASSESSING CONTENT OF INSTRUCTIONAL AIDS
  • USING INSTRUCTIONAL AIDS
  • WRITTEN INSTRUCTIONAL AIDS
  • USE OF AUDIOVISUAL AIDS
  • PRESENTING INSTRUCTIONAL AIDS
  • DEVELOPING INSTRUCTIONAL AIDS
  • PLANNING INSTRUCTIONAL AIDS
  • DEVELOPING A PATIENT EDUCATION NEWSLETTER
  • COMPUTER USE IN PATIENT TEACHING
  • USING THE INTERNET
  • USING INSTRUCTIONAL AIDS EFFECTIVELY
  • REFERENCES

Research and Evaluation in Patient Teaching and Patient Adherence

  • IMPORTANCE OF RESEARCH AND EVALUATION IN PATIENT TEACHING AND PATIENT EDUCATION
  • DEFINING RESEARCH AND EVALUATION
  • STEPS IN PROGRAM EVALUATION
  • STEPS IN RESEARCH
  • SAMPLING
  • RESEARCHER AND SUBJECT BIAS
  • MEASUREMENT IN RESEARCH AND EVALUATION
  • QUALITATIVE METHODS IN RESEARCH
  • COLLABORATION IN RESEARCH AND EVALUATION
  • MANAGING A RESEARCH PROJECT
  • SPECIFIC ISSUES IN PATIENT EDUCATION RESEARCH AND EVALUATION
  • SPECIFIC ISSUES IN PATIENT ADHERENCE RESEARCH
  • FUTURE DIRECTIONS FOR RESEARCH IN PATIENT EDUCATION
  • REFERENCES

Building an Effective Patient Education Team: Promoting Patient-Centered Patient Teaching

  • PATIENT-CENTERED CARE
  • PATIENT-CENTERED PATIENT TEACHING
  • THE NEED FOR A TEAM APPROACH
  • DEFINING TEAM
  • STARTING AT THE TOP
  • DEVELOPING A PLAN
  • LEADERSHIP
  • LEADERSHIP AND TRUST
  • FORMING A TEAM
  • MAINTAINING TEAM EFFORT
  • BARRIERS TO PATIENT-CENTERED PATIENT TEACHING: WHEN BUILDING A TEAM MEANS CHANGE
  • CHANGE AND RESISTANCE
  • PUTTING TEAMWORK INTO PRACTICE
  • MISSION, VISION, AND VALUES
  • REFERENCES