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.
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [28] | Fukada, M. “Nursing competency: Definition, structure and development.” Yonago acta medica 61.1 (2018): 001-007.View Article PubMed |
| [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.View Article PubMed |
| [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.View Article PubMed |
| [32] | Eloranta, S., Katajisto, J., & Leino-Kilpi, H. “Orthopaedic patient education practice.” International journal of orthopaedic and trauma nursing 21 (2016): 39-48.View Article PubMed |
| [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.View Article PubMed |
