IN A GOVERNMENT SECONDARY HOSPITAL
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A Thesis
Presented to the Faculty of The Graduate School of
SouthWestern University
Cebu City
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In Partial Fulfillment of the Requirements for the
Master of Art in Nursing
Nursing Service Administration
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by
Golda Evitta J. Acosta, BSN, R.N.
March 2014
CHAPTER 1
THE PROBLEM AND ITS SCOPE
INTRODUCTION
Rationale
Patient education is the process of influencing the patient’s behavior to effect changes in knowledge, attitudes and skills needed to maintain and improve health. The basic purpose of teaching and counseling is to help patients and families develop the self-care abilities they need to maximize their functioning and quality of life (Taylor, 2008).
“Clearly, the interpersonal process is the vehicle by which technical care is implemented and on which its success depends” (Donebedian, 1988, p. 1744).
Physicians and nurses were asked to share what they consider to be obstacles in their experiences with patient education. All of them identified problems with either motivating patients or with achieving patient compliance. When asked to elaborate, they saw these two issues as closely related. The implication was that a sufficiently motivated patient would comply with the doctor’s or the nurse’s instructions (Rankin and Stallings, 2001).
It is well documented that nurses’ interactions with patients can produce both positive and negative patient perceptions of health care quality, particularly regarding patient satisfaction with care (Wagner & Bear, 2009).
As patient illness acuity and nurse- patient ratios increase, it is incumbent upon nurses to implement interventions that address and