Abstract

This study aimed to investigate the internal consistency reliability and construct validity of the Korean version of the Nurses’ Patient Education Questionnaire. An accurate assessment of nurses’ perceived patient education competency is required, and these needs assessment results can provide the evidence for designing a continuing education to empower and equip nurses with optimal competency for patient education. A cross-sectional study was used to which a convenience sample of 262 hemodialysis unit nurses in the Republic of Korea. In the exploratory factor analysis, the questionnaire consisted of 26 items belonging to seven factors: (1) nurse belief and knowledge; (2) documentation of patient education activities; (3) collegial teamwork; (4) educational environment; (5) interdisciplinary cooperation; (6) education foundation; and (7) health care organization, all of which accounted for 70.2% of the variance. The internal consistency reliability was 0.91 for the overall scale and each factor at 0.70 to 0.77. The questionnaire provides a valid and reliable instrument to assess nurses’ patient education competency.

Highlights

  • Regarding the characteristics related to patient education of hemodialysis nurses, 90.5% (n = 237) have access to educational materials, 49.6% (n = 130) have access to a dedicated patient education nurse, 88.2% (n = 231) have patient education booklets, and 58.0% (n = 152) have regular patient education programs

  • Our findings demonstrate the acceptable internal consistency reliability and construct validity of the Nurses’ Patient Education Questionnaire (NPEQ) in Korean hemodialysis unit nurses

  • The present study found that new graduate nurses reported lower nurse patient education competency scores in overall and its subscales compared to experienced nurses

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Summary

Introduction

Res. Public Health 2021, 18, The prevalence of limited health literacy among hemodialysis patients ranged from. 10% to 50% [1], and limited health literacy was associated with nonadherence, adverse events, and mortality [2]. Patient education can help patients implement patient adherence activities and induce positive physiological and psychosocial patient outcomes [3,4]. Patient education for patients with end-stage renal disease undergo hemodialysis can be challenging and competing with all other topics for hemodialysis unit nurses because they face patient, nurse, and hospital-related barriers for implementing optimal patient education [5,6]. Patient education competency is one of the most important factors for nurses’ educational performance [7]. Nurses play an important role in patient education and they require varied communicational, educational, animation, and assessment skills [12,13]

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