Review Article

Delivering Patient Education in Healthcare Organizations: An Integrative Review of the Nursing Administrative Actions

Table 3

A summary of the selected studies (n = 9).

Author(s), year of publication, and locationPurpose of the studySample, sample size, and sampling methodStudy design and data collectionContextData analysisQuality scores (JBI 2020, critical appraisal tools)

Fereidouni et al. 2019, ira [27]“To document the perspectives and recommendations of nurses with regard to patient education” p.2Head nurses, n = 8, clinical nurses, n = 16, and purposive samplingA qualitative exploratory design semistructured in-depth interviews focus group observationMedical, surgical, emergency, and pediatric departmentsConventional content analysis (Graneheim and Lundman 2004)7/10

Ghorbani et al. 2019, Iran [22]“To determine the mechanisms for attracting nurses” engagement in patient education from the viewpoint of nursing managers” p.164Nursing managers (ward head, supervisor), n = 91, convenience samplingA cross-sectional descriptive-analytic study
A two-part questionnaire (developed for this study) (40 questions)
Educational hospitalsDescriptive statistics methods7/8

Bergh et al. 2015, Sweden [28]“To explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care” p.192Managers, n = 10A qualitative exploratory design
(i) A social constructionist perspective 3 focus group interviews
Not specified, patient education in hospital careCritical discourse analysis9/10

Seyedin et al. 2015, Iran [23]“To investigate the dimensions of patient education process including need assessment, planning, implementation, and evaluation” p.2Head nurses, n = 187, convenience samplingA descriptive cross-sectional study
A questionnaire (developed for this study)
(i) 1 part: demographics,
(ii) 2 part (31 items) a five-point Likert scale (1 = never and 5 = always)
Teaching hospitalsDescriptive statistics methods4/8

Bergh et al. 2012, Sweden [24]“To describe nurses’ perceptions of conditions for patient education, focusing on organizational, environmental and professional cooperation aspects” p.759Nurses, n = 701, stratified random sampleA cross-sectional survey
A questionnaire (developed for this study) (60 items) with fixed response categories (1–5) dichotomous response options (yes or no) open-ended answers
Primary care, municipal care, and hospital careQuantitative data: statistics methods
Qualitative data: a content analysis
8/8

Vafaee-Najar et al. 2012, Iran [25]“Studying what patient education services were offered and which organizational factors in the hospitals affected the provision of these services” p.231Patients, n = 441, physicians, n = 200, nurses, n = 185, supervisors, and managers, n = 70, stratified and simple samplingA descriptive cross-sectional study of four self-administered questionnaires
Three answer choices (agree, disagree, and neutral) open-ended questions and closed questions interviews
Teaching hospitalsQuantitative data: statistics methods
Qualitative data: a content analysis
2/8

Hätönen et al. 2010, Finland [26]“To describe patient education practices in adult acute psychiatric hospitals” p.334Head nurses from adult acute psychiatric wards, n = 55A descriptive questionnaire survey
A questionnaire (developed for this study) 7-point scale dichotomous response options (1 = yes or 2 = no) open-ended question
Adult acute psychiatric hospitalsQuantitative data: statistics methods
Qualitative data: a content analysis
6/8

Valanis et al. 2003, U. S [29]“Describes observed variations in telephone advice nursing services and the organizational and process factors the nurses identified as supporting or hindering their work” p.216Taped (1 to 2 hours) calls: call centers, n = 77 medical offices, n = 98, nurses and physicians, (n = not reported), managers, (n = not reported), a convenience sampleA qualitative design
Two instruments (developed for this study)
(i) The call description form
(ii) The interpersonal communication
(iii) Style inventory manager-completed checklists focus groups (nurses and physicians)
Telephone advice nursing servicesQualitative analysis5/10

Albada et al. 2001, Netherlands [30]“Describes the organization of patient education in hospitals and the conditions that influence this in the Netherlands, Flanders and England” p.4Patient education officers, an executive of a health insurance company, Ombudsman, a committee member of a professional organization, n = 5, document analysis, n = 95, documents and websites, n = 24Qualitative design document analysis of five interviewsNot specified, patient education in hospitalsText coding analysis document analysis5/10