Exploring the instructional practices of nurses to patient education on bedside care : a Q-sort approach [manuscript] / Janina Hannah Baluyot Rulida.

This study uncovered the best instructional practices of nurses on bedside care to explore the subjective perspective of the health educators associated in producing a quality and efficient client education in a globally competitive society. The Q-methodology was utilized in the study. The primary phase was a face-toface interview with preliminary participants to generate set of statements to be used in the second phase which is the actual study proper. The second phase was letting the participant sort and rank the curated statements in the level of the chosen agreement to establish an indepth analysis of their experiences throughout their clinical practice supported by their commentary. Thirty (30) nurses from three (3) private institutions from the province of Bataan were selected using the purposive sampling technique based on the inclusion and exclusion criteria set prior to the conduct of the study. The participants ranked each number from the 42 statements using a 9-point scale that ranges from -4 (most disagree) to +4 (most agree). The sorting templates along with the statements was transferred to a software capable with person-factor analysis called Ken-Q Analysis. The data were factor analyze using principal components and varimax rotation. The Ken-Q application extracted three (3) factors representing the perspectives of a bedside nurse. The factors were identified as: Instructional Practices on Client Education, Challenges and Barriers Perceived and Subjective Viewpoint of Nurses. Nurses are considered as the vertebrae of hospital institutions they have distinct roles such as being a leader in patient and family education. They have full responsibility about their own process of active professional development to achieve their optimum level of proficiency through seminars, trainings and assessing their level of competency and needs for improvement. This study produced an inventory tool to help the nurses assess their ability and shortcomings and infographic material an innovative means of communication to assist the nurses about proper patient education. More so, based on the findings it was concluded that nurses may have different instructional practices but at the end of the day it will all boils down to the quality of care that they are providing that is why the institutions should regulate and promulgate guidelines regarding client education to ensure quality and patient safety. In addition, the study suggested that nurses should continue to enhance their ability through attending seminars, training, graduate school or any forms of continuity of education to evolve into a competent, confident, empathic and efficient nurse in a world full of criticism. Lastly, course of action for future researcher gears to further investigating and enhancing the factors presented using the same method of research or qualitative manner and participants with beyond three (3) years of clinical experiences.