Table 5 Root causes of the challenges of educating cardiovascular patients
The challenges | Root causes of the challenges | |
|---|---|---|
HR13: The nurse is too busy to allocate enough time to educational affairs | Personnel | Lack of time management Incorrect perception of education Lack of motivation No extra financial bonus for holding educational classes |
Lack of human resource | Lack of allocated budget Inefficient management decisions | |
Ineffective methods | No group education classes by the nurses No repetition of training during presenting clinical services | |
HR2 & HR5: The patient does not understand the meaning of education content, and the patient does not understand the standard language | Learner | Low literacy Old age Linguistic and cultural differences |
Educator | Poor expression skills Lack of work interest Poor teaching skills | |
Educational tools | Difficult language of written educational tools Lack of diversity and attractiveness | |
HR1: The patient does not listen carefully and does not accompany the educator | Learner | Not being interested in learning Unfavorable physical and mental status Not knowing the importance of education |
Educator | Not paying due attention to the patient Little experience Poor expression skills Weak personal characteristics No extra financial bonus for holding educational classes Lack of motivation | |
Educational tools | Lack of diversity and attractiveness Inaccessible during the classes Lack of interactive multimedia tools | |
HR11: Some of the patient's caregivers request for the same education that has already been given to the patient | caregivers' education | caregivers' education is not considered important according to lack of a clear plan for involving them in the education |
Educational tools and caregivers | Lack of educational tools Not distributing the available sources among all caregivers present in the wards | |
HR3: The patient forgets | Education | Not repeating and reviewing for the patient Not evaluating the patient Difficulty in memorizing the education content |
Educational tools | Lack of diversity and attractiveness Inaccessible during the classes Lack of interactive multimedia tools | |
Learner | Age Mental status Physical status | |
HR8: The patient does not accept the illness, or the mental problems resulting from the illness decrease the education effectiveness | The patient's mental condition is not considered | |
There is no mechanism for the initial evaluation of all patients' mental condition | ||
New tools and technologies are not practically used in patient education | ||
E6: The education room or the inpatient ward room is small, and there are not adequate group classrooms | Patient status | Impossibility of moving the patient to another room |
Available space | Lack of suitable space | |
E13: New tools & technologies are not used in patient education | The current system (Internet Radio) | Lack of a suitable notification system for patients Not being attractive and dynamic |
Management | Lack of infrastructure Insufficient financing Management not being familiar with new educational tools | |
HR17: Some nurses have low communicational skills | Educator | Little experience Weak personal characteristics Poor expression skills |
Management | Insufficient in-service training Lack of organizational commitment due to frequent relocation of personnel | |