title: Pilot educational program to enhance empowering patient education of school-age children with diabetes.
abstract: BACKGROUND
  Nurses have a crucial role in patient education of children with type 1 diabetes, but they often exhibit lack of knowledge of the patient education process. This study aimed to describe an educational program to enhance empowering patient education process for the blood glucose monitoring education of school-age children and nurses' perceptions of using empowering techniques.
  
  
  METHODS
  An empowering patient education process for the diabetes education of school-age children was developed. The researcher collected nurse's perceptions of managing the educational program by semi-structured interviews. Ten nurses carried out the diabetes education, and 8 of them participated in the interview. Three nurses implemented the diabetes education twice and were interviewed twice. The data consisted of 11 descriptions of the blood glucose monitoring education. The interviewer analyzed the data deductively and inductively by content analysis.
  
  
  RESULTS
  Nurses described successful managing of the empowering patient education process. The need assessment consisted of using multiple methods and clarifying the capabilities and challenges of children and their parents. Planning manifested itself in adequate preparation and multiple objectives stated together with the family. Implementation comprised the relevant content, and the use of suitable teaching materials and methods. Evaluation was performed with various methods and documented accurately. Nurses also faced some challenges related to management and leadership, ambivalence with traditional and empowering patient education, and families' overall situation.
  
  
  CONCLUSIONS
  An example of developing evidence-based patient education program is presented, but besides education other factors supporting changes in work practices should be considered in further development.
authors: Institute of Behavioural Sciences, University of Helsinki, Siltavuorenpenger 5 A, P,O, Box 9, Helsinki, 00140, Finland. marjatta.kelo@metropolia.fi.
authors: Marjatta
authors: M
authors: Kelo
authors: Elina
authors: E
authors: Eriksson
authors: Ilse
authors: I
authors: Eriksson
references: J Adv Nurs. 2008 Apr;62(1):107-15
references: 18352969
references: Patient Educ Couns. 2006 Aug;62(2):228-34
references: 16139981
references: Int J Nurs Pract. 2007 Jun;13(3):193-200
references: 17518793
references: Pediatr Nurs. 2013 Mar-Apr;39(2):71-9
references: 23705298
references: Int J Nurs Pract. 1999 Mar;5(1):14-20
references: 10455612
references: Diabetes Care. 2005 Jan;28(1):186-212
references: 15616254
references: J Pediatr Nurs. 2006 Jun;21(3):211-21
references: 16713511
references: Patient Educ Couns. 2010 Jun;79(3):277-82
references: 19682830
references: Diabetes Care. 2008 Jan;31 Suppl 1:S97-104
references: 18165344
references: Patient Educ Couns. 2007 Apr;66(1):13-20
references: 17084059
references: J Adv Nurs. 2001 Feb;33(3):296-306
references: 11251716
references: Pediatr Diabetes. 2009 Sep;10 Suppl 12:51-7
references: 19754618
references: Am J Nurs. 2007 Jun;107(6 Suppl):26-33; quiz 33
references: 17563431
references: Patient Educ Couns. 2002 Oct -Nov;48(2):107-13
references: 12401413
references: Patient Educ Couns. 2004 Dec;55(3):385-95
references: 15582345
references: J Adv Nurs. 2011 Oct;67(10):2096-108
references: 21635284
references: J Nurs Care Qual. 2007 Apr-Jun;22(2):185-94
references: 17353757
references: Pediatr Diabetes. 2007 Oct;8 Suppl 6:63-71
references: 17727387
references: Diabetes Care. 2011 Jan;34 Suppl 1:S11-61
references: 21193625
references: J Fam Nurs. 2006 Nov;12(4):368-89
references: 17099116
references: Diabetes Educ. 1991 Jan-Feb;17(1):37-41
references: 1986902
references: J Nurses Staff Dev. 2002 May-Jun;18(3):157-61
references: 12189998
references: Scand J Caring Sci. 2013 Dec;27(4):894-904
references: 23088248